2024-03-29T16:56:26Z
https://jqr1.kmu.ac.ir/?_action=export&rf=summon&issue=12178
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
Structure of Resilience in Older Adults with Chronic Conditions
fatemeh sadat
Izadi-avanji
Parkhide
Hasani
Mahnaz
Rakhshan
Hamid
Alavi majd
Introduction: Promoting resilience in older adults with chronic conditions is one of the goals of professional nursing. However, few studies have been conducted in world on this issue. In our country, Iran, no study, either qualitative or quantitative, has been done in this area .The aim of this study was to explore the structure of resilience in older adults with chronic conditions.
Method: In this study with descriptive phenomenological approach, participants were selected using purposive sampling method. Overall, 24 interview sessions were held with 22 participants. The minimum duration of an interview was 25 and the maximum was 75 minutes. The data were collected through semi-structured interviews and analyzed using the Colaizzi`s proposed stages.
Results: Four themes were emerged that could illustrate the perspective of older adults with chronic conditions from the external structure of resilience in particular socio-cultural context of Iranian society. The themes were supportive resources, welfare status, cut-of benefit, and attitude to the elderly patient.
Conclusion: Results of this study revealed important concepts in the structure of resilience in older adult patients with chronic diseases. Our fidings can help health care providers to understand the effective resources on the resilience and comprehensive care planning to grow and increase the resilience among older adults.
Resilience
Older Adults
Phenomenology
2016
02
01
314
325
https://jqr1.kmu.ac.ir/article_91093_d6cd81fef133fe72de8dba0369a2b26a.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
Perceptions of Employees on Psychological Factors Affecting Obesity: A Qualitative Study
Jalal
Abdi
Hassan
Eftekhar
Mahmood
Mahmoodi
Davood
Shojayzadeh
Roya
Sadeghi
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.
Grounded theory
Obesity
Qualitative study
2016
02
01
363
371
https://jqr1.kmu.ac.ir/article_90832_67d76a7fbf50d024b8e7b79b1827db67.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
Female Sex Workers' Experiences of Risky Behaviors, and the Causes of These Behaviors from their Viewpoints: A Qualitative Study
Khaled
Rahmani
Farzam
Bedarpor
Kobad
Moradi
Mohamad
Karemi
Mehri
Mola seki
Introduction: The phenomenon of prostitution among women as one of the backgrounds for the spread of human immunodeficiency virus (HIV) and other sexual transmitted infections in recent years attracted the attention of the authorities, especially the Iranian health officials. From 2009, and accordance to the HIV surveillance, centers as centers for vulnerable women has been established by the national health system for harm reduction programs in women. In this study, experiences, risky behaviors, and causes of these behaviors in female sex workers (FSWs) came to the vulnerable women counseling center in 2015, in Sanandaj City, Iran, were studied.
Method: In this qualitative study, semi-structured interviews and focus group discussion techniques were used to collect the data. Individual interviews with service provider personnel vulnerable women, including the director of the women counseling center, the midwife, and social worker consultant, and three focus group discussions with women referred to the center were done.
Results: Sexual partners' unwilling to use harm reduction facilities, non-commitment of men to pay for prostitution, violence, physical and sexual harm, applying for unconventional sexual abuse, and forced use of drugs and alcohol were the main experiences and risk behaviors that prostitutes facing. Lack of adherence to religious, poverty, addiction, divorce, ethical and social distortions, and lack of healthy family relationships were the most important factors affecting the occurrence of prostitution among women.
Conclusion: Even the health and social consequences of the prostitution among women and their risky behaviors are associated with multiple factors (multifactorial), but to deal with this problem, attention to the social determinants of health is very important; and each of the variables identified in this study can become a target for interventional programs in the country, particularly in vulnerable women counseling centers.
female
Sex workers
Risk Behavior
qualitative research
2016
02
01
326
336
https://jqr1.kmu.ac.ir/article_91094_661efdb66e87c7589041a9ae6c971ac9.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
Midwifery Students' Experiences of their First Attendance in the Delivery Room
fateme
Aliakbari
Fereshteh
Aien
maedeh
mohammadifard
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.
Midwifery students
Experiences
Delivery room
2016
02
01
372
384
https://jqr1.kmu.ac.ir/article_90833_cb3931cce9be2f417a163a1a782ac0e2.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
Nurses' Lived Experiences of Forgiveness to Others
Ali
Emanzadeh
Introduction: Forgiveness to others as a moral virtue is emphasized by Islam. In strengthening the preservation of human dignity and altruism and empathy emphasized in nursing ethics codes for nurses, forgiveness has a special place. The aim of this study was to investigate nurses' lived experiences of forgiveness to others in workplace.
