Kerman University of Medical Sciences
Journal of Qualitative Research in Health Sciences
2645-6109
2
3
2013
10
01
Self-harm in adolescents with delinquency and history of mood disorder: A qualitative research
195
207
EN
Hamid
Khanipour
khanipur.hamid@gmail.com
Ahmad
Borjali
Mahmoud
Golzari
Mohamad Reza
Falsafinejad
Mitra
Hakim-Shushtari
Introduction: The aim of this study was to explore the characteristics and factors related to self-harm in
adolescents with delinquency and history of mood disorders.
Method: In a qualitative study (phenomenologic design), using semi-structured interview, the description
of self-harm by 16 adolescents with history of self-harm in outpatient and custody setting were recorded.
Participants were selected using purpose-oriented sampling. Texts were analyzed by Colaizzi's method.
Results: Semantic part of interviews was classified in 144 conceptual codes. This theme was explored to
definition of self-harm, escape and soothing, expressing love or power, self-harm by rejection, self-harm
for threatening and attention seeking, disability in tolerating negative emotions, family factors, modeling,
and alcohol drinking. Then, the classified in three clusters as meaning of self-harm, types of self-harm,
and causes of self-harm.
Conclusion: Adolescents consider self-harm as a way of escaping from negative emotions or a way for
getting unseen rights. Conflict with parents and loss of friends have a role as trigger in self-harm.
Self-harm,suicide attempt,Adolescent,Qualitative
https://jqr1.kmu.ac.ir/article_90752.html
https://jqr1.kmu.ac.ir/article_90752_55fe52e7dace8e8848a4d382c0e64bfb.pdf
Kerman University of Medical Sciences
Journal of Qualitative Research in Health Sciences
2645-6109
2
3
2013
10
01
Coping strategies in renal transplants recipients: A qualitative study
208
220
EN
masoud
rayyani
kerman University Of Medical Sciences
m_rayani@kmu.ac.ir
Mahvash
Salsali
Tehran University Of Medical Sciences
m_salsali@hotmail.com
Abbas
Abbaszadeh
kerman University Of Medical Sciencesi
aabaszadeh@kmu.ac.ir
Introduction: Renal transplantation is considered as the first and the most effective approach of
alternative treatment in patients with end-stage renal disease (ESRD). Although receiving transplant can
improve the quality of life, it may also cause new challenges and anxieties in recipients. To be adopted
with new challenges, patients have to follow coping strategies. This study aimed to deeply understand the
coping strategies used by those undergone renal transplantation to adopt with challenges emerged from
that.
Method: 11 in-depth semi-structured interviews were done to follow the aim of the study. The age of
participants ranged between 18 and 57 years with mean average of 37 years. A purposive sampling was
used to emerge statured data, codes and themes. Using content analysis inspired by Graneheim and
Lundman, all interviews analyzed.
Results: The analysis revealed ten subthemes that finally categories into four themes including: focus on
spirituality, developing self-management and empowerment, improvement of self-reflective practice, and
reality acceptance.
Conclusion: Although it is not possible to say that each coping strategy is used in a specific time
schedule, but it seems that in each step, patients are more likely to use a specific coping strategy.
Therefore, if nurses and family members are aware of this process, they would be better perceiving the
reasons behind renal transplant recipient behaviors. We suggest providing relevant education program for
them. This consequently enables family members and care team to have an active role in supporting
tranplant recipients.
coping strategies,renal transplantation,renal transplantation recipient,content analysis
https://jqr1.kmu.ac.ir/article_90753.html
https://jqr1.kmu.ac.ir/article_90753_e8ba5a8e6df6946c91051f3952d9b849.pdf
Kerman University of Medical Sciences
Journal of Qualitative Research in Health Sciences
2645-6109
2
3
2013
10
01
Women’s perception of sexual socialization in Iran: A qualitative study
221
233
EN
Raziyeh
Maasoumi
Tarbiat Modares University
r.masoomie@gmail.com
Minoor
Lamyian
Tarbiat Modares University
lamyianm@modares.ac.ir
Farideh
Khalaj Abadi Farahani
Population Studies and Research Centre in the Asia and the Pacific
faridehfarahani@yahoo.com
Ali
Montazeri
Iranian Institute for Health Sciences Research
montazeri@acecr.ir
Introduction: Sexual behavior and performance is not only influenced by biological factors but also,
affected by sexual socialization. Family and society are two key institutions over this procedure. The aim
of this study was exploring the married women’s perceptions of social structure related to sexuality in
Iran.
Method: This was a qualitative study with interpretive approach and conventional content analysis
strategy. Purposive sampling was carried out of 5 health care centers of university affiliated centers and
one health institute in Tehran and Shiraz. Data collection was performed through 17 in-depth interviews,
and 14 sexual life narratives to reach to data saturation. Constant comparative method was used to analyze
concurrently with the data collection.
Results: Two main categories emerged as “parent’s conservation related to child’s sexuality issues” and
“passive social support systems”. The main theme emerged study was “passive sexual socialization”.
