Qualitative Study of Health System Preparedness for Successful Implementation of Disaster Exercises in the Iranian Context

Author(s):  
Hojjat Sheikhbardsiri ◽  
Mohammad Mahdi Doustmohammadi ◽  
Syed Hossein Mousavi ◽  
Hamidreza Khankeh

ABSTRACT Objectives: Implementing disaster exercises in different parts of the health system is one of the important steps in providing and developing disaster risk management plans. Considering the importance of promoting health system preparedness through exercise, the present study aimed to identify and explain necessary and original components for successful implementation of preparedness exercises of the health-care system in disaster. Methods: The study was a qualitative content analysis. Data were collected by purposeful sampling through in-depth and semi-structured individual interviews with 25 health professionals in disaster. Directed content analysis was used to analyze the data, which extracted the initial codes after performing the recorded interviews on paper and immersing them in the data analysis. Results: The data analysis resulted in the production of 100 initial codes, 14 subcategories, 6 main categories of “coordination and information management,” “standards and indicators,” “conduction and control of the process,” “logistic management and supplies,” “management of treatment operation,” and “management of health operation,” under the original theme of “implementation of exercise.” Conclusions: The findings of this study can greatly increase the attention of senior managers to preparedness in all areas of the health system, especially managers of prehospitals and hospitals who are the forefront of the response to the disaster. The findings of this study can be considered as a guideline for the implementation of principle and standardized health system preparedness exercises.

2020 ◽  
Author(s):  
fatemeh darban ◽  
Roghayeh Mehdipour_Rabori ◽  
Jamileh Farokhzadian ◽  
Esmat Nouhi ◽  
Sakineh Sabzevari

Abstract Introduction: The challenges of living with and taking care of a patient with schizophrenia can lead to positive changes depending on the experiences and reactions of the families. Such changes may directly affect the family performance and the patient's recovery stage. Therefore, the aim of this study was to explain the positive experiences reported by families of patients with schizophrenia.Materials and methods: In this qualitative study of content analysis, data were collected using semi-structured and in-depth interviews with 15 family members of patients with schizophrenia who referred to one of the psychiatric hospitals in Zahedan City, Iran. Targeted sampling method was applied and data analysis was conducted using contractual content analysis proposed by Graneheim and Lundman.Results: Data analysis resulted in a theme entitled 'family achievements in the battle with schizophrenia'. This theme included four main categories of: Developing positive personality traits in family members, Strengthening family ties, Developing insight into life, and Social mobility.Conclusion: The findings provided evidences that the experience of taking care of patients with schizophrenia led to positive consequences for the families.Highlights- Caring for a patient with schizophrenia promotes personality traits in caregivers- Participating in patient care strengthens family ties- Living with schizophrenia patients developed their insight into life.- Family members of a schizophrenic patient try to reach their previous social status


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fatemeh Darban ◽  
Roghayeh Mehdipour- Rabori ◽  
Jamileh Farokhzadian ◽  
Esmat Nouhi ◽  
Sakineh Sabzevari

Abstract Background The challenges of living with and taking care of a patient with schizophrenia can lead to positive changes depending on the experiences and reactions of family caregivers. Such changes may directly affect the family performance and the patient’s recovery stage. Present study aimed to explain the positive experiences reported by family caregivers of patients with schizophrenia. Methods The present study is a qualitative study of content analysis. Data were collected using semi-structured and in-depth interviews with 15 family caregivers of patients with schizophrenia referring to one of the psychiatric hospitals in Zahedan, Southeast part of Iran. Purposive sampling method was applied and data analysis was conducted using conventional content analysis proposed by Graneheim and Lundman. Results Data analysis created a theme entitled “family achievements in struggling with schizophrenia”. This theme included four categories including Developing positive personality traits in family members, Strengthening family ties, developing insight into the life, and social mobility. Conclusions The results provided insights that the experience of taking care of patients with schizophrenia led to positive consequences for family caregivers. Thus, it is recommended that psychiatrists or consultants help families rely on positive experiences and share these experiences with families with a newly-suffered patient.


2021 ◽  
Author(s):  
Aliasghar kheirkhah ◽  
Ehsan Movahed ◽  
Fereshte gheyabi ◽  
Fatemeh kave Farsani ◽  
Fatemeh Rigabadi

Abstract Background: Health providers and patients face many problems in preventing and controlling COVID-19 in the family and the health system.Aim: The aim of the present study was to explore experiences of health providers and patients in COVID‑19.Methods: directional qualitative content analysis was applied and 15 participants, including 10 patients with COVID-19 and 5 health providers. Data were collected using semi-structured interviews and analyzed by Lundman and Graneheim qualitative content analysis methods. The MAXQDA10 software was used to manage qualitative data analysis.Results: During the data analysis, "strengths", "weaknesses", "opportunities", and "threats" were defined in terms of categories. The " Benefits and Barriers " was determined as the main theme.Conclusion: Community members and policymakers should support and reinforce the positive experiences of patients and health providers and the health system and families need to be more prepared for the crisis.


