scholarly journals Hospital preparedness challenges in biological disasters: A qualitative study

Author(s):  
Mohsen Aminizadeh ◽  
Mehrdad Farrokhi ◽  
Abbas Ebadi ◽  
Gholam Reza Masoumi ◽  
Pirhossein Kolivand ◽  
...  

Abstract Objective: Identification of hospital preparedness challenges against biological events such as COVID-19 is essential to improve dynamics, quality and business continuity confidence in the health system. Accordingly, the purpose of the present study is to evaluate the challenges of hospital preparedness in biological events. Methods: This study employed a qualitative method using content analysis in which 20 healthcare managers and experts who are experienced in biological events were selected through purposeful sampling. The data collection was done through semi-structured interviews, which continued until data saturation. The data were analyzed using qualitative content analysis as well as the Landman and Graneheim Approach. Results: Six main concepts (training and practice, resource management, safety and health, patient management, risk communication, and laboratory and surveillance) and 14 sub-concepts were extracted on hospital preparedness challenges in biological events through analyzing interviews. Conclusions: The present study indicated that the health system of the country faces many challenges in response to biological events and threats. Moreover, study participants indicated that Iranian hospitals were not prepared for biological events. It is recommended to design preparedness plans of hospitals based on preparedness standards for biological events. In addition, comprehensive measures are required to enhance their capacity to respond to biological emergencies.

2020 ◽  
Author(s):  
fateme mohammadi ◽  
Khodayar Oshvandi ◽  
Farshid Shamsaei ◽  
Fateme Cheraghi ◽  
mostafa bijani

Abstract Background: The bereaved families of COVID-19 victims are among the most vulnerable social groups in the COVID-19 pandemic. This highly infectious and contagious disease has afflicted these families with numerous psychological crises which have not been studied much yet. The present study is an attempt at investigating the psychological challenges and issues which the families of COVID-19 victims are faced with. The present study aims to identify the Mental Health crises which the families of COVID-19 deceased victims are going through.Methods: A qualitative research, the present study uses a conventional content analysis design. The participants were 16 members of the families of COVID-19 victims selected from medical centers in Iran from February to May 2020 via purposeful sampling. Sampling continued to the point of data saturation Data were collected via semi-structured individual interviews conducted online. The collected data were analyzed according to the conventional qualitative content analysis approach.Results: Analyses of the data yielded two main themes—emotional shock and fear of the future—with nine categories. Conclusion: The families of COVID-19 deceased victims are affected by various psychological crises which have exposed them to a deep sense of loss and emotional shock. In addition, the instability in the family following the loss of a family member and job insecurity due to the COVID crisis have caused them to be very worried about the future. Therefore, there is an urgent need for a cultural context which recognizes and supports all the various aspects of the mental health of these families.


2021 ◽  
Vol 6 (1) ◽  
pp. 9-20
Author(s):  
Shoaib Dehghani ◽  
◽  
Arash Pooladi ◽  
Bijan Nouri ◽  
Sina Valiee ◽  
...  

Background: Despite the recommendations to follow guidelines for the prevention of COVID-19, different communities do not completely adhere to these guidelines. The aim of this study was to explore the barriers and facilitators of the adherence of the people of Sanandaj to the COVID-19 prevention guidelines. Materials & Methods: The present study was a qualitative content analysis study conducted in 2020. A purposive sampling method among the residents of Sanandaj, Iran was applied and continued until data saturation was achieved. Twenty semi-structured interviews were conducted with the participants. A verbatim transcription of interviews was analyzed through qualitative conventional content analysis. Results: Participants included 12 men and 8 women. Data analysis yielded 8 categories and 26 sub-categories regarding the barriers and facilitators of the participants’ adherence to the COVID-19 prevention guidelines. The barriers included myths, being under pressure, and letting and facilitators included awareness, fear, commitment, unity against the disease, and warnings. Conclusion: According to the findings, it is necessary to correct people’s beliefs, support them, and continue to make them informed about the disease. Increasing awareness and commitment, strengthening the spirit of unity among people, and increasing the level of warnings can be effective in increasing adherence of people to the COVID-19 prevention guidelines.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Fateme Mohammadi ◽  
Khodayar Oshvandi ◽  
Farshid Shamsaei ◽  
Fateme Cheraghi ◽  
Masoud Khodaveisi ◽  
...  