Conclusion: Findings indicate that there is an essential need for revising current paradigm about sexuality
in Iran. Not only, the conservative and passive approach is not helpful for resolving difficulties surround
this issue, but also, leads to greater vulnerabilities. Therefore, based on the social constructionism, in Iran,
age-specific sexuality education and providing sexual health care in public health care system based on the
Islamic ideology, social norms, and moral principles are suggested.
Sexuality issues,content analysis,Women,Family,social structure
https://jqr1.kmu.ac.ir/article_90754.html
https://jqr1.kmu.ac.ir/article_90754_af7aa32885042d8efe0a87624e028271.pdf
Kerman University of Medical Sciences
Journal of Qualitative Research in Health Sciences
2645-6109
2
3
2013
10
01
Divorce from a divorcee woman's perspectives: A qualitative study
234
247
EN
Effat Sadat
Merghati -Khoei
health promotion department, Risk Behavior Research Institution: Iranian National Center of Addiction Studies (INCAS), Iran University of Medical Sciences (IUMS), Tehran, Iran
effat_mer@yahoo.com
Fatemeh
Zarei
PhD candidate of health education and promotion, Department of Health. Tehran University of Medical Sciences. (TUMS), Tehran, Iran.
saraz19feb@yahoo.com
Mohamad Hossein
Taghdisi
General Director of health education and promotion burea of mistitery of health
taghdisi.mh@gmail.com
Fatemeh
Rajati
PhD candidate of health education and promotion,school of public health , kermanshah medical sciences University
f_rajati_12@yahoo.com
Azam
Rahmani
phd candidate of reproductive health,AZAD UNIVERSITY
azamrahmani17@yahoo.com
Introduction: Divorce is an unexpected change in marital life. This change affects physical and
psychological health. Divorce is a complex phenomenon which can be conceptualized from different
perspectives. Aim of the present study was to conceptualize divorce from Iranian women's perspectives.
Method: A qualitative content analysis approach was employed. Using purposeful sampling, data
collected from 26 women with divorce experience. In-depth semi-structured interviews and focus group
discussions were used to gather information.
Results: The findings suggest two main themes: "concept" and "process of experience". Each theme was
divided into sub-themes as general vocabulary, especially lexical (experience), perceived conflict, versusbelief
experience, and traumatic.
Conclusion: Concept of divorce is driven from social believes. Divorce affects health. In fact, divorce not
only is a socio-cultural issue, but also, a social health determinant. Thus, any program in women health
promotion needs to consider divorcee women's perspective. We came to conclusion that, several factors
make the meaning of divorce. Furthermore, these components are subject to a separated woman's
perceived experiences, perceptions, social beliefs, and gender.
Divorce,Conceptualizing,Women health,women perspective,divorcee women,Qualitative content analysis
https://jqr1.kmu.ac.ir/article_90755.html
https://jqr1.kmu.ac.ir/article_90755_59778ed5071106fde35cf802af1478c4.pdf
Kerman University of Medical Sciences
Journal of Qualitative Research in Health Sciences
2645-6109
2
3
2013
10
01
Reflection on the Experiences of Disabled People: The Society as a Cause of Growth or Barrier
248
260
EN
hydarali
abedi
khorasgan
drabediedu@yahoo.com
sayedeh zahra
hossenigolafshani
ahwaz joudishapur university
matinza19@yahoo.com
fazlolah
ahmadi
0000-0002-1961-7735
tarbiate modares university
ahmadif@modares.ac.ir
Introduction: In recent years, based on evidence from several communities, positive psychology
researchers have constructed a new conceptualization called “post-traumatic growth”. Based on the theory
of symbolic interaction, members of the society, especially family members, play an important role in
meaning making of events, quality of life after the accident and its consequences, and whether they
experience growth or not. The aim of the present study was decoding experiences of successful disabled
people of causing factors (facilitator) or barriers of growth by qualitative method.
Method: A qualitative design, based on the content analysis approach, was used to collect and analyze the
experiences of 12 disabled people with national and international achievements. Participants were selected
by purposeful and snowball sampling method. Semi-structured interviews were used for data collection.
The data were analyzed based on the Granheim content analysis approach.
Results: The findings showed two main themes: 1) intelligent and noble family with 3 subcategories of
initial acceptance and support, interaction with other groups and successful disabled people, and timely
attraction and repulsion 2) family as obstacle with 3 subcategories of pity and clumsy support,
entertaining instead of being goal-oriented, and ignoring them.
Conclusion: Attitudes and family functions have wanted and unwanted effects. They may act as
facilitators or obstacles of growth. Understanding these factors based on experiences of disabled people
could cause effective changes in the attitudes and beliefs of people.
