Perceived Stressors of Hospitalized Patients’ Family in Cardiac Care Unites: A Qualitative Content Analysis

The present study attempts to justify the factors inducing stress in the families of patients hospitalized in cardiac intensive care units in the east of Guilan province in Iran. The study aims at gaining an accurate understanding on these stressors for appropriate planning directed at removing or decreasing these tension-inducing components. The present study is a qualitative study based upon a conventional content analysis approach. The study population was selected through purposive sampling (28 family members of cardiac patients), and the data were gathered through semi-structured interviews. Data analysis was performed as per the stages recommended by Graneheim and Lundman (2004). The strength and scientific accuracy of the study was also established. The study yielded three main themes and seven sub-themes: Heavy shadow of illness (fear of loneliness on the caring path, fear of disease, poor personal knowledge); Hesitation in the treatment (doubting the efficiency of technology, ungenial healthcare providers); and Economic storm (high cost of treatment, potential economic problems). The study results indicated that patients’ families underwent stress in various areas, pointing to the need for providing adequate training and information on the disease to family members and caregivers, as well as the sympathy of healthcare providers on the treatment path for reducing the disease-associated tensions suffered by hospitalized patients’ families

The Learning Experience of Graduate Nursing Students: Content Analysis

Learning is also considered as an important which can create changes in individuals’ knowledge, attitude, values, and feelings. As learning requires a new conceptual framework where one can take decisions in which change and innovation manifests, it is evident that this conceptual realization is only possible through a qualitative research. The present study aims to explore and justify graduate nursing students’ learning experience.The present study is a conventional qualitative content analysis research which was conducted in 27 graduate nursing students studying in Guilan university of Medical sciences in Iran. The study population was selected through purposive sampling, and the data was gathered through semi-structured interviews. Data analysis was performed as per the stages recommended by Graneheim & Lundman. Data strength and their scientific accuracy were evaluated, and ethical aspects of the research were also taken into consideration. Data analysis results were identified as three main themes and 10 subthemes which were named as per their nature:“effective learning,”: learning from a qualified instructor, accessible equipment and resources, awareness of teaching objectives / “Effective learning strategies”: pre-requisite knowledge before attending the class, participating educational workshops, joining group discussions, taking shorthand at home and in the class / “Decline in learning”: the difference in learners’ knowledge background, recurring lesson subjects, inappropriate time and place for learning. Graduate nursing students’ experience confirmed the necessity for provision of a proper educational framework as well as decreasing or removing the factors causing the decline in learning for the purpose of improving the quality of education at universities

Coronary Care Unit Nurses’ Experiences of Care Management Self-Efficacy: A Qualitative Content Analysis

Recognizing various aspects of the self-efficacy concept in specialized medical units such as intensive care units (ICUs) and coronary care units (CCUs) has the potential to help nurses improve their quality of care. Therefore, we conducted a qualitative content analysis study in 2018 in hospitals of the Guilan Province, northern Iran, to help explain nurses’ perceptions of self-efficacy in care management within CCU wards. Thirty-four semi-structured interviews were conducted with nurses from CCUs. Using Graneheim and Lundman’s (2004) analytical techniques, we extracted three main themes and nine sub-themes from the data: decline in self-efficacy (e.g., time constraint, high work pressure, emotional stresses, and loss of motivation); care development (e.g., experience-based care, knowledge-based care, and personal capability); and organizational challenges (e.g., weak management and unavailable physician). Our findings suggest that decreases in nurse self-efficacy (and resulting weak care management) could be prevented by establishing clear plans and enrolling nurses into appropriate training courses. The constant development of knowledge and experience alongside supportive supervisors and physicians are also effective in improving nurses’ self-efficacy