Barriers to Support for Parents of Children with Cerebral Palsy: A Qualitative Study
nasrin
alaee
University of Social Welfare and Rehabilitation Sciences
author
Farahnaz
Mohammadi Shahboulaghi
University of Social Welfare and Rehabilitation Sciences
author
Hamidreza
Khankeh
University of Social Welfare and Rehabilitation Sciences
author
Sima
Mohammad Khan Kermanshahi
Tarbiat Modares University
author
text
article
2015
eng
Introduction: Parents who have children with cerebral palsy are exposed to the complicated care procedures of the afflicted child. Thus, they need support in order to decrease problems in this respect. However, their needs are not sufficiently met. Therefore, this study was conducted to explore barriers to support for parents of children with cerebral palsy. Method: This qualitative study was conducted in 2011-2012 using content analysis. Purposeful sampling was used to select the participants and continued until data saturation was reached. As a result, 31 participants from among parents of children with cerebral palsy referred to the rehabilitation centers in Tehran, Iran, and experts were selected. The data were collected by in-depth semi-structured interviews and from collected documents, and were analyzed by induction method. Results: Data analysis results revealed three main categories of organizational barriers (poor institutional coordination and communication, and lack of supportive laws with administrative support), professional barriers (poor teamwork, and lack of professional competency), and family barriers. Conclusion: Through understanding parents' needs and complementing supportive laws for parents with afflicted children, coordination among supportive organizations, and planning for comprehensive care along with supportive services packages, policy makers and health services managers can help eliminate parents' problems with regard to caring for their children with cerebral palsy.
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
305
316
https://jqr1.kmu.ac.ir/article_90793_8e664cbaf2d1f7aeda4dc5b4acb68468.pdf
Perceptions of Employees on Psychological Factors Affecting Obesity: A Qualitative Study
Jalal
Abdi
author
Hassan
Eftekhar
author
Mahmood
Mahmoodi
author
Davood
Shojayzadeh
author
Roya
Sadeghi
author
text
article
2015
eng
Introduction: Obesity has now become an epidemic in Iran and there is convincing evidence that psychological factors play an important role in obesity and overweight. Given the key role of employees, as valuable human resources, in providing services and the increasing sedentary lifestyle among them, the current study aimed to explore governmental employees’ perceptions of psychological factors that affect obesity. Method: This qualitative study was conducted through content analysis. In total, 4 focus group discussions were held with groups of 8 subjects (32 subjects). Semi-structured interviews were conducted on a diverse sample of 35 obese or overweight governmental employees between February 2014 and January 2015. All interviews were audio recorded and were analyzed using the Strauss and Corbin method. Results: As a result of data analysis, the 3 main categories of poor adaptability in stressful periods, low self-efficacy, and motivators emerged. Poor adaptability in stressful periods consisted of the 5 main subcategories of periods of university entrance exam, soldiering, career, marriage, and childbirth. Low self-efficacy was explored in the 2 main subcategories of lack of positive model and the sense of lack of control over circumstances. Motivators included the subcategories of pleasure and apprehension. Conclusion: This study showed that perceptions of employees on psychological factors influencing obesity differed. Therefore, further researches, both qualitative and quantitative, are required in this field.