People with spinal cord disability,growth,content analysis
https://jqr1.kmu.ac.ir/article_90756.html
https://jqr1.kmu.ac.ir/article_90756_e3abd36707fb5e3484a01449d1b35574.pdf
Kerman University of Medical Sciences
Journal of Qualitative Research in Health Sciences
2645-6109
2
3
2013
10
01
Clinical Competency in Psychiatric Nursing Students: A Qualitative Study
261
276
EN
Jamileh
Mohtashami
Shahid Beheshti University of Medical Sciences
jmohtashami@yahoo.com
Mahvash
Salsali
Tehran Medical Sciences University
m_salsali@hotmail.com
Mrhrnoosh
Pazargadi
Shahid Beheshti University of Medical Sciences
Homan
Manoochehri
Shahid Beheshti University of Medical Sciences
Introduction: Clinical competency in psychiatric nursing education provides the foundation for the
development of competency in nursing practice. There are different definitions of clinical competency, but
there is no certain definition for it in psychiatric nursing. The purpose of this study was to explore the
definition of and method of achieving clinical competency in psychiatric nursing students.
Method: In this qualitative study semi-structured interviews were conducted with 16 participants (5
undergraduate senior students in their last term, 2 MSc students in the psychiatric field, 4 faculty members
of the Department of Psychiatric Nursing, 3 head nurses, and 2 nurses working in psychiatric wards). In
addition, we used two focused group interviews with nursing students. All interviews were recorded and
transcribed. The data were analyzed using conventional qualitative content analysis method.
Results: During data analysis, four main themes emerged preparation and familiarization, confrontation,
involvement, and competency.
Conclusion: Undergraduate nursing students need to pass specific stages before attaining clinical
competency as a mental health nurse. Each stage has specific factors that may help the students on their
path.
Students,Mental health nursing,Clinical competency,Qualitative study
https://jqr1.kmu.ac.ir/article_90757.html
https://jqr1.kmu.ac.ir/article_90757_c6c8b22d9258c80551199254ff290567.pdf
Kerman University of Medical Sciences
Journal of Qualitative Research in Health Sciences
2645-6109
2
3
2013
10
01
Reasons of unmet needs of family planning from the perspective of health personnel
277
286
EN
Roghieh
Kharaghani
Shahroud University of Medical Scienses
r.kharaghani@yahoo.com
Masoumeh
Mohajer Rahbari
Shahroud University of Medical Scienses
ramoonmohajer@yahoo.com
Forozan
Olfati
Shahroud University of Medical Scienses
papoy6olfati@yahoo.com
Afsaneh
Keramat
Shahroud University of Medical Scienses
keramat1@yahoo.com
Introduction: In order to achieve acceptable health indices and the general welfare, family planning is
necessary in any society. The aim of this study was to identify the perspectives of health care providers
about the unmet needs of family planning in health centers of Tehran and Shahroud in 2011.
Method: The present study was a qualitative research including 27 of the staff and administrators of
health centers recruited with purposive sampling. Data gathering was conducted by holding several
individual discussions with staff from different centers of Shahroud and Tehran with different social,
cultural, and economic status. Then all of the recorded speeches were written on paper and the main
themes and sub-themes were extracted.
Results: Themes extracted from the statements of the participants were organizational factors (such as
integration of family health services with midwifery services, and lack of privacy), occupational pressure,
and the excessive paperwork of the midwifery unit, which had reduced the quality of family planning
services. Moreover, other obstacles cited included the participation of men, time limitations,
misconceptions, and health center supervisors acting according to personal preferences.
Conclusion: Overlooking social, cultural, and organizational issues may reduce the quality of family
planning services.
Family planning,Tehran,Shahroud
https://jqr1.kmu.ac.ir/article_90758.html
https://jqr1.kmu.ac.ir/article_90758_acd637ace2ce417910e83f6a5e461eca.pdf
Kerman University of Medical Sciences
Journal of Qualitative Research in Health Sciences
2645-6109
2
3
2013
10
01
Quality in Grounded Theory Studies
287
296
EN
maryam
esmaeili
0000-0000-0000-0000
Tehran University of Medical Sciences
esmaeiliem@yahoo.com
Mahvash
Salsali
Tehran University of Medical Sciences
m_salsali@hotmail.com
Mohammad Ali
Cheraghi
Tehran University of Medical Sciences
mcheraghi@tums.ac.ir
Introduction: The quality of qualitative research is an important issue for clinicians and researchers that
use research in order to deliver high quality care. Gaining quality in qualitative research, such as grounded
theory, is not an accident and is achieved by abiding a set of circumstances. The aim of this study was to
identify the most important criteria in assessing the quality of grounded theory studies.
Method: This is a review study done by an extensive review of literature in the form of electronic and
printed materials. This paper therefore, has reviewed 10 related books and 11 related papers.
Results: The result of literature review showed that compliance to methodological principles of research
is the key element in achieving quality in grounded theory studies. Paying attention to dynamic research
process, theoretical sampling, theoretical sensitivity, constant comparison, theoretical saturation,
methodological fitness, and linking research and body of knowledge are important factors in achieving
quality in grounded theory.
Conclusion: Quality in grounded theory is an important issue in qualitative research. Grounded theory
researchers must have a thorough understanding of methods used in research. Moreover, they must try to
improve the quality of grounded theory studies by considering ontological and epistemological
assumptions.
Quality,Grounded theory,Nursing research
https://jqr1.kmu.ac.ir/article_90759.html
https://jqr1.kmu.ac.ir/article_90759_03baaeb1c8a1efac18bb58963a8b1bfa.pdf