جستجوی مقالات مرتبط با کلیدواژه « Qualitative content analysis » در نشریات گروه « پزشکی »

With the spread of the Covid-19 virus, the medical staff were among the first people who were at risk of this contagious disease due to close contact with these patients. Students of medical sciences, who in the not-so-distant future will have to serve as medical staff in the health system, have an urgent need to receive appropriate quality education. Considering the importance of clinical education, it is felt necessary to examine the views of medical students and professors in the era of Covid-19. Ensuring the proper quality of education during the pandemic period, determining the challenges and needs of students of medical sciences is of great importance, and this study was designed and carried out qualitatively with the main purpose of examining the experiences of medical students and professors from clinical education during the covid-19 pandemic period.Materials &  This research is a qualitative study and the data analysis was done with the contractual content analysis approach proposed by Gernheim and Lundman in 2023, on 12 members of the medical faculty of Tabriz University of Medical Sciences, medical students in internship, externship, residency and fellowship. Through targeted sampling, a semi-structured interview was conducted until data saturation was reached in about 20 minutes interview. The accuracy and robustness of the data were confirmed by the method of Lincoln and Goba. The data analysis led to the extraction of 120 primary codes, which include 5 main categories and 39 subclasses. The 5 main categories include psychological and physical problems, treatment and educational policies, quality and infrastructure of clinical education, quality of educational evaluation and strategies for improving the quality of clinical education. Clinical education has suffered due to the policies of education in the direction of dividing and reducing the physical presence of students, and the lack of ability to hold virtual lessons due to the contrast of virtual education with clinical education is a very serious challenge according to the interviewees of education research.

One of the biggest challenges of the emergency medical system is to respond to accidents with a large number of injured people. In Iran, despite the great progress made in pre-hospital emergency services, there are many problems and shortcomings. Therefore, the purpose of the present study was to determine the factors affecting the pre-hospital response to traffic accidents with a large number of casualties.

The present qualitative study was conducted using a semi-structured method with the participation of 31 officials and personnel of the pre-hospital emergency, Red Crescent and the police, as a purposeful sampling from June 2017 to September 2018 using the contractual content analysis method. Since the researchers was trying to explain the factors affecting the pre-hospital response in traffic accidents with a large number of casualties, the qualitative research method with the contractual content analysis approach was used. The first participant was selected using the goal-based method, and the other participants entered the qualitative interview process using the snowball sampling method. The main question of the interview was "Describe the factors influencing the response to the MCTI mass casualty traffic accidents in which you have been involved". Sampling ended when the participants did not add new data to the previous data and no new codes were created. The Elo and Kingas analysis method was used, which includes open coding, classification of codes, creation of the main class or within the theme. The collected data were analyzed using statistical tests.

In the present study, the researchers achieved information saturation with 31 participants (27 men and 4 women) who were at most 50 and at least 26 years old (average 35 years) and their work experience was at least 2 and at most 28 years (with an average of 13.2) year), the content of "pre-hospital response" consists of three layers: information management, evaluation, and incident scene management. This theme was extracted from the different experiences of the participants in responding to accidents with a large number of injured people, from the moment the accident was announced by the pre-hospital emergency dispatch center, the provision of relief and treatment services at the scene of the accident, the transfer of the injured to the hospital and their delivery to the trauma center.

Consolidation of relief organizations leads to their coordination at the scene of the accident and better services to the injured. Holding joint 6-month training courses for all relief organization employees provides the basis for more interaction, coordination and service delivery to the injured.

Objectives :

Psychological support is one of the basic aspects of care for patients with cancer. It has been emphasized in literature and clinical practice for many years. This study aims to explore the experiences and perceptions of healthcare providers in Ardabil, Iran, about psychological support to patients with cancer.

Methods :

The research was conducted using conventional qualitative content analysis in cancer treatment centers in Ardabil, Iran, in 2021. Participants were 19 healthcare providers who were purposefully selected and interviewed to explore their experiences. After transcribing the recorded data, analysis was carried out based on Graneheim and Lundman’s content analysis method. 

Results :

Based on the content analysis results, four main themes, including “highlighting positive mental connection with oneself and others”, “positive awareness”, “positive change in the patient’s point of view,” and “strengthening the perceived value” were extracted. These categories reflected the healthcare providers’ efforts to “strengthen the positive mindsets” of patients and showed the formation of psychological support for patients with cancer.  

