Experience of Families for Waiting during their Patients’ Surgery: A Qualitative Research

Introduction: A family-centered approach is an important part of the care process for surgical patients and their families. Nursing care is effective only when the family is taken into consideration. Understanding of family members’ experiences could helps nurses for better care services. Thus, this study aimed to explain the experience of waiting in families of patients undergoing surgery. Method: In this qualitative study, 17 family members of patients undergoing surgery were selected by purposive and theoretical sampling until data saturation. Semi structured interviews were held for data collection. For transcription and analysis of interviews, Microsoft Word and One Note software was used and date were analyzed using content analysis approach. Results: According to the findings, “Stressful waiting” was the main theme of study which was consisted of four categories, i.e. “mental and intellectual concerns”, “fear and worry”, “psychological reactions” and “psychosomatic reactions”. Conclusion: Finding of this study can help healthcare professionals especially nurses to get a better understanding of the family emotions and concerns in this situation and as a result could be planning for decreasing such concerns. Keywords: Waiting, Surgery, Patient’s family, Qualitative researc

Regular Cervical Cancer Screening for Iranian Women: Facilitators and Barriers

Introduction: Regular cervical cancer screening is an effective strategy to reduce the incidence and mortality rate of this disease. Therefore, the present study aimed to explain facilitators and barriers to performing regular Pap smear tests in Iranian women. Methods: This qualitative study was performed in 2017 in medical centers in Hamadan. The participants in this study were 23 women and 8 health care workers who were selected through purposive sampling. The inclusion criteria were the willingness to participate in the study and having the ability to communicate properly. The data were collected using in-depth semi-structured interviews and analyzed using the qualitative content analysis method with MAXQDA10 software. Results: Three main concepts were recognized as facilitators and barriers to regular Pap smear testing: (1) Belief vs. disbelief in the possibility of cancer control and treatment, (2) Priority vs. non-priority of health in life, and (3) Ability vs. inability to overcome the challenges ahead. Conclusion: Given the results of the study, it is necessary to establish policies to increase people's sensitivity to testing and the dominance of screening culture in society. Health officials also need to support training programs to promote women's understanding of the importance and impact of early diagnosis in controlling and treating cervical cancer and to develop and implement programs to reduce or eliminate financial, time, and emotional barriers

Important Coping Strategies Used by Individuals with Spinal Cord Injury: A Qualitative Study

Introduction: Although it is an accepted fact that using coping strategies have an important role in the coping process and quality of life following spinal cord injury (SCI), there is still little information about this issue in the world and especially in Iran. The purpose of this study was to explore important coping strategies used by Iranian patients with spinal cord injuries. Method: 18 patients with SCI from The Brain and Spinal injury Repair Research Center of Tehran University of Medical Sciences, and the Protection Center of the disabled with spinal cord injury were interviewed deeply. Data were collected through recorded interviews, and concurrently analyzed using the conventional content analysis method. Results: Data analysis showed seeking help from religious beliefs (understanding the disease as a divine fate and test, appeal to Imams, and increasing worship), to be an important coping strategy. Conclusion: Understanding strategies that influence the patients’ coping with the SCI will contribute to the nursing body of knowledge. It also helps nurses and other health-care professionals, and the patients’ families in reinforcing the most effective coping strategies and promoting the quality of care. Keywords: Content analysis, Important coping strategy, Qualitative research, Spinal cord injur

Seeking Protection in the Heart of the Storm: Findings from a Grounded Theory Study

Background. Nurse protection is a multifaceted concept that has become increasingly relevant in recent years. Despite its importance in effectively managing pandemics, there is still a gap in knowledge about how nurses achieve protection in hospitals. Objective. To describe the process of seeking protection among nurses during the COVID-19 pandemic. Methods. A grounded theory approach from 2020 to 2022, employing purposive and theoretical sampling. Face-to-face and online interviews were conducted with 25 participants, resulting in 29 interviews. Data analysis was carried out using Corbin and Strauss's method (2015). Results. The analysis revealed that nurses encountered numerous obstacles related to patients, nurses themselves, organizations, and the passage of time during the COVID-19 pandemic. These challenges were intertwined with three key concepts: transformations, inequalities, and emotional challenges, highlighting the multifaceted nature of nurses' protection concerns. In response, nurses employed a protective strategy bolstered by catalysts to address these challenges. This strategy encompassed both optimistic outlooks ("Bright horizon") and somber reflections ("Unpleasant reflection"). Ultimately, seeking protection in the heart of the storm emerged as the core concept, representing the multifaceted process through which nurses navigate and seek protection amidst the unique challenges posed by the pandemic. Conclusions. This study presents a comprehensive theory that explicitly explains the multifaceted process of seeking protection among hospital-employed nurses during a pandemic. The theory captures the interconnectedness of challenges faced by nurses and the protective strategies they employ while acknowledging the nuanced balance between hopeful prospects and sobering reflections. Implications for Nursing Management. Policymakers, managers, and educators can utilize the findings to improve nursing management and support systems. By increasing awareness, addressing challenges, and providing robust support, they can enhance the well-being and effectiveness of nurses during healthcare crises, ultimately improving patient care quality

The effect of education through a mobile application on self-care behavior in patients undergoing percutaneous coronary: A randomized clinical trial

