2024-03-28T17:00:47Z
https://jqr1.kmu.ac.ir/?_action=export&rf=summon&issue=12154
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2020
9
1
Identifying and explaining experiences of fear of childbirth and coping strategies: A qualitative study
Zahra
Ahmadi
Background and Objectives: Fear of childbirth is a natural response that helps women prepare for childbirth. However, if fear is increased, it can lead to physical and emotional disabilities. This study aims to explain the experiences of fear of childbirth and, consequently, present a model for reducing such fears. Methods: A phenomenological approach was used in this study. The participants were selected from among primigravida (women who were pregnant for the first time) through purposeful sampling, and the data were collected through open and unstructured interviews. Besides, the collected data were analyzed using Colaizzi’s nine-stage method. Results: Different types of fear of childbirth identified in this study were harmful to maternal and neonatal health, normal childbirth, the feeling of inability, and cesarean section. Besides, the reasons behind fear of childbirth were inadequate awareness, lack of trust in medical staff, negative experiences from information sources, and the environment of the maternity center. Finally, the most important strategies to deal with the fear of childbirth were faith in God, feeling confident, receiving support, raising awareness, and positive thinking which were used to design the model. Conclusion: The findings of the study showed that women's self-confidence plays a key role in decreasing fear of childbirth. Therefore, effective measures should be taken to increase women's sense of self-confidence to reduce their fear of childbirth.
fear of childbirth
pregnant women's experiences
Phenomenology
2020
05
01
47
58
https://jqr1.kmu.ac.ir/article_90993_3e9bfba2f62424b75ba1eb7b19dc0e87.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2020
9
1
University Excellence with Level 5 Leadership Approach: A Qualitative Study
reza
sepahvand
hamid
morovati
Introduction: Universities are the driving engine of countries in the knowledge age The excellence of universities depends on the success of the faculty. One of the success models for organizations is Level 5 Leadership. The purpose of this research is to identify the characteristics of the 5th level leaders research .from the viewpoint of faculty members Method: This research is a kind of qualitative research that was done using content analysis approach. The statistical population consisted of faculty members of Guilan University of Medical Sciences in 2017 With targeted sampling method, 19 people were selected as participants in the study.In order to obtain validity and validity of the data, two methods of reviewing the participants and reviewing non-participating experts in the research were used. Results: After data analysis, 64 primary and 4 main categories were classified. Main categories include Attributes, solutions, barriers and achievements. Sub-themes include management abilities, moral excellence, compliance with law and management principles, Necessary incentives, Meritocracy, Structural, Individual and motivational, Individual and structural excellence, Economic ,Educational and research, Political and social Conclusion:Considering the importance of educational, health and medical activities of Medical Universities Level 5 leadership can be a good model for organizational excellence.Consideration of the dimensions identified in Level 5 leadership should also be considered in the selection of corporate executives.
University Excellence
Level 5 Leadership Approach
Content Analysis Approach
2020
05
01
59
69
https://jqr1.kmu.ac.ir/article_90994_418b3ce0d3d18ef296fcbc0033805777.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2020
9
1
Challenges of parents of youths with antisocial personality disorder: A Qualitative Content Analysis
davood
kiani
marzeih
ziaeirad
Background: A patient with antisocial personality disorder can impoverish the energy of the family and might lead to the occurrence or escalation of psychosomatic disorders in the family members especially parents. Therefore, determining the challenges for this group of parents can create a context for appropriate planning to meet their needs. The present study aimed to explore the challenges faced by parents of youth with antisocial personality disorder. Methods: This study employed a qualitative research design with a content analysis approach. The participants were 12 parents of youth with antisocial personality disorder from Shahrekord who were selected using purposive sampling. The data were collected using semi-structured in-depth interviews. The collected data were first recorded and then analyzed using conventional content analysis method. Results: The results of the present study revealed 5 themes and 10 categories; social isolation (parental rejection and social discredit), Inadequate control and management (the parents’ inability in controlling the situation and the patient’s behaviors), homelessness (family’s frustration and indifference to those around the patient), constant distress (parental concerns and support), and helplessness (unsuccessful effort in controlling and treating the patient and mother’s mental-psychological suffering). Conclusions: According to the results of this study, parents of youths with antisocial personality disorder face many challenges to deal with the patients and control the conditions that require the attention of health care providers, including psychiatric nurses.