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
363
371
https://jqr1.kmu.ac.ir/article_91083_67d76a7fbf50d024b8e7b79b1827db67.pdf
Barriers and Incentives of Self-care from the View of Diabetic Patients and their Service Providers Using the Social Marketing Model in Ardakan, Iran
Abasali
Dehkan tafti
author
seyd Saeed
Mazlomi
author
Mohamad ali
Morowati sharifabadi
author
Hasan
Rezaei Pandari
author
text
article
2015
eng
Introduction: Diabetes is the most common disease worldwide. The complications of diabetes cause economic damages and decrease patients' and their families' quality of life. Self-care is an important process in diabetes control. On the other hand, maintaining the blood glucose level at a favorable level is challenging for both the patients and the physician. This is due to systemic and individual barriers of diabetes self-care. Thus, the present study aimed to explore the barriers and incentives for self-care. Method: The present study was conducted as a qualitative study with focus group discussion (FGD) (3 sessions for patients and 3 sessions for health care providers separately). Private interviews were conducted with 25 patients and 5 health care providers until data saturation. The interviews and FGDs were transcribed and analyzed using content analysis method. Results: In analyzing the data, two main themes including barriers and incentives for self-care from the view of patients and health care providers were extracted. Based on the social marketing model, these themes were divided into four subthemes of product, place, price, and promotion. The study subjects specified the different causes of performing or not performing self-care in different areas such as exercise, nutrition, regular medical exams, and appropriate medicine use. The cost and availability of some services, physical barriers and their limitations, nonscientific health care delivery, unsuitable health care services for diabetic patients, and lack of health care packages and guidelines were reported as barriers. Moreover, successful experiences of patients and health care providers, and providing self-care facilities were reported as incentives. Conclusion: Market analysis in diabetes self-care showed that comprehensive and systematic programs for diabetic patient care, management protocol for physicians and specialists, and nutritional recommendation, traditional medicine, and exercise are more beneficial when coordinated with economic power, environmental factors, and beliefs of diabetic patients and literacy promotion
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
317
330
https://jqr1.kmu.ac.ir/article_90794_b8a2913f26313a182c2562d325cf9b7a.pdf
Midwifery Students' Experiences of their First Attendance in the Delivery Room
fateme
Aliakbari
author
Fereshteh
Aien
author
maedeh
mohammadifard
author
text
article
2015
eng
Introduction: Clinical education is a multidimensional and complex process with cognitive, emotional,
and functional aspects. The first experience of clinical environment is the most important point of
decision-making regarding the field of study as a future career path. Because of the enormous impact that
the first experience of attendance in the delivery room might have on the students’ views regarding their
future career and performance, the aim of this study was to describe the first experience of midwifery
students in the delivery room.
Method: This qualitative study was performed using a descriptive phenomenological approach in Iran.
The subjects of the study consisted of 20 undergraduate midwifery students in their third or fourth
semester. They were selected through purposive sampling method. Data were collected via individual
tape-recorded interviews and focus group. Data were simultaneously analyzed using Colaizzi’s seven-step < br>
analysis method.
Results: Through data analysis, 216 codes were extracted which were classified under 7 semantic codes.
Then, the 2 main themes of transformation of previous beliefs and stress caused by delivery training were
extracted from the experiences of the participants.
Conclusion: The results of this study showed that the previous beliefs of the students underwent
transformation on their first experience of attending the delivery room. Various factors influenced their
first experience. According to the results of this study and other similar studies, and due to the stressful
nature of this field of study, attempts to prepare students before entering the delivery room to reduce the
stress experienced in their first attendance and promote clinical education are necessary.
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
372
384
https://jqr1.kmu.ac.ir/article_91084_cb3931cce9be2f417a163a1a782ac0e2.pdf
Causal Conditions of Adolescent Girls' Tendency toward Physical Activities
Seyed Vahide
Hosseini
author
Monireh
Anoosheh
author
Abbas
Abbaszadeh
author
Mohammad
Ehsani
author
text
article
2015
eng
Introduction: The success of establishing regular physical activity lies in the way these activities are built into a person's daily life. This study was designed to explore the causal conditions of adolescent girls' tendency toward physical activities. Method: A qualitative study was conducted by means of semi-structured interviews with 25 participants (16 adolescents, 7 mothers, and 2 fathers). The interviews were tape-recorded, transcribed verbatim, and analyzed using qualitative content analysis. Results: The theme of "the pursuit of excellence" with subthemes of "the need for physical health, psychological health, foresight, progress seeking, and desire for superiority and fitness" emerged as causal conditions of adolescent girls' tendency toward physical activities. Conclusion: In the present study, adolescent girls seeking progress and excellence turned to physical activities. Through a better understanding of the casual conditions of adolescent girls' tendency toward physical activities, we can provide the appropriate context for the formation of exercising habit, and as a result, human health promotion
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
331
339
https://jqr1.kmu.ac.ir/article_90795_cccdd63a135d442053e8c7c469894653.pdf
Exploring the Experiences of Parents of Hospitalized Children Regarding Trust Barriers to Nursing Care
Naiire
Salmani
university
author
Abbas
Abbaszade
university
author
Maryam
Rassouli
university
author
Shirin
Hasanvand
university
author
text
article
2015
eng
Introduction: Trust in nursing care has profound effects on parents of hospitalized children, their child,
and subsequent hospital admissions. The creation and maintenance of trust is essential to increasing the
benefits of the relationship between nurses and parents of hospitalized children. Therefore, this study was
conducted to explore experiences of parents of hospitalized children regarding trust barriers to nursing
care.