Abstract Background The bereaved families of COVID-19 victims are among the most vulnerable social groups in the COVID-19 pandemic. This highly infectious and contagious disease has afflicted these families with numerous psychological crises which have not been studied much yet. The present study is an attempt at investigating the psychological challenges and issues which the families of COVID-19 victims are faced with. The present study aims to identify the Mental Health crises which the families of COVID-19 deceased victims are going through. Methods A qualitative research, the present study uses a conventional content analysis design. The participants were 16 members of the families of COVID-19 victims selected from medical centers in Iran from February to May 2020 via purposeful sampling. Sampling continued to the point of data saturation Data were collected via semi-structured individual interviews conducted online. The collected data were analyzed according to the conventional qualitative content analysis approach. Results Analyses of the data yielded two main themes and seven categories. Emotional shock included (feelings of guilt and rumination, bitter farewell, strange burial and concern about unreligious burial), and fear of the future included (instability in the family, lack of job security and difficult financial conditions, Stigmatization and complications in social interactions). Conclusion The families of COVID-19 deceased victims are affected by various psychological crises which have exposed them to a deep sense of loss and emotional shock. Therefore, there is an urgent need for a cultural context which recognizes and supports all the various aspects of the mental health of these families.


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.


2019 ◽  
Author(s):  
Hamid Safarpour ◽  
Saeideh Fooladlou ◽  
Meysam Safi Keykaleh ◽  
Somayyeh Mousavipour ◽  
Davoud Pirani ◽  
...  

Abstract Background Examining various problems after disasters is important for affected people. One of the most important problems after disasters is the management of humanitarian aid and donations among the affected people. Therefore, the aim of this study was to explore Challenges and barriers of humanitarian aid management in 2017 Kermanshah Earthquake. Methods This study was conducted using conventional qualitative content analysis method. This study was carried out from November 2017 to January 2018. The data were collected through semi-structured interviews and purposeful sampling and continued until the saturation of the data. Data collection and analysis phases of research proceed simultaneously and with constant comparison. 21 people, including 6 humanitarian aid manager, 6 volunteers, 4 aid workers, and 5 affected people participated in the study. Results The findings of this study identified two categories and 12 sub-categories concerning challenges and barriers of humanitarian aid and donors’ management during the 2017 Kermanshah Earthquake. During the analysis process two main categories included management and policy barriers, and structural and operational barriers were extracted. Conclusions Effective management and proper policies in relation to humanitarian aid and the modifying of structural and operational barriers can resulted in improve performance and effective humanitarian aid management.


2121 ◽  
Vol 7 (1) ◽  
pp. 9-16
Author(s):  
Mansoureh Karimollahi ◽  
◽  
Zahra Tazakori ◽  
Roghiyeh Falahtabar ◽  
Mehdi Ajri-Khameslou ◽  
...  

Background: There are specific challenges regarding the perceptions of families of comatose patients in Intensive Care Units (ICUs). Identifying these perceptions may attract the cooperation of families with nurses and provide better care for patients. This study aimed to explore the perceptions of families of comatose patients in ICUs. Methods: This was a qualitative content-analysis study. Seventeen families with comatose patients were recruited by the purposive sampling technique. The necessary data were generated by semi-structured interviews, continued until data saturation, and concurrently analyzed by an inductive content analysis method. Results: Four main categories were manifested, including shock and disbelief, the effort for adaptation, exhaustion, and burnout, as well as hope and support. Conclusion: The obtained results signified the importance of nurses’ awareness concerning the family members’ perceptions of their comatose patient status in ICUs. The relevant findings reflected the need for nurses to pay attention to the feelings and emotions of the families of these patients.


2020 ◽  
Author(s):  
Hamid Safarpour ◽  
Saeideh Fooladlou ◽  
Meysam Safi-Keykaleh ◽  
Somayyeh Mousavipour ◽  
Davoud Pirani ◽  
...  