Conclusion:

 Strengthening of the positive mentality in patients with cancer is needed for their psychological support, and should be used as a strategic plan in the development of training programs for healthcare providers. It can be an indicator for evaluating psychological support to these patients and be a step towards providing quality care to them. The findings can be useful for designing a tool to measure the status of psychological support for patients with cancer in Iran or assess the care quality and performance of healthcare providers in giving psychological support to these patients.

The purpose of this research was to analyze the components of marriage counseling based on the methods and marriage counseling based on the theory of intergenerational integration of Bowen's theory and the constructivist theory of Savikas career counseling theory (constructivist premarital counseling).

The environment of this research was all the texts in the field of the mentioned theory. The method of selecting the texts was among the texts of Bowen's intergenerational family therapy theory and Savika’s career counseling theory in the range of years (2013-2022). The criterion of the number of texts was based on the principle of data saturation. The method of collecting information was line by line study of texts, based on questions related to relevant components for premarital counseling in these two theories. The data obtained from the review of the texts were analyzed using the traditional content analysis method of Heish and Shannon (2005).

The results of the content analysis showed that in the constructivist theory of Savikas, the concept of life designning and the concepts derived from it are suitable for matching with premarital counseling, and in the intergenerational theory, the seven concepts of self-differentiation, family projection, nuclear family emotional system, emotional breakdown, intergenerational transfer process and social regression are suitable for marriage counseling. Then, these concepts were combined according to Yousefi's and Golparvar’s method (2023) for theoretical integration, and finally the premarital counseling model was designed based on the integrated model.

  In general, according to the process of extracting this model, it can be said that this model is qualitatively valid and can be evaluated at the level of designing an educational package and testing the variabels related to marriage.

Health promotion is a crucial task for policymakers. Therefore, this study aims to identify the key factors that determine population health in Iran and illustrate the causal relationships between these factors.

The research was conducted using a mixed-method approach in three stages. First, macro social determinants of health were identified by analyzing available resources from 2000 to 2019. Screening of factors was carried out through the fuzzy Delphi method and a survey involving 15 experts. Finally, the causal relationships between the social determinants of health were depicted using a fuzzy cognitive map.

Initially, 96 health determinants were identified at the national and global levels. After the screening, 8 factors that had less significance in population health were excluded. In terms of causal relationships, the economic system emerged as the most important and influential factor, with a centrality degree of 21.06 and an out-degree of 10.91. Following that, governance and policy-making, as well as national policies, were ranked with centrality degrees of 20.25 and 20.19, respectively.

Irrespective of the causal relationships, the health system holds the utmost importance in population health. However, when considering the causal relationships, the economic system takes precedence as the most critical factor, while the health system does not rank among the top three factors. Therefore, the analysis of fuzzy cognitive maps assists policymakers in understanding priorities and the interconnectedness between sectors in developing and implementing health-oriented policies across all sectors, enabling the adoption of the most effective policies.

It is clear that The Covid-19 pandemic has disrupted an education system like other areas of society. The current research aimed to investigate faculty members' and medical students’ perceptions towards E-learning challenges during the Covid-19.

This qualitative study was performed by purposive sampling among students (N=16) and faculty members (N=6) in Sabzevar University of Medical Sciences in 2020. After obtaining informed consent from the participants, all semi-structured interviews were recorded one by one, handwritten, and analyzed by qualitative content analysis. To assess the accuracy and reliability of data was confirmed from various methods. 

From the data analysis, two main themes include "turmoil in the organization" (with the main classes of technical concerns, time concerns, and educational alienation) and "organizational uncertainty" (with the main classes of fundamental inconsistency and managerial inconsistency) were extracted.as virtual educational challenges.

Based on the result, there are challenges of management and organization in relation to managers' emphasis on the importance of e-learning and the issue of supporting these training. Paying attention to the challenges and obstacles in e-learning can greatly improve the quality of higher education.

According to the new definitions of the Statistical and Diagnosis Manual of Mental Disorders, learning disabilities are not limited to problems with learning math or reading. Treatment or improvement includes participation in daily life activities and the ability to accomplish tasks. Acceptance and commitment therapy (ACT) can be effective in this field since it focuses on one's values and commitment to them. Having a child with a learning disability has a significant effect on a mother's beliefs and feelings, to the extent that these mothers experience various adverse emotions, such as confusion, depression, frustration, and so on. These feelings affect the quality of life of mothers with children with learning disabilities, and research has shown that ACT can improve it. Regarding the effect of ACT on the well–being of children with a learning disability and their family members, we aimed to develop an ACT protocol using the metaphors of Rumi's spiritual Masnavi.