Method: This study was conducted based on the qualitative approach and interpretive phenomenological method, which aimed to explore the outcomes of forgiveness based on nurses’ lived experiences. Participants in this study were 25 nurses working in hospitals of Tabriz City, Iran, who were selected via purposive sampling. Data were collected via in-depth and semi-structured interviews. The transcribed interviews were analyzed based on the hermeneutic approach using the analysis method proposed by Diekelmann, Allen, and Tanner. The mentioned interviews continued until no new meanings emerged and until the researchers were satisfied with the depth of their understanding. The extracted meanings were mental solace, spirituality and career.
Results: The nurses in lived experiences of forgiveness to others had achieved mental, spiritual and professional career consequences.
Conclusion: Forgiveness as an important moral act and as one of the factors in nursing ethics codes can play a major role in giving a sense of calm, nearness to god, and positive engagement in the work environment.
Forgiveness
Nurses
Phenomenology
2016
02
01
337
348
https://jqr1.kmu.ac.ir/article_91095_0d12c1292f8dbc3b44bedeffcd9c0ef9.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
Exploring the Experiences of Parents of Hospitalized Children Regarding Trust Barriers to Nursing Care
Naiire
Salmani
Abbas
Abbaszade
Maryam
Rassouli
Shirin
Hasanvand
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.
Trust
Care
Nurse
Parents
Child
Patient
2016
02
01
385
394
https://jqr1.kmu.ac.ir/article_90834_36808674a6edca1044f7fa33cf1455f8.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
Clarifying of Quality of Care in Abdominal and Pelvic Trauma Based on the Nursing Managers' Perspective
Sakineh
Parastesh
Azar
Darvishpour
Fatemeh
Meskini Jan Akbari
Sedigheh
Paryab
Introduction: Abdominal trauma is one major causes of mortality and its prevalence is increasing. Despite the researches conducted in quality of care, review of literature show that no study has done about the quality of care in abdominal and pelvic trauma. This study aimed to clarify the quality of care in abdominal and pelvic trauma based on the nurse managers' perspective.
Method: In this descriptive qualitative study, 14 nurse managers employed in emergency department of one of the health centers in Rasht City, Iran, were selected purposefully. Semi-structured interviews were used to collect the data. Sampling continued until data saturation. Data were analyzed using qualitative content analysis via MAXQDA 2007 software.
Results: Data analysis led to extraction of 321 primary codes, 8 subcategories, 3 categories, and 1 main theme. The main theme named "convergence of comprehensive health care services" consists of three categories entitled “life-saving care", "essential care", and "foundations of service quality".
Conclusion: Despite the implementation of specific aspects of abdominal and pelvic trauma care as "lifesaver care", there are significant deficiencies in relation to certain aspects of "essential care", especially in communication with patients require necessary actions, which should be modified or eliminated by the relevant authorities.
Quality of care
nursing care
Abdominal injuries
Trauma
Nurse managers
2016
02
01
349
362
https://jqr1.kmu.ac.ir/article_91096_7318e4c5afe046fffe5471b816c32f7f.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
Explaining the Concept of Self-Care in Adolescents
Elham
Zare
Masoumeh
Simbar
Zohreh
Shahhoseini
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.
Adolescent
Health
Self-care
2016
02
01
395
405
https://jqr1.kmu.ac.ir/article_90835_76542cd1feee08dc2e743da5df4798da.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
Barriers to Implementing Performance-Based Budgeting at Iranian Universities of Medical Sciences: A Qualitative Study
Mohammad
Mehrtak
Mohamad javad
Hozoori
Seyed Mehdi
Mogharrab
Ali
Jannati
Hasan
Darvish
Mehdi
Saadati
Introduction: A performance-based budgeting system provides the link between performance indicators and resource allocation. This study aimed to identify the barriers to implementing performance-based budgeting at Iranian universities of medical sciences.
Method: In this qualitative study with the framework analysis approach, semi-structured interviews were conducted with 14 university professors and directors of the Iranian Ministry of Health and Medical Education using purposive sampling and snowball model. MAXQDA-10 software was used to apply the codes and manage the data. The codes were extracted using deductive and inductive methods.
Results: Barriers of performance-based budgeting were classified in three main areas including elements of environmental, human, and organizational management, and 14 themes.