Antisocial Personality Disorder
Parents
Qualitative study
2020
05
01
38
46
https://jqr1.kmu.ac.ir/article_90995_5176c1c68bdb0b13f4404c8091dfaa21.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2020
9
1
Investigating the effective factors on effective learning in Far hangman on-duty training in students individual health domain (qualitative study)
hamed
eskandari
amanollah
soltani
Vida
Andishmand
Amir
Soltani
Introduction What is important in educational courses is transferring the information to the workplace. This study was done with the aim of determining effective factors on effective learning in teacher's in-service trainings in the students individual health domain. Method This study was done with the use of qualitative approach and the content analysis method in 97. In order to collecting data the semi-structured interview was used. The participants of this study consisted of teacher's in Kerman. According to the data saturation level, 23 of them were selected by using purposeful sampling method. The main question of the interview was effective factors in effective learning teacher's in-service trainings in the students individual health domain. Qualitative content analysis method was used to analyze the data. The validity of the research findings was guaranteed by the reviewed by members methods and multi-stratified data sources. Results The effective factors on effective learning of students individual health domain are placed in three categories, individual factors ( including efficiency, attitude, person's capacity to learn issues related to the health), institutional factors ( including support and opportunity of theoretical concepts in health domain), and educational factors ( location and time of training related to the individual health, educational equipment, need assessment of health-related content, educational career content, and instructors ability). Conclusion Regardless of the attitude, motivation, and efficiency of the participants, pay attention to their readiness to learn, providing necessary support, providing facilities and equipment, and paying attention to the needs of teachers are the most important factors that provides application of lessons learned in the workplace.
Effective learning
In-service training courses
Students individual healthhealth
Qualitative health
2020
05
01
70
78
https://jqr1.kmu.ac.ir/article_90996_912ac04916838c4c71aa956b3069c833.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2020
9
1
Preserving and Promoting Health among Middle-aged Women: A Grounded Theory Study
nasrin
rezaee
Naimeh
Seyedfatemi
Mahvash
Salsali
Introduction: Middle age is a developmental stage. Women in this stage are capable of preserving and promoting their own health as well as the health of other members of their families. In fact, women's health can assure other family members’ health. Studies indicated that to preserve and promote their own health, women take several initiatives, which are process-based. Accordingly, the present study aims to identify the processes used for preserving and promoting health process in middle-aged women. Methods: This qualitative study was carried out using a grounded theory method. The participants were 20 middle-aged women who were selected by purposive and theoretical sampling. The required data were collected by semi-structured interviews with the participants. Data collection and analysis were done simultaneously from the first stage. Accordingly, all the recorded interviews were transcribed. Then, the transcribed data were analyzed using Strauss and Corbin’s approach and the extracted concepts and themes were categorized. Results: Changes in physical and mental health status are identified as a main concern of middle-aged women. The ongoing process to remove concerns and preserve and promote health among the participating women appeared in maintaining im/balance in health, in/efficient adjustment, and moving toward change. Conclusion: The health-oriented behaviors were represented by three forms of process. In fact, these three formations are not independent of each other, but, paralleled, interrelated and with different speeds reinforced health-oriented behaviors among women to preserve and promote their health. The identification of health-oriented behaviors formation in middle-aged women can help community health nurses know the type of behaviors, processes, and elements that enable women to preserve and promote their own health.
Health
health promotion
middle-aged women
Grounded Theory Study
2020
05
01
1
9
https://jqr1.kmu.ac.ir/article_90997_6fc514065118a61da346f830bc452c5f.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2020
9
1
Explaining the concept of death from the perspective of children aged 4 to 8: A descriptive phenomenological study
Rezvan
Mahmood Ashiri
anahita
khodabakhshi-koolaee
Introduction: Background: A significant portion of children's imaginative thoughts is focused on the death of their parents and the fear of losing their loved ones. The fact is that an answer must be provided according to the child's perceptual complexities to prevent any harm in the process of their psychological development. Therefore, this descriptive phenomenological study aimed to investigate the concept of death in the perceptions of children aged 4 to 8 years. Methods: This study employed a qualitative descriptive phenomenology. The data were collected through semi-structured interviews. The research population included all children aged 4 to 8 years in Tehran in 2018 who somehow experienced the concept of death including the death of animals, a loved one, and participation in funerals or mourning ceremonies. The research sample consisted of 20 children who were selected via purposive sampling for the interviews. The data were analyzed using Colaizzi's seven-step method. Results: The results of the study showed that the children’s attitudes towards the concept of death could be classified into three main contents including “irreversibility”, “universality”, and “loss of vital functions”. Conclusion: Given the population of children participating in this study and the correspondence of their responses to existing theories including Piaget's theory of cognitive development, it seems that the phenomenon of death was conceptualized and perceived by Iranian children in three components including “irreversibility”, “universality”, and “loss of vital functions”, and children at a younger age have access to concepts related to the three components.