Abstract Background Examining various problems after disasters is important for the affected people. Managing humanitarian aid and donations among the affected people is considered as one of the most important problems after disasters. Therefore, the present study aimed to evaluate the challenges and barriers of humanitarian aid management in 2017 Kermanshah Earthquake. Methods In the present study conducted from November 2017 to January 2018, conventional qualitative content analysis method was used. The population included 21 people including 6 humanitarian aid manager, 6 volunteers, 4 aid workers, and 5 affected people. The data were collected through semi-structured interviews and purposeful sampling, which continued until saturating the data. The strategies recommended by Guba were used for evaluating the trustworthiness of the data. The data was analyzed according to method suggested by Graneheim and Lundman. Results Based on the results, two themes, nine categories, and 19 sub-categories were identified considering the challenges and barriers of humanitarian aid and donors’ management during the 2017 Kermanshah Earthquake. The categories included education, command and coordination, communication and information, rules, security, traffic and overcrowding, assessment, providing system, and cultural setting. Also, two themes including managerial and structural barriers were extracted. Conclusion Adopting an effective management and appropriate policies with respect to humanitarian aid and modifying structural and managerial barriers can improve the performance and management of humanitarian aid.


Author(s):  
S Valiee ◽  
P Taymoori ◽  
T Pashaei ◽  
A Bahmani

Introduction: One of the essential parts of postgraduate education is writing a thesis that has educational and research aspects which is an exclusive experience to students and teachers. The purpose of this study was to explore the teachers 'experiences of Kurdistan University of Medical Sciences on the process of writing a dissertation among postgraduate students. Methods: The present study was carried out with a qualitative approach and a qualitative content analysis method in 2019. By using the purposeful sampling method, 12 professors who worked at the Kurdistan University of Medical Sciences and having experience as a supervisor dissertation of postgraduate students have been selected and the semi-structured interviews conducted with them. The interviews recorded, transcribed, and analyzed by the content analysis method. Results: From data analysis of experiences of the participants as a supervisor at the dissertation of postgraduate students writing process, four categories of results have been extracted: 1. Student unpreparedness, 2. Not a priority of education, 3. Poor teamwork, and 4. Executive problems. Conclusion: According to the findings, to prepare and more involving students with the process of writing a dissertation, to plan for coordination between different sections, to strengthen the spirit of teamwork, to improve policies and to upgrade the process of writing a dissertation recommended.


2020 ◽  
Author(s):  
Fatemeh Fallahi ◽  
Monireh Anoosheh ◽  
Mahshid Foroughan ◽  
Zohreh Vanaki ◽  
Anoshirvan Kazemnejad

Abstract Background Most parents consider adolescence to be the most difficult stage of parenting. The parental practice is a determining factor in adolescents’ academic achievement, self-esteem, independence attainment, social adjustment, and risky behaviors reduction. The main role of parenting in many societies is played by mothers. The present study aimed at explaining the Iranian mothers’ practice in parenting an adolescent child. Methods This qualitative conventional content analysis was conducted in 2019 in Kashan, in the central part of Iran. Totally, 20 in-depth semi-structured interviews with mothers of adolescent children were performed using a purposive sampling method. Interviews continued until data saturation was reached. Data collection and analysis were performed simultaneously using MAXQDA10 software. Results Regarding the study purpose, six main categories and two themes were identified. The theme of ‘laying the groundwork for upbringing’ was detected by two main categories: ‘meeting the needs’ and ‘effective interaction with the adolescent’ and the theme of ‘individual-social capacity building’ was explained by four main categories: ‘helping to gain independence’, ‘modeling individual-social behavior’, ‘socializing the adolescent’, and ‘preparing to accept future roles’. Conclusions A deeper understanding of maternal practice can help health professionals, especially family nurses, develop parenting programs to promote maternal literacy and adolescent health.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Siamak Amiri ◽  
Parvaneh Vasli ◽  
Jamileh Mohtashami ◽  
Nadereh Memaryan

Background: Spiritual care (SC) is an appropriate source for adaptation and coping with disease and life stressors. Although SC contributes to the quality of life and mental health of clients, there are barriers to the provision of such care. Objectives: This study aimed to explore barriers to the provision of SC in mental health care centers from the viewpoints of mental health care provider (MHCP) experts. Methods: This qualitative study was conducted based on conventional content analysis on 19 participants who were selected from different groups of MHCPs. The participants were selected by purposive sampling method from December 2019 to December 2020 in Karaj and Tehran, Iran, by considering the maximum diversity. Data were collected through semi-structured interviews with participants during an average time of 60 min per interview until data saturation. The transcripts of the interviews were analyzed by qualitative content analysis. Results: Barriers to SC were obtained in four categories and 10 subcategories. The categories included “SC concept-related barriers”, “barriers related to MHCPs”, “organizational barriers”, and “barriers related to SC recipients.” Conclusions: This study demonstrated various barriers to the provision of SC to the clients of health care centers that should be removed to promote the level and quality of SC.


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