Conclusion: Having a deep understanding of the barriers to implementing evidence-based budgeting can help managers and policymakers to reach careful planning and successful implementation of budgeting. Paying attention to the environmental, human, and organizational infrastructure is essential for the successful deployment of performance-based budgeting at Iranian universities of medical sciences.
Budget
Budgeting
Universities
Iran
2016
02
01
363
375
https://jqr1.kmu.ac.ir/article_91097_02458676b8cc516aa2753bc96b0d7d9b.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
Explanation of the Status of Nosocomial Surveillance System in Iran: A Qualitative Study
Mahmood
Moosazadeh
Sana
Eybpoosh
Maryam
Nasirian
Hossein
Molavi Vardanjani
Khodadad
Sheikhzadeh
Mahdi
Afshari
Ali Akbar
Ali Akbar
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.
Surveillance
Nosocomial
Qualitative study
Hospital
2016
02
01
406
425
https://jqr1.kmu.ac.ir/article_90836_e4b82167a4be2b3edddb38c6e05ef1d5.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
Explaining Children Socialization Process Based on Parents’ Experiences
Jafar
Navaei
Reza
Negarandeh
Introduction: Until today, the training of children has long been a major concern for parents. Hence, this study aimed to explain children socialization process based on parents’ experiences.
Method: This study was conducted using grounded theory approach. Participants were 30 parents living in Tehran City, Iran, selected via purposeful and theoretical sampling methods. Data were gathered via in-depth and semi-structured interviews during 2013-2014. Data were analyzed using Corbin and Strauss method.
Results: Four main processes including “dialogue”, “control”, “creating situation and managing relationships”, and “acquisition readiness” were emerged. While a good quality of dialogue patterns was used in some families, others did not believe on the function of dialogue. In other cases, the dialogue would be transformed to monologue. The control was done in different ways and pursues to protect children from social threats. Creating managed situation was a strategy used by parents to create, maintain, and promote desired behaviors and also to eliminate or alter undesired behaviors. Finally, given that the majority of parents were not prepared enough for parenting, they got readiness in the face of problems in different ways.
Conclusion: Generally, based on the findings of this study, the most important emphasize of parents in the process of parenting is protect children from the dangers and at the same time, trying to facilitate their progress by control and management of situation.
parenting
Socialization
Grounded theory
Parents
Iran
2016
02
01
376
386
https://jqr1.kmu.ac.ir/article_91098_a92a7b447caccff6369daa9491a69718.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
Explanation of the Viewpoints and Experiences of Nurses in Intensive Care Units Regarding Religious-Spiritual Care
Fershteh
Araghian Mojarad
Akram
Sanago
Leila
Joibari
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.
Spiritual-religious care
Nursing
Intensive Care Unit
content analysis
2016
02
01
426
437
https://jqr1.kmu.ac.ir/article_90837_69d7d43ce4f55713c5d93513a2edb892.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
Barriers and Facilitators in Health Education for the People from Health Care Providers' Perspective: A Qualitative Study
narjes
akbarian
Elham
Bushehri
ALI
Alizadeh
Teamur
Aghamolaei
Introduction: Health education with the goal of providing and promoting community health is a complex and multidimensional process that several factors influence its effectiveness. This study aimed to explain the views of staff in the health centers of the Khamir County, Iran, about barriers and facilitators in health education for the people.
Method: In this qualitative study, data were collected through semi-structured interviews with 15 employees in health centers with at least 3 years of work experience, who were selected through purposive sampling. The content analysis approach was used to analyze the data. Contributors surveyed to ensure that the data were acceptable. Reviewers carried out confirmation of findings.
Results: Two themes (human barriers, and inhuman barriers) extracted from the results of content analysis on barriers to health education for the people. The theme of human barriers consisted of three main categories (management of health care system, weakness of health care personnel, and factors related to service recipients in health centers). The management of health care system group was divided into two subgroups (managers' negative attitudes, and inadequate managers' performance). The theme of inhumane barriers included two main groups (factors related to physical environment, and factors related to working conditions). Two themes (motivational factors, and contributing factors) extracted from the results of content analysis on health promotion facilitators. The motivational factors included two main groups (health managers' support, and clients' support). The main contributory factors classified into three main groups (the conditions of clients' service in health centers, health managers' performance, and health care personnel's characteristics).
Conclusion: Improvement of educational management in health systems by managers, in order to improve the quality and quantity of health education for the people in health centers is recommended. This can be reached via implementing such measures as proper monitoring and evaluation staff training activities, support for active educational staff, enough human supply, and conducting useful training classes.