Background & Aim: Patients who receive percutaneous coronary interventions often display inadequate levels of self-care actions, which could create difficulties in managing the disease and achieving favorable treatment results. This study investigates the impact of using an educational mobile application on self-care behaviors in patients undergoing percutaneous coronary intervention. Methods & Materials:  A randomized clinical trial was conducted with 110 patients undergoing percutaneous coronary interventions at Shahid Rajaei Hospital in Karaj, Iran, in 2023. The study enrolled and assigned them to either the intervention group (n=55) or the control group (n=55) by block randomization. In addition to training upon discharge, the experimental group received educational resources via a mobile phone application. The data collection instruments included MSCBS. Patients completed the MSCBS before the intervention and 4 weeks later. The data were analyzed with SPSS 21. The study's level of significance was set to P<0.05. Results: Before the intervention, there was no significant difference in the self-care scores and the subscales between the two groups (P<0.05). Nonetheless, After the intervention, a significant difference was observed in the self-care scores and the subscales between the control and intervention groups, (p=0.001), and the difference in scores between the control and intervention groups increased significantly after the intervention and the scores of the intervention group had a significant increase compared to the scores of the control group. Conclusion: The study showed that the mobile phone educational application could improve self-care behaviors in patients undergoing percutaneous coronary interventions. Therefore, it can be recommended that nurses working in medical centers use this educational application to enhance self-care in these patients

Family caregivers' perspectives on barriers to caring for patients with schizophrenia: A descriptive qualitative study

Background & Aim: Schizophrenia significantly burdens family members when a member of their family is afflicted with this condition. Family caregivers play a pivotal role in providing care and support to individuals experiencing schizophrenia within the community. Therefore, an in-depth study of family caregivers' experiences is crucial for developing effective care quality improvement programs. This study aimed at exploring family caregivers' experiences of the barriers to caregiving to patients with schizophrenia. Methods & Materials: This study was conducted in 2021–2022 through in-depth semi-structured. The duration of the interviews varied in length from 45 to 90 minutes. Interviews were conducted with sixteen family caregivers of patients with schizophrenia. The conventional content analysis proposed by Graneheim and Lundman was used for data analysis. Results: The findings can be classified into three primary categories. The category "Inefficiency of Support Resources" encompasses the subcategories of "Inadequate Support by Family Members," "Inadequate Support by the Healthcare System," and "Financial Predicament." The category "Limited Public Knowledge about Psychiatric Disorders" includes the subcategories of "Social Stigmatization" and "Being Social Rejection." Lastly, the category "destructive nature of schizophrenia" encompasses the subcategories of "Gradual Loss of Abilities" and "Gradual Patient Passivity." Conclusion: Family caregivers encounter various barriers in providing patient care. Thus, they require support from the treatment team and family members, as well as financial and the development of rehabilitation programs. Additionally, involving caregivers in the patient's treatment plan and planning programs to reduce the stigma associated with caregivers is crucial

Critique and evaluation of published articles quality of Health Sciences qualitative Researches Journal based on CASP scale

Recently, rate of journals and published article in the medical sciences has grown, but the quality of these journals and published articles should be criticized. Therefore, this study was conducted with the aim of criticizing quality of published studies in the qualitative research in health sciences journal based on the CASP scale. Methods: This study has been done with a cross-sectional descriptive method. In this study, the quality assessment of qualitative articles published in the Journal of Qualitative Research in Health Sciences in two steps was performed. In the first stage, the quantity of published studies by descriptive statics has been investigated. In the second stage, based on CASP scale evaluation was perform. Results: The highest percentage of published articles related to content analysis with 52.9% and the lowest percentage of published articles related to ethnography and mixed method with 0.42%. In the 83.1 percentage of published articles, CASP-related indicators are also observed. The highest compliance rate of CASP scale indicators is related to the index of the clarity of the research goals, which is observed in 100% of published articles. The least observance of the indexes in the published articles is related to ethical questions which 65.5 percentage of published articles has been followed. In general Conclusion: Based on findings, recently the quality and quantity of published articles in Qualitative Research in Health Sciences journal is growing, but rate of some types of published studies and their quality is low, which these items should be improve

Challenges of Transcultural Caring Among Health Workers in Mashhad-Iran: A Qualitative Study.

BACKGROUND One of the consequences of migration is cultural diversity in various communities. This has created challenges for healthcare systems. OBJECTIVES The aim of this study is to explore the health care staffs' experience of caring for Immigrants in Mashhad- Iran. SETTING This study is done in Tollab area (wherein most immigrants live) of Mashhad. Clinics and hospitals that immigrants had more referral were selected. PARTICIPANTS Data were collected through in-depth interviews with medical and nursing staffs. 15 participants (7 Doctors and 8 Nurses) who worked in the more referred immigrants' clinics and hospitals were entered to the study. DESIGN This is a qualitative study with content analysis approach. Sampling method was purposive. The accuracy and consistency of data were confirmed. Interviews were conducted until no new data were emerged. Data were analyzed by using latent qualitative content analysis. RESULTS The data analysis consisted of four main categories; (1) communication barrier, (2) irregular follow- up, (3) lack of trust, (4) cultural- personal trait. CONCLUSION Result revealed that health workers are confronting with some trans- cultural issues in caring of immigrants. Some of these issues are related to immigration status and some related to cultural difference between health workers and immigrants. These issues indicate that there is transcultural care challenges in care of immigrants among health workers. Due to the fact that Iran is the context of various cultures, it is necessary to consider the transcultural care in medical staffs. The study indicates that training and development in the area of cultural competence is necessary