2020 ◽  
Vol 11 (1) ◽  
pp. 61-69
Author(s):  
Mahdi Moosaeifard ◽  
Kourosh Zarea ◽  
Masoud Sirati Nir ◽  
Mohammadreza Dinmohammadi ◽  
Abolfazl Rahimi

Background: Training specialist manpower requires social justice in higher education and inequality leads to the emergence of hierarchies of power and types of dominant or dominated groups. Aim: The aim of the present study was to explain the perceptions and experiences of the heads of nursing departments of Iranian nursing schools regarding medical dominance in nursing education. Methods: The present study was a conventional content analysis. Data collection was carried out using purposeful sampling and in-depth semi-structured interviews with 24 participants. The data analysis process was performed according to Graneheim and Lundman’s qualitative content analysis (2004).  Findings: Data analysis led to the emergence of the theme of "Medical dominance in nursing education" and the three main categories of “physician-centered university education", "weakened educational status", and "belittling nursing education in medical system”. Conclusion: The findings of the present study indicated that physicians enjoy special and superior position in the structure of the Ministry of Health and Medical Education of Iran. Physicians manage the entire system including medical education due to their greater power in managing the system at all micro and macro levels. Thus, other disciplines including nursing education, which are closely related to medicine, are highly ignored.


2020 ◽  
Author(s):  
fatemeh darban ◽  
Roghayeh Mehdipour_Rabori ◽  
Jamileh Farokhzadian ◽  
Esmat Nouhi ◽  
Sakineh Sabzevari

Abstract Background: The challenges of living with and taking care of a patient with schizophrenia can lead to positive changes depending on the experiences and reactions of family caregivers. Such changes may directly affect the family performance and the patient's recovery stage. Present study aimed to explain the positive experiences reported by family caregivers of patients with schizophrenia.Methods: The present study is a qualitative study of content analysis. Data were collected using semi-structured and in-depth interviews with 15 family caregivers of patients with schizophrenia referring to one of the psychiatric hospitals in Zahedan, Southeast part of Iran. Purposive sampling method was applied and data analysis was conducted using conventional content analysis proposed by Graneheim and Lundman. Results: Data analysis created a theme entitled “family achievements in struggling with schizophrenia”. This theme included four categories including Developing positive personality traits in family members, Strengthening family ties, developing insight into the life, and social mobility.Conclusions: The results provided insights that the experience of taking care of patients with schizophrenia led to positive consequences for family caregivers. Thus, it is recommended that psychiatrists or consultants help families rely on positive experiences and share these experiences with families with a newly-suffered patient.


2021 ◽  
Author(s):  
Fatemeh Darban ◽  
Roghayeh Mehdipour_Rabori ◽  
Jamileh Farokhzadian ◽  
Esmat Nouhi ◽  
Sakineh Sabzevari

Abstract Background: The challenges of living with and taking care of a patient with schizophrenia can lead to positive changes depending on the experiences and reactions of family caregivers. Such changes may directly affect the family performance and the patient's recovery stage. Present study aimed to explain the positive experiences reported by family caregivers of patients with schizophrenia.Methods: The present study is a qualitative study of content analysis. Data were collected using semi-structured and in-depth interviews with 15 family caregivers of patients with schizophrenia referring to one of the psychiatric hospitals in Zahedan, Southeast part of Iran. Purposive sampling method was applied and data analysis was conducted using conventional content analysis proposed by Graneheim and Lundman. Results: Data analysis created a theme entitled “family achievements in struggling with schizophrenia”. This theme included four categories including Developing positive personality traits in family members, Strengthening family ties, developing insight into the life, and social mobility.Conclusions: The results provided insights that the experience of taking care of patients with schizophrenia led to positive consequences for family caregivers. Thus, it is recommended that psychiatrists or consultants help families rely on positive experiences and share these experiences with families with a newly-suffered patient.