Method: This qualitative study was conducted in 2012-2013 using content analysis. The Study population
consisted of 18 parents of children admitted to pediatric hospitals in Yazd, Iran. The subjects were
selected through purposive sampling. Data were collected through targeted in-depth semi-structured
interviews. Data were analyzed using qualitative content analysis.
Results: Data analysis led to the emergence of the main category of unsafe care the sub-classes of which
included low caring sensitivity, lack of competence, stressful communication, and lack of interest in the
profession and patients.
Conclusion: Nursing managers can facilitate the evolution of trust in nursing care among parents by
taking measures to improve the professional performance of nurses, educate nurses about issues such as
how to communicate with parents and children, and updat professional knowledge.
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
385
394
https://jqr1.kmu.ac.ir/article_91085_36808674a6edca1044f7fa33cf1455f8.pdf
The Trend of Hookah Use among Adolescents and Youth: A Qualitative Study
faezeh
jahanpour
bushehr university of medical sciences
author
hakimeh
vahedparast
bushehr university of medical sciences
author
maryam
ravanipour
bushehr university of medical sciences
author
parviz
azodi
bushehr university of medical sciences
author
text
article
2015
eng
Introduction: Recently, there has been an increasing trend in hookah use. If this trend continues, morbidity and mortality due to smoking will increase dramatically. Thus, the aim of this study was to investigate the causes of the increasing trend in hookah use in adolescents and youth living in Bushehr, Iran. Method: This qualitative study was performed using qualitative content analysis. The research environment consisted of all public areas and the research population was comprised of all children and youth in Bushehr. The 12 participants were selected using purposive sampling. Data was collected using semi-structured interviews. After gaining the consent of the participants, the interviews were tape recorded and transcribed verbatim. Qualitative content analysis was used to analyze the data. Results: Data analysis led to the extraction of the 5 main themes of "the influence of culture, media preparation, sensory appeal, mistaken belief, and difficulty of quitting". Hookah use among family and friends, lack of enforcement of laws prohibiting public consumption, lack of awareness and the mistaken belief that it is less harmful than cigarettes, the pleasant fruity smell and taste, not having any alternative healthy pastimes, and social pressure were the most common reasons for the increasing trend of hookah use in Bushehr. Conclusion: These results suggest the need for authorities to view this issue as an important dilemma, and to plan to reduce hookah use and solve this problem using effective methods to educate and inform people
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
340
348
https://jqr1.kmu.ac.ir/article_90796_6fb2f8815baf0030cee5c0301114664d.pdf
Explaining the Concept of Self-Care in Adolescents
Elham
Zare
shahid beheshti university of medical science,nursing and midwifery faculty
author
Masoumeh
Simbar
shahid beheshti university of medical science,nursing and midwifery faculty
author
Zohreh
Shahhoseini
Mazandaran University of Medical Sciences,nursing and midwifery facultu
author
text
article
2015
eng
Introduction: Attention to the health of adolescents is investing in the future of any country and their
health improvement depends upon their empowerment in terms of self-care. The purpose of this study was
to clarify the concept of self-care from the perspective of adolescents in order to take a step towards
improving the health of adolescents and the community.
Method: This qualitative study was conducted through content analysis. The study participants consisted
of 52 (13-18 years old) adolescents. Data were collected through 10 individual semi-structured in-depth
interviews and 7 focus group discussions. The subjects were selected through purposive sampling from
among residents of various regions in Tehran, Iran, in 2014. Data were analyzed using conventional
content analysis method.
Results: Data analysis revealed 5 major and 10 minor themes. The themes included healthy nutrition
(adhering to a healthy diet, avoiding unhealthy food pattern), physical activity (creating the base for
physical activity within the society, creating suitable conditions for physical activity in schools),
observance of hygiene (observance of personal hygiene, management to reduce the risks of living in
polluted air), sleep (correct pattern of sleep and rest, avoiding the causes of sleep disorders), avoidance of
tobacco, drugs, and alcohol (modifying individual risk factors, modifying environmental risk factors).
Conclusion: To promote adolescent health, the development of health plans based on self-care by
policymakers is essential.