This research was conducted using the qualitative content analysis method. We explored Masnavi Manavi's anecdotes using the content analysis method to extract the hidden content of the anecdotes and their adaptation to the ACT categories. The unit of analysis in this research was the anecdotes of Masnavi Manavi. At this stage, 20 anecdotes were identified by researchers. Many anecdotes were not selected at this stage because of their similarity, the length of the anecdotes, or their narrative and conceptual complexity. Finally, an ACT protocol based on Masnavi metaphors was prepared as eight 75–min sessions (two sessions per week). To test the validity of the protocol, we implemented the protocol on a 35–year–old woman who was a housewife and holder of a bachelor's degree. She had a child with learning disabilities (the child had hyperactive traits and learning disabilities rooted in hyperactivity).

A total of eight related anecdotes with corresponding metaphors were found in spiritual Masnavi that matched all six ACT categories. These anectodes are 1) the story of the host afraid of having a guest in her home for a long time because of rain, 2) the story of the bear and the idiot who trusted him, 3) the story of a wolf and a fox go hunting in the companionship of a lion, 4) the story of the horse drinking water while being distracted by the people around, 5) the story of the deaf person who decides to visit his sick neighbor, 6) the story of four people who want grapes in a different language and get in trouble, 7) the story of the jackal falls into a bend of color and starts claiming to be a peacock, and finally 8) the story of the merchant and parrot. The validity of the protocol in an experimental run on the subject was confirmed using clinical observations and open–ended questions.

According to the results, the spiritual Masnavi has metaphors corresponding to the ACT categories. Customizing this treatment using the Masnavi spiritual anecdotes and the protocol based on these metaphors has good validity.

 Chronic Multiple Sclerosis (MS) often occurs in middle-aged people, who are supposed to take their most important roles in the family and community and thus affect their self-advocacy. This study aimed to identify the barriers to self-advocacy in women with MS.

This study was conducted using a qualitative content analysis method. The participants were 10 female members of the MS Association of Khuzestan Province of Iran aged 30-40 years with different educational levels, marital status, and occupations. They were selected using a purposive sampling method. The study data were collected through semi-structured interviews and continued until data saturation from June to November 2019. The content analysis was performed using Lundman and Graneheim’s qualitative content analysis method with an inductive approach conducted continuously and simultaneously with data collection. To evaluate the validity and reliability of qualitative data, we used Lincoln and Guba criteria (credibility, dependability, conformability, and transferability).

 The data analysis revealed 900 codes, 21 subcategories, and 6 themes of family barriers, medical barriers, job-related barriers, environmental barriers, sociocultural barriers, and psychological barriers.

 Women with MS face a variety of barriers to self-advocacy; most of them are related to family, environment, and society, in addition to personal barriers. Social support and the availability of sufficient and appropriate information about MS can play an important role in confronting these women with mentioned barriers and realizing their self-advocacy.

 Morality is very important in human life because human humanity is formed when moral values are crystallized in him. Every human being is evaluated to the extent of the emergence of moral values in thoughts, speech, and behavior, the first manifestation of a person in society is that personchr('39')s morality. To increase the impact of professional ethics, it is necessary to have patterns that are consistent with culture and society, and by recognizing them, the dimensions of safe behavior by accountants can be explored.

 This research is based on a combined method. Because in this research, both quantitative and qualitative approaches have been used in data collection and analysis, a combination of findings and conclusions. In the present study, data collection has been done through library and field research methods. Statistics consists of theoretical texts related to accounting professional ethics. In this study, using a researcher-made questionnaire, effective criteria based on previous research were identified and finally, 25 sub-components in the form of 5 indicators were identified as the most important factors of professional ethics. In this study, NVIVO software (in the content analysis section) Used.

 According to experts, the components of professionalism and organization are more important than other criteria and affect the sustainable development of safe behavior and professional ethics of the accountant.

 By understanding the professional ethics of accountants and identifying its basic components in different dimensions and determining the importance of each of them, a specific framework or format for accountants to observe or not to observe professional ethics and the desire to act based on Design and implement a code of professional conduct to reduce unsafe behaviors and, as a result, reduce the incidence of accidents in the countrychr('39')s industries.