University engagement and collaborative learning in nursing students of Kerman University of Medical Sciences

Introduction: Collaborative methods of learning in the university have been a successful and the main aspects of the students’ engagement. The purpose of this study was to determine university engagement and collaborative learning in nursing students of Kerman University of Medical Sciences. Materials and Methods: This research was a descriptive correlation study on a total of 238 nursing students with different levels of education were asked to fill four subscales of the modified National Survey of Student Engagement (NSSE) tool with a total of 40 items. NSSE reliability was confirmed by Cronbach’s alpha (r = 0.78). The NSSE instrument relies on a students’ self-reports tool. Data were analyzed with descriptive and analytical statistics by SPSS version 16. Results: Means scores of university engagement in nursing students was 96.6 ± 19. 07. There was a significant positive correlation in components including active and collaborative learning (ACL) level, students’ level of academic challenge (LAC) as well as student faculty interaction (SFI), supportive campuses environment and enriching educational experiences (EEE)with total score of university engagement (P < 0. 05). Conclusions: Findings in this study showed that university engagement level in nursing students is moderate and there is a significant association between the model of teaching and ACL, and LAC and EEE

Respecting the privacy of hospitalized patients:an integrative review

Background: Privacy is a complicated and obscure concept, which has special meanings in the healthcare environment; therefore, it is essential for healthcare providers to fully understand this concept. However, there is no universally accepted definition for this concept in the texts, and it has been interpreted differently, based on its application. Aim: To analyze and provide a clear and scientific definition for respect of privacy of hospitalized patients and identify the common aspects of this concept. Research design: This study was conducted using the Whittemore and Knafl’s modified framework as a conceptual analysis method. Ethical consideration: This study was approved by the Research Council of the University of Social Welfare and Rehabilitation Sciences. We have respected the ethical requirements required regarding the sources and authorship. Research context and data sources: Using integrative review, a search was performed using national and international databases, including CINAHL, Scopus, Medline, Web of Science, and ISI (with no date restriction). The keywords employed during the search process were “privacy of patients,” “confidentiality,” “and patients’ rights.” In total, 1345 articles were retrieved from the databases. After the elimination of repetitive studies and with regard to the study objectives, 124 articles, 3 books, and 4 theses were entered into the study. The data were analyzed using the conventional content analysis approach. Findings: The results were extracted in the form of four, seven, and two themes related to attributes such as physical, informational, social, and psychological and the antecedents and consequences of respecting patient privacy, respectively. Conclusion: Respect for hospitalized patient privacy contains multiple dimensions. Factors affecting the achievement of this concept include individual backgrounds, nature of the disease, and rule of paternalism. The fulfillment of patient privacy leads to such consequences as protection and improvement of human dignity as well as improved communication between the patient and the health team. </jats:sec

Facilitators and barriers to the privacy of Iranian hospitalized patients in government hospitals

BackgroundPrivacy is one of the essential needs of humans, and is therefore crucial in effective healthcare systems. There is limited research clearly addressing the facilitators and barriers underpinning privacy for hospitalized patients.AimsThis study aimed to explore Iranian patients' perceptions of and experiences with the facilitators and barriers of privacy of in government hospital in-patients.Methods This qualitative study was conducted on 22 patients admitted to the in-patient departments of government hospitals in Tehran, Iran, in 2016. The study population was selected through purposive sampling technique. The data were collected using individualized semi- structured interviews, which were recorded and transcribed. Data analysis was performed by means of an inductive content analysis approach.Results The analysis of the experiences of the hospitalized patient's extraction of six themes. These themes included the ethical and legal backgrounds of privacy, multi-dimensional design of privacy, perceived vulnerability, patriarchal care, conflict between privacy and care, individual backgrounds, nature of disease, and informed consent.ConclusionThe privacy of the hospitalized patient is affected by complicated factors. These factors are facilitators and barriers and should be considered in the design of care

The Health-Oriented Lifestyle in Islamic Culture

Introduction: Islam has always stressed the importance of health and wellness. For centuries, Muslims have recognized the value of a good, clean, and healthy life. The purpose of this study is to explain the health-oriented lifestyle in the Islamic culture based on opinions, experiences, and perceptions of clergies, teachers, and students. Method: A qualitative research method was conducted in this study by grounded theory approach. Data were gathered through semi-structured interviews with participants. Moreover, the existing resources, such as case studies, life stories, letters, diaries, and press interviews have been used. Results: This study's central variable was deviation from moderation of thought, belief and behavior. Seven main categories were gained by analysis of data. They were: "policy in the health system", "Islamic education"," Islamic movement in people's family centered lives", "work, effort, and money", "ethics and law abiding citizen", "mobility and leisure", "relationships, interaction, and participation". Conclusion: Lifestyle modification, in the process of acquiring healthy communities and social capital, based on religious teachings could be the perfect solution for the problems of a healthy life in the present day. In structural approach, the government should pay attention to such issues like authority of the family, and supporting parents, and spouses, facilitate family functions by systematic problem solving, and empower and strengthen institutions such as the education system and media. It is suggested that educational institutions direct their teachings toward empowering children of this society in order for them to better play their roles in family and social life, and encourage them to use Islamic teachings Keywords: Health-oriented lifestyle, Islamic culture, Qualitative researc