Health Education
Barriers
Facilitators
Health Staff
Health Centers
2016
02
01
387
400
https://jqr1.kmu.ac.ir/article_91099_1a8e32b959c28f9ffbb0561bca8cbd98.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
Emotional Transformation, Anxiety, and Expectancy in view ofamong Pregnant Surrogate Mothers: A Qualitative Study
Mina
Shayestefar
Heidarali
Abedi
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.
Emotional transformation
Anxiety
Expectancy
Surrogacy
Life experiences
qualitative research
2016
02
01
438
447
https://jqr1.kmu.ac.ir/article_90838_375cb33b899510708715460aca619129.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
Comparing the Causes of Infidelity in Marital Relationships among Men and Women: A Qualitative Research
Mansour
Fathi
Parven
Satar
Sayd Reza
Javadeyan
Seyd Reza
Javadeyan
Introduction: Today, the evidence and unofficial indications for disturbing society show the marital infidelity as one of the hidden social problems. In this study, the underlying factors of infidelity in marital relationships among women and men were identified and compared. Moreover, some basic guidelines and practical suggestions on preventing and reducing marital infidelity and strengthening the family relations were presented.
Method: Using qualitative content analysis methodology, and according to the purposive sampling method and theoretical saturation criterion, 40 unfaithful married men and 32 unfaithful married women participated in the study. Data were collected through in-depth, semi-structured interviews.
Results: Through data analysis, 5 main themes were extracted. These themes consisted of “emotional and behavioral problems in marital relationships”, “sexual dissatisfaction”, “attitudes and individual characteristics”, “paternal family problems”, and “social factors”.
Conclusion: Based on the study findings, although majority of male and female participants mentioned sexual dissatisfaction (low quantity and quality) and emotional dissatisfaction as the main reason for their unfaithfulness, respectively, the impact of other paternal family problems, social factors, and attitudes and individual characteristics must be also regarded.
Sexual behavior
Family Relations
Extramarital Relations
Qualitative Evaluation
2016
02
01
401
418
https://jqr1.kmu.ac.ir/article_91100_963d8da0741d7d5600f81a9004fbe136.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
The Determining Elements of Tendency toward Agreement-Based Divorce: A Qualitative Study
Taybeh
Balvardi
Zahirmostafa
Balvardi
Mahmood
Aghajani
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.
social network
Marriage interactions
Lack of consequential understanding
Individuation
2016
02
01
448
455
https://jqr1.kmu.ac.ir/article_90839_c4dbe5c91d51806c3ff35d126bd5583b.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
Process of Patient Education and Orem,s Self Care Theory, An Integrative Model Curriculum: A Qualitative Study
Esmat
Noohi
Abbas
Abbaszadeh
Introduction: The development of nursing curriculum to develop the skills and the professional tasks by using the proper training is necessary for planning. Learning based on nursing models and theories is an original strategy in nursing education. This study aimed to clarify participants' experiences about patient education curriculum.
Method: This study was part of a qualitative study using Glasser grounded theory approach in 2014. To explore experiences and understanding of nursing students, lecturers, and clinical tutors, in-depth and semi-structural interviews about patient education was used to gather the data. Data analysis conducted simultaneously by data gathering. The extracted codes were categorized into three main themes with several subthemes.
Results: Three main themes were extracted including ‘the role of professional patient education’, ‘application of nursing theory in clinical practice’, and ‘integrated curriculum course’.
Conclusion: This study recommends the application of Orem nursing model for managing and organizing the patient education curriculum. This may be an applicable guidance for developing nursing curriculum.
Nursing models
Patient education
Integrate
Curriculum
2016
02
01
419
431
https://jqr1.kmu.ac.ir/article_91101_113ae0810ce0fd9eb755b4dbd3d739ee.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
An Exploration into the Lifestyle of Nursing Students: A Qualitative Study
Seyedeh Azam
Sajadi
Abolfazl
Rahimi
Maryam
Nezamzadeh
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.
Qualitative method
nursing student
Student life
Lifestyle
2016
02
01
456
471
https://jqr1.kmu.ac.ir/article_90840_3d970b7ec27a26651eaa818a5835953d.pdf
Journal of Qualitative Research in Health Sciences
J Qual Res Health Sci
2016
5
4
Experiences of the Hemodialysis Patients and Medical Staff Personnel about Regarding of Nursing Care: A Content Analysis
Monir
Nobahar
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.
nursing care
Palliative Care
Self-management
Nursing
patients
Hemodialysis
content analysis
2016
02
01
472
483
https://jqr1.kmu.ac.ir/article_90841_c1e17937744ccdad0d0bc98b460f1a28.pdf