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
395
405
https://jqr1.kmu.ac.ir/article_91086_76542cd1feee08dc2e743da5df4798da.pdf
Sources of Women's Health Information: A Qualitative Study
Sakineh
Sabzevari
Kerman university of medical scienses
author
Alireza
Nikbakht Nasrabadi
Tehran university of medical sciences
author
Tayebeh
Negahban Bonabi
Kerman university of medical sciences
author
text
article
2015
eng
Introduction: Equipping individuals with adequate knowledge on health can lead to optimal health outcomes. Scientific reports indicate clients' challenges in trusting and accessing formal health information sources. This study was designed to determine the sources of Iranian women's health information. Method: Study samples were selected through purposive sampling and with regarding to the inclusion criteria. Data were collected through semi-structured interviews with 17 women and using documentation and field notes until data saturation. Data were analyzed continuously and simultaneous with data collection using qualitative content analysis. Results: The 5 central themes of health care professionals, social networks (with 2 sub-categories of peers and social interactions), culture and religion (with 3 sub-categories of religious teachings, traditional medicine information, and experiences of elders and seniors), mass media (with 3 sub-categories of electronic media, print media, and internet), and self-referencing (with 2 sub-categories of self-discovery-intuition and prior experiences) emerged from data analysis. Conclusion: These findings highlighted the need for respecting the cultural and religious beliefs of a community, and also emphasized on clients' seeking rights, information needs, and empowerment in employment of formal and informal sources.
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
349
362
https://jqr1.kmu.ac.ir/article_90797_afecd9dfa523037b90cfba349c1258d9.pdf
Explanation of the Status of Nosocomial Surveillance System in Iran: A Qualitative Study
Mahmood
Moosazadeh
kerman university of medical sciences
author
Sana
Eybpoosh
Kerman University of Medical Sciences
author
Maryam
Nasirian
Kerman University of Medical Sciences
author
Hossein
Molavi Vardanjani
Kerman University of Medical Sciences
author
Khodadad
Sheikhzadeh
Kerman University of Medical Sciences
author
Mahdi
Afshari
Kerman University of Medical Sciences
author
Ali Akbar
Ali Akbar
Kerman University of Medical Sciences
author
text
article
2015
eng
Introduction: The national nosocomial surveillance system has been newly developed in Iran; therefore,
it is necessary to investigate its different aspects in order to improve the quality of this system. Thus, the
aim of this study was the explanation of the status of the nosocomial surveillance system in Iran.
Method: This qualitative study was conducted through qualitative content analysis. The study participants
were selected through purposeful sampling method. Data collection was carried out through 17 in-depth
interviews and 3 focus group discussions with relevant stakeholders. Data were analyzed using content
analysis method. In order to assess the accuracy and validity of the study, validity, confidentiality, and
confirmability criteria were evaluated.
Results: Through the analysis of interviews, 9 main themes (planning and policy making, human
resources, infection control committee, quality and quantity of resources, protocols, software, surveillance,
coordination and education) and 42 subsidiary themes concerning the status of the national nosocomial
surveillance system were extracted. According to the participants’ opinions, the planning and algorithm of
the program are acceptable. However, some issues exist in components such as applicability, priority,
comprehensiveness of the definitions, attitude and behavior of the human resources, and ambiguity of the
roles and responsibilities.
Conclusion: This qualitative study showed that numerous factors influence the improvement of the
nosocomial surveillance system. The interviews indicated that its design pattern is acceptable.
Nevertheless, some of its components are not executed uniformly in all domestic hospitals.
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
406
425
https://jqr1.kmu.ac.ir/article_91087_e4b82167a4be2b3edddb38c6e05ef1d5.pdf
An Analysis of Nurses Ethical Behavior toward Persons Accompanying a Patient Based on the Theory of Virtue Ethics
zahra
nikkhah farkhani
ferdowci university of mashhad
author
fariborz
rahimniya
ferdowci university of mashhad
author
Mostafa
Kazemi
ferdowci university of mashhad
author
Ali
Shrazi
ferdowci university of mashhad
author
text
article
2015
eng
Introduction: Since the concepts of ethics and morality are deeply rooted in professional nursing, upholding such concepts in this sensitive profession would not simply be achieved by developing new codes of ethics. Thus, descriptive researches in different fields capable of exploring latent ethical aspects of the relevant field are deemed essential. Therefore, the main objective of the current research is to explore and identify the ethical components of nurses' behavior towards the persons accompanying the patients at public hospitals of Mashhad, Iran. Method: The current paper is a descriptive research drawing upon the strategy of content analysis. Semi-structured deep interviews were used to collect data, and in order to analyze the collected data, descriptive content analysis was employed. the research population included all the exemplar nurses at public hospitals in Mashhad. The study samples consisted of 14 nurses. Results: The 4 main themes of respect for persons accompanying a patient, informational support, magnanimity, and empathy, and 13 sub-categories emerged from data analysis. Conclusion: As revealed by the findings, virtuous nurses not only felt responsible for the patients, but also for persons accompanying them and their relatives. These nurses had done all in their power to understand the gravity of their situation and console them, and offer them counsel in order to pull through this stressful phase. Moreover, magnanimity towards the persons accompanying the patient was a component, abstracted in this research, which illustrated the virtuous spirit of the nurses.