Collaborative Learning Experiences of Nursing Students in the Clinical Learning Setting: A Qualitative Study

Introduction: Collaborative learning encourages students to work with peers and leads to the development of problem-solving and communication skills, and the transfer of knowledge learned in the classroom to be used in the clinical setting. This study aims to explain the role of collaborative learning experiences of nursing students in the field of clinical training. Methods: In this qualitative study, 20 nursing students who experienced specialist clinical training were selected using object-based sampling. The data were collected using semi-structured and focus group interviews. The interviews were transcribed verbatim and the relevant themes were extracted and categorized using content analysis. Results: The results revealed that group interactions lead to useful experiences in clinical works. It was also shown that collaborative learning affects the clinical success of nursing students. The participants stated that group work in clinical settings is the most important learning experience in the training course. While contributing to learning development, group participation helps the students to deal with the assigned tasks more efficiently and support each other by sharing their knowledge and establishing friendly relations. The themes derived from the data included 1) peer support, 2) clinical reasoning, and 3) group capabilities. Conclusion: Collaborative learning is an important factor in improving clinical work. The results of the present study underlined the weakness of educational programs in terms of collaborative learning. Therefore, educators and education professionals are recommended to support the development of a suitable context for active and collaborative education and learning

Collaborative Learning Experiences of Nursing Students in the Clinical Learning Setting: A Qualitative Study

Introduction: Collaborative learning encourages students to work with peers and leads to the development of problem-solving and communication skills, and the transfer of knowledge learned in the classroom to be used in the clinical setting. This study aims to explain the role of collaborative learning experiences of nursing students in the field of clinical training. Methods: In this qualitative study, 20 nursing students who experienced specialist clinical training were selected using object-based sampling. The data were collected using semi-structured and focus group interviews. The interviews were transcribed verbatim and the relevant themes were extracted and categorized using content analysis. Results: The results revealed that group interactions lead to useful experiences in clinical works. It was also shown that collaborative learning affects the clinical success of nursing students. The participants stated that group work in clinical settings is the most important learning experience in the training course. While contributing to learning development, group participation helps the students to deal with the assigned tasks more efficiently and support each other by sharing their knowledge and establishing friendly relations. The themes derived from the data included 1) peer support, 2) clinical reasoning, and 3) group capabilities. Conclusion: Collaborative learning is an important factor in improving clinical work. The results of the present study underlined the weakness of educational programs in terms of collaborative learning. Therefore, educators and education professionals are recommended to support the development of a suitable context for active and collaborative education and learning

Perianal Paget’s Disease in a Forty-Five-Year-Old Man and Review of the Literature

Introduction Extramammary Paget’s disease is a rare neoplasm of the skin that might develop in perianal region. Although different management options are available, wide local excision is still the method of choice. Case Presentation A 45-year-old man presented with perianal itchy lesions for one year with no response to local treatments. Perianal Paget’s disease was diagnosed by performing a surgical biopsy. Wide excision and flap reconstruction was done, while loop sigmoid colostomy was performed for fecal diversion. Re-excision of the involved margins was performed during the second operation. Conclusions A good outcome and no recurrence or complications was noticed in a follow-up period of 24 months. It is important to consider this uncommon disease as a probable diagnosis when evaluating a perianal lesion

Barriers of Pre-Hospital Services in Road Traffic Injuries in Tehran: The Viewpoint of Service Providers

Abstract Background: Iran is one of the countries with considerable road traffic injuries. Pre-hospital interventions have an important role in preventing mortalities and disabilities caused by traffic accidents.The present study aimed to explore the barriers of pre-hospital care in traffic injuries in Tehran, Iran. Methods: A qualitative content analysis approach was conducted based on 21 semi-structured interviews with 18 participants. A purposeful sampling method was applied until reaching data saturation. Interviews were transcribed verbatim, and then data condensing, labeling, coding and defining categories were performed by qualitative content analysis. Results: Four main barriers including 4 main categories and 13 subcategories emerged; they included Barriers related to people, Barriers related to metropolitan infrastructure,Barriers related to the profession and Barriers related to managerial issues. Conclusion: Based on the findings of this study, pre-hospital service barriers in traffic accidents have many dimensions including cultural, structural and managerial domains. Policy makers in health system can use these findings to promote the quality of pre-hospital services, especially in the field of traffic injuries

Uterocutaneous Fistula Following Cesarean Section: Successful Management of a Case

A uterocutaneous fistula is a rare clinical presentation that occurs following Cesarean section and other pelvic operations. There are only a few reports discussing the treatments. We describe a patient with successful surgical management and review the literature. A 25-year-old woman referred to our department 13 months after her first Cesarean section. She had a history of an abdominal mass and collection 2 months after surgery and some fistula opening with discharge from her previous incision. She had a previous surgical operation and antibiotic therapy without complete response. We performed fistulography to evaluate the tracts. In the operation — she had fistula tracts, one of which was between the uterus and skin. We debrided the necrotic tissue in the uterus, excised the fistula tracts, and drained the uterine cavity. At 8 months’ postoperative follow-up, she had no recurrence. A uterocutaneous fistula is a rare condition with many causes and needs proper investigation and timely medical and surgical management