2020 ◽  
Vol 10 (2) ◽  
pp. 117
Author(s):  
Indrawati Indrawati

The Form of Persuasion and Milennials Respon in Facebook Social Media inPresidential Election 2019. This research aims to reveal how the persuasion andresponse of millennials on social media Facebook in the 2019 presidentialelection. This research uses methods of qualitative content analysis. The data theauthor takes is data on Facebook social media from February to April 2019. Formof data in the form of sentences that have a persuasion message used by millennialson social media Facebook in the presidential election 2019. The source of thisresearch data observations directly on social media Facebook which thenresearchers Screenshoot. Data analysis is done in several ways, namely: (1)Observation of the sentence upload on Facebook social media, (2) reading andunderstanding sentences that have a persuasion meaning, (3) grouping,identifying, and analyzing existing data, (4) Conclude the results of researchanalysis. Data analysis is done during and after the data is collected. This researchimplements triangulation and data checking to obtain the validity of data. Basedon the research, there are several form of persuasion in uploading sentences ofmillennials in facebook social media in presidential election 2019. Thatpersuasion form are: (1) persuasion form and millennials respond with strongarguments, (2) persuasion form and respond with neutral arguments, (3)persuasion form and millennials respond with weak arguments, (4) persuasionform and millennials respond with peripheral.Key words: persuasion, milenialls, facebook social media AbstrakWujud Persuasi dan Respon Kaum Milenial di Media Sosial Facebook padaPilpres 2019. Penelitian ini bertujuan mengungkapkan bagaimana wujud persuasidan respon kaum milenial di media sosial facebook pada pilpres 2019. Penelitianini menggunakan metode analisis isi kualitatif. Data yang penulis ambil adalahdata yang terdapat di media sosial facebook dari bulan Februari sampai denganApril 2019. Wujud data berupa kalimat yang memiliki pesan persuasi yang dipakaikaum milenial di media sosial facebook pada pilpres 2019. Sumber data penelitianini pengamatan langsung di media sosial facebook yang kemudian penelitiscreenshoot. Analisis data dilakukan dengan beberapa cara, yaitu: (1)pengamatan terhadap unggahan kalimat di media sosial facebook, (2) membacadan memahami kalimat yang memiliki makna persuasi, (3) mengelompokkan,mengidentifikasi, dan menganalisis data yang ada, (4) menyimpulkan hasilanalisis penelitian. Analisis data dilakukan selama dan setelah data terkumpul.Penelitian ini menerapkan triangulasi dan pengecekan data untuk memperolehkeabsahan data. Berdasarkan hasil penelitian, ditemukan beberapa wujudpersuasi dalam kalimat unggahan kaum mileniual di media sosial facebook padapilpres 2019. Wujud persuasi tersebut meliputi: (1) Wujud persuasi dan responkaum milenial dengan argumen kuat (strong argumens); (2) Wujud persuasi danrespon kaum milenial dengan argumen netral (neutral argumens);(3) Wujudpersuasi dan respon kaum milenial dengan argumen lemah (weak argumens); dan(4) wujud persuasi dan respon kaum milenial dengan argumen sampingan(peripheral).Kata-kata kunci: persuasi, kaum milenial, media sosial facebook


Author(s):  
Jari Salo ◽  
Jaana Tähtinen

This chapter shows how retailers – without any previous experience or education – utilize a new mobile advertising channel. The chapter focuses on permission-based mobile advertising and the specific features that should be considered when designing and targeting mobile advertising. The empirical part of the chapter analyzes data from a field trial where Finnish retailers were able to use mobile advertising. The empirical data is obtained through the use of content analysis. Data analysis explores whether the retailers positioned the m-adverts to target either individuals or groups and whether the content of the m-adverts reflected and utilized the medium’s specific features. The results of this analysis suggest that both retailers and advertising agencies have to learn how to use m-advertising as a new media. Conclusions of the chapter suggest ways to fully utilize the potential of mobile advertising.


2020 ◽  
Vol 19 ◽  
pp. 160940692095511
Author(s):  
David L. Morgan ◽  
Andreea Nica

Because themes play such a central role in the presentation of qualitative research results, we propose a new method, Iterative Thematic Inquiry (ITI), that is guided by the development of themes. We begin by describing how ITI uses pragmatism as a theoretical basis for linking beliefs, in the form of preconceptions, to actions, in the form of data collection and analysis. Next, we present the four basic phases that ITI relies on: assessing beliefs; building new beliefs through encounters with data; listing tentative themes; and, evaluating themes through coding. We also review several notable differences between ITI and existing methods for qualitative data analysis, such as thematic analysis, grounded theory, and qualitative content analysis. The use of ITI is then illustrated through its application in a study of exiters from fundamentalist religions. Overall, the two most notable features of ITI are that it begins the development of themes as early as possible, through an assessment of initial preconceptions, and that it relies on writing rather than coding, by using a continual revision of tentative results as the primary procedure for generating a final set of themes.


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