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
363
376
https://jqr1.kmu.ac.ir/article_90798_a332e4fab6774adf5388ce5c72ef311d.pdf
Explanation of the Viewpoints and Experiences of Nurses in Intensive Care Units Regarding Religious-Spiritual Care
Fershteh
Araghian Mojarad
author
Akram
Sanago
author
Leila
Joibari
author
text
article
2015
eng
Introduction: Research has shown that religion and religious beliefs are influential factors in adaptability
to difficulties. In such cases, the individual establishes an emotional connection with religion, and God,
and this connection can assist individuals in facing and overcoming problems. The purpose of this study
was the explanation of experiences of intensive care unit (ICU) nurses regarding religious-spiritual care.
Method: In this qualitative study, in order to explain the nurses' experiences of providing religiousspiritual
care for patients, 25 ICU nurses of Boo-Ali Sina Hospital were selected through purposive
sampling. Data were collected through individual semi-structured interviews. Interviews were recorded,
handwritten, coded, classified, and analyzed using conventional content analysis approach.
Results: Nurses experiences indicate their cooperation with patients and their companions regarding the
provision of religious-spiritual care in critical conditions in the ICU. Through data analysis the 2 main
themes of "respecting patients’ religious beliefs" and "religious-spiritual care behaviors" and 4 sub-themes
of disappointment with conventional medicine, the supportive role of nurses, Muslim beliefs, and comfort
and consolation provided by beliefs were extracted.
Conclusion: The results suggest that nurses satisfy patients’ and their companions’ last wishes which
conventional medicine cannot satisfy through respecting their beliefs.
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
426
437
https://jqr1.kmu.ac.ir/article_91088_69d7d43ce4f55713c5d93513a2edb892.pdf
A Study of Acid Attacks Based on Victim's Experiences: Causes and Strategies
Mohamad
Sabzi koshnami
Social Welfare and Rehabilitation Sciences University, Tehran.
author
Elham
Mohamadi
Allameh Tabataba'i University
author
Hmid reza
Kankeh
Social Welfare and Rehabilitation Sciences University, Tehran.
author
Malih
Arshi
Social Welfare and Rehabilitation Sciences University, Tehran.
author
Malih
Arshi
author
text
article
2015
eng
Introduction: Acid attacks are undertaken with the intent to harm, disfigure, or kill another individual. In recent years, these attacks have had an increasing trend. Scientific research can provide a more in-depth understanding of this phenomenon. Thus, the present study investigated the nature and dimensions of acid throwing based on victim's experiences. Method: This qualitative study used the grounded theory method according to the approach of Strauss and Corbin. It was initiated by purposeful sampling and continued by applying theoretical sampling. Data saturation was achieved through semi-structured interviews with 12 victims. Data analysis was performed using the method recommended by Strauss and Corbin and was coded in 3 phases of open coding, axial coding, and selective coding. Results: The main theme of “physical and psychological wounds” emerged as a result of data analysis. The themes of self-recovery, active personal strategies and avoidance at a personal level, family and friends and social support at a medium level, and not accepting structural support also emerged. Living with substance-abusers with behavioral disorders, and lack of problem-solving skills in the face of interpersonal conflicts were shown to be causal conditions of acid attacks. Conclusion: Acid attacks result in physical and psychological wounds in victims. Due to being a multi-dimensional (illness, disability, and victimization) phenomena, it requires a wide range of strategies at different levels
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
377
391
https://jqr1.kmu.ac.ir/article_90799_29cae44d5284ad488f6c25db57c3c695.pdf
Emotional Transformation, Anxiety, and Expectancy in view ofamong Pregnant Surrogate Mothers: A Qualitative Study
Mina
Shayestefar
Isfahan (Khorasgan) Branch, Islamic Azad University
author
Heidarali
Abedi
Isfahan (Khorasgan) Branch, Islamic Azad University
author
text
article
2015
eng
Introduction: Surrogacy is an assisted reproductive technology (ART) in which the surrogate mother
accepts to host the baby of another in her uterus. Despite the advantages of surrogacy, it has given rise to
certain ethical and legal issues. Thus, the aim of the present study was the evaluation of emotional
transformation, anxiety, and expectancy among pregnant surrogate mothers.