Phenomenology
Child
Death
2020
05
01
10
17
https://jqr1.kmu.ac.ir/article_90998_993b7aba2006cb77a9fd73c30085993e.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2020
9
1
Identifying the psychological challenges of mothers with a chronically ill child: A phenomenological study
Mahboobeh
Rezaei
anahita
khodabakhshi-koolaee
Mohammad Reza
falsafinejad
Akram
Sanagoo
Introduction: Having a child with a chronic mental illness puts a lot of psychological pressure on family members, especially the mother who takes care of the child. Therefore, this study aimed to identify the psychological challenges of mothers of children with chronic diseases in Karaj. Methods: This study employed a descriptive phenomenological approach using a purposive sampling method and was conducted in 2017. The data were collected through semi-structured interviews with the participants who were mothers of children with a chronic mental illness at the Rehabilitation, Treatment, and Care Center for Neurological and Psychiatric Patients in Mehrafarin, Karaj, of whom 17 were selected to take the interviews. The collected data were analyzed using Colaizzi's seven-step method for data analysis. Results: The results of the study showed that the psychological challenges faced by mothers with chronically ill children can be divided into five main categories: Feeling uncomfortable at home, feeling of constant fear, mental fatigue caused by continuous maternal care, social stigma and restricted interactions, and insufficient financial and support resources. Conclusion: Mothers who have to care for a child with a chronic mental illness are exposed to substantial burden of care and psychological pressure. Some of these psychological challenges are rooted in individual and family issues, and others are rooted in social conditions and seeking support for the patient. Therefore, it seems that the teaching of psychological interventions to mothers should be individually and socially oriented to reduce the psychological challenges and pressures tolerated by mothers with chronically ill children. Of course, concerning objective burden and seeking support, benefiting from insurance and other health services can reduce the problems faced by these mothers.
: Psychological Stressors
mental disorders
Mothers
qualitative research
2020
05
01
18
27
https://jqr1.kmu.ac.ir/article_90999_34645add01cd78895c052451469b37fc.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2020
9
1
Patients’ experience of living with irritable bowel syndrome (IBS): A hermeneutic phenomenology
Zinat
Mohebbi
farkhondeh
Sharif
hamid
peyrovi
mahnaz
rakhshan
mahvash
alizade Naini
ladan
zarshenas
Introduction: Irritable bowel syndrome (IBS) is a chronic gastrointestinal disorder with a wide range of effects on the individual’s quality of life, emotional state, and identity. Given the lack of knowledge about patients’ perceptions of life with irritable bowel syndrome, this study aimed to describe and interpret patients' experience of living with irritable bowel syndrome Methods: The present qualitative study was conducted using a hermeneutic phenomenological approach on 15 patients with irritable bowel syndrome who referred to three central clinics. The data were collected through in-depth semi-structured interviews with the participants who were selected through purposive sampling. Thematic analysis was carried out using Van Manen’s six-step methodological framework as a guide. Besides, MAXQDA software was used for data management. Results: The analysis of the data yielded four themes and eight subthemes. The patients’ experiences of living with IBS were manifested through the themes of “crisis and transient release” (with “storm in the corporeality” and “relief” subthemes); “surrender and harassment” (with “mandatory submitting” and “feeling of helplessness” subthemes); “looking for adaptation” (with “struggle in obtaining insight” and “seeking help from coping strategies” subthemes); and “different self-perceptions” (with “threatened self” and “deep self-knowledge” subthemes). Conclusion: Understanding the life experience of IBS patients can be effective in improving the interdisciplinary medical-care programs and reducing their psychological, social, and physical problems. Therefore, carrying out more studies to promote the quality of life of IBS patients is suggested.
Irritable bowel syndrome
Experience
Phenomenology
qualitative research
2020
05
01
28
37
https://jqr1.kmu.ac.ir/article_91000_2436e70f7b65e35d02380ba5e21b39c6.pdf