Method: This qualitative research was conducted based on phenomenological approach. The study
population consisted of all pregnant surrogate mothers referring to Isfahan Fertility and Infertility Center,
Iran, in 2014. Through purposive sampling method, 5 women were selected. Data were collected using
deep and unstructured interviews and analyzed using Colaizzi's method. The reliability and validity of this
study was approved based on the 4 elements of dependability, credibility, transferability, and
conformability.
Results: The mean age of participants was 32.4 years. Through analysis of interviews, 39 primary codes
were extracted. The primary codes were categorized into secondary codes. They consisted of 2 themes of
emotional transformation in the donor and recipient (emotional transformation) 4 themes of anxiety in the
simultaneous motherhood roles, apathy of the receiver, shame and fear of people close to the donor
(anxiety), and 3 themes of trust in God, anticipation of the end of the pregnancy, and hope for the
resolution of financial problems (expectancy). Thus, the experience of emotional transformation, anxiety,
and expectancy by pregnant surrogate mothers was approved.
Conclusion: Support systems should be strengthened in Iran so that derelict women have insurance and
are not compelled to donate ovum and become surrogates several times. The exploitation of these women
and damage to their human dignity should be prevented, and education is the best way to prevent this
exploitation.
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
438
447
https://jqr1.kmu.ac.ir/article_91089_375cb33b899510708715460aca619129.pdf
The Clinical Nature of Medical-Surgical Nursing Care
Parkhide
Hassani
author
Jhila
Abedsaiedi
author
Camelia
Rohani
author
text
article
2015
eng
Introduction: Integration of theoretical knowledge and nursing practice has led to the creation of four central concepts in nursing including individual, health, nursing, and environment. Currently, greater emphasis is placed on the two concepts of health and care as the core of nursing. Thus, the purpose of the present qualitative study was to explain the concept of clinical care in internal-surgical nursing and its changes through time. Method: This study was part of an extensive grounded theory research on 14 clinical nurses, clinical educators, and nursing students of the School of Nursing and Midwifery, Shahid Beheshti University, Tehran, Iran. The participants were selected, first, using purposive sampling method, and then, theoretical sampling. Data were collected through individual semi-structured, in-depth interviews. Data were codified using MAXQD 2007 software (VERBI GmbH, Berlin, Germany) and analyzed using grounded theory approach (Strauss & Corbin, 1998). Results: Data analysis revealed the 3 main themes of "essence of care in internal-surgical nursing", "clinical origin of care", and "the decline in nursing". Moreover, 9 subcategories were extracted including "clinical essence of internal-surgical nursing", "patient-centered care", "peaceful conscience of nurses", "meeting the basic needs of the patient", "perception of the patient", "specialization", "alienation with role", "detachment from clinical care", and "dependency". Conclusion: Care is the essence of nursing, in particular internal-surgical nursing, and the clinical environment is the care delivery site. The changes and challenges in providing nursing care necessitate the use of moral approaches, such as designing targeted educational programs and a student-centered curriculum, with emphasis on moral conscience
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
392
403
https://jqr1.kmu.ac.ir/article_90800_887e0bf4c5b3fefe11c5c8d25dbfaf7d.pdf
The Determining Elements of Tendency toward Agreement-Based Divorce: A Qualitative Study
Taybeh
Balvardi
Islamic Azad University
author
Zahirmostafa
Balvardi
Farhangiyan University
author
Mahmood
Aghajani
Islamic Azad University
author
text
article
2015
eng
Introduction: Our society is facing the increasing changes of agreement-based collapse of marriages and agreement-based divorce. Therefore, the study and recognition of issues regarding this phenomenon is an inevitable necessity. Thus, this study aims to investigate the experiences of individuals regarding this phenomenon. Method: This qualitative study was conducted through phenomenological method. The participants of this study were chosen using purposive sampling from among divorced individuals who had experienced agreement-based divorce in Sirjan, Iran (n = 21). The main method of data collection was unstructured and in-depth interviews. Data were analyzed through Colaizzi’s method. Results: The main themes of collaborative variables (with sub-themes of social networks and marriage interactions), and individual agency (with sub-themes of lack of consequential understanding and individuation) were extracted. Conclusion: By describing the determining elements of agreement-based divorce, this study gave us a new understanding of individuals’ experiences regarding this phenomenon. The cause of this phenomenon, in addition to stereotypical elements, can be attributed to factors such as interactions before marriage and lack of correct understanding of sexual intercourse. Based on the findings, this study offered some suggestions for planning and programming in this regard.
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
448
455
https://jqr1.kmu.ac.ir/article_91090_c4dbe5c91d51806c3ff35d126bd5583b.pdf
An Exploration into the Lifestyle of Nursing Students: A Qualitative Study
Seyedeh Azam
Sajadi
Nursing, School of Nursing, AJA University of Medical Sciences,
author
Abolfazl
Rahimi
Department of Medical-Surgical Nursing, School of Nursing, Baqiyatallah University of Medical Sciences
author
Maryam
Nezamzadeh
Nursing, School of Nursing, AJA University of Medical Sciences,
author
text
article
2015
eng
Introduction: One of the most important issues related to the youth is recognizing the different aspects of
their lifestyle. Since nursing students, as care providers, play a key role in improving the health of their
community, this study aimed to explain different aspects of their lifestyle.
Method: This qualitative research was conducted using content analysis through directional approach in
2015. Through purposive sampling, 14 graduates of the bachelor of nursing (6 women and 8 men) were
selected as the study participants. The subjects were studied using in-depth and semi-structured interviews
and interviews continued until data replication or data saturation. The 4 criteria of acceptability,
consistency, determination, and transferability were used to assess the validity, accuracy, and reliability of
qualitative data. All interviews were recorded, transcribed, and reviewed several times, and then, coded
and classified into the main categories through framework analysis of the data.
Results: Through data analysis, 9 main categories that reflect the lifestyle of the students (spiritual,
educational, health, social, psychological, virtual, ethical, professional, and economic dimensions) and 25
subcategories were extracted.
Conclusion: The student lifestyle has a complex nature and various dimensions, and to maintain a
comprehensive approach all aspects must be taken into consideration. Students pointed to significant
problems in various aspects of their lifestyle that require more attention by national and university
authorities.
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
456
471
https://jqr1.kmu.ac.ir/article_91091_3d970b7ec27a26651eaa818a5835953d.pdf
Experiences of the Hemodialysis Patients and Medical Staff Personnel about Regarding of Nursing Care: A Content Analysis
Monir
Nobahar
Semnan University of Medical Sciences
author
text
article
2015
eng
Introduction: Due to the increasing number of patients with chronic renal failure and renal function
replacement with hemodialysis and the central role of nurses in dialysis care, the purpose of this study was
to explore the experiences of the hemodialysis patients and medical staff personnel regardingabout of
nursing care.
Method: This study was conducted with through qualitative approach and conventional content analysis
method in 2014. Twenty participants selected by through purposive sampling and with maximum
variation, 20 participants were selected. Which Data were collected through semi-structured interviews
withby open questions. This the study environment was done inthe hemodialysis ward of Semnan' Kowsar
Hospital in Semnan, Iran. Data were analyzed by using of conventional content analysis approach.
Results: The main themes of "palliative care" and "care based on self-management" were extracted from
through the data analysis. of the findings, which The theme of palliative care was abstracted from four 4
categories of: "dialysis' stressful factors in dialysis", "therapeutic plan", "interaction with others," and
"preparation," and care based on self-management from the category of "dependence / independence".
Conclusion: Findings of this study showed that nursing care in hemodialysis patient includeding of
palliative nursing care and care based on self-management. Nurses play an important role in provides the
provision of these cares to enhance the quality of life (QOL) for of hemodialysis patients.
Journal of Qualitative Research in Health Sciences
Kerman University of Medical Sciences
2645-6109
4
v.
4
no.
2015
472
483
https://jqr1.kmu.ac.ir/article_91092_c1e17937744ccdad0d0bc98b460f1a28.pdf