Neonatal death: supporting bereaved mothers

Background: Death of a child is a devastating experience for parents, owing to which parents may show dissatisfaction towards medical care or suffer from intense and prolonged grief. The objective of the present study was to explore the needs of bereaved mothers after the death of their infant. Methods: The present study was a descriptive qualitative design that consisted of 10 mothers who have been bereaved in the past year. All mothers were recruited from the registry. Data were obtained through an unstructured single interview and analyzed using conventional content analysis. Results: The current study demonstrated that parents had the same needs despite their different backgrounds, socioeconomic standards, and religious beliefs. Their needs were based on several main points; 1) Lack of sensitivity/method in delivering the news, 2) Bonding with the child; 3) Safety and family support; 4) Providing understanding and meaning; 5) Ability to express emotions. Conclusions: The key components that should be considered to support the bereaved parents include honesty, information, choices, and timing. The present study provided a comprehensive view of the overall experiences of the parents with neonatal death and the ability to give guidance to the healthcare providers.

Download Full-text

Reflecting on the Challenges encountered by nurses at the great Kermanshah Earthquake: A qualitative study

10.21203/rs.3.rs-38281/v4 ◽

2020 ◽

Author(s):

Alireza Abdi ◽

Aliakbar Vaisi -Raygani ◽

Bahareh Najafi ◽

Hamid saidi ◽

khalil moradi

Keyword(s):

Content Analysis ◽

Data Analysis ◽

Qualitative Study ◽

Human Resources ◽

Healthcare Providers ◽

Educational Management ◽

National Team ◽

The Past ◽

Conventional Content Analysis ◽

Depth Interviews

Abstract Background: Iran has experienced an increasing number of earthquake disasters in the past three decades. Nurses are the largest group of healthcare providers that play an important role in responding to disasters. Therefore, this study aimed to explore the nursing challenges to provide care to the injured in the Kermanshah earthquake, Iran. Methods: The present study was conducted as a qualitative conventional content analysis, and data collection was carried out through 16 semi‑structured and in‑depth interviews with the nurses involved in providing care to the injured in the Kermanshah earthquake. The data were analyzed following Graneheim and Lundman’s approach.Results: Data analysis led to the emergence of 453 primary codes, 14 subcategories, and 5 categories. The five categories were as follows: (a) organizational and managerial challenges; (b) human resources; (c) infrastructure; (d) educational system; (e) and ethical.Conclusion: The results of this study showed that nurses faced several challenges in providing care to earthquake victims. Based on these findings, better educational management and planning, infrastructure reform, and establishment of a crisis nursing national team seem necessary.

Download Full-text

Reflecting on the Challenges encountered by nurses at the great Kermanshah Earthquake: A qualitative study

10.21203/rs.3.rs-38281/v3 ◽

2020 ◽

Author(s):

Alireza Abdi ◽

Aliakbar Vaisi -Raygani ◽

Bahareh Najafi ◽

Hamid saidi ◽

khalil moradi

Keyword(s):

Content Analysis ◽

Data Analysis ◽

Qualitative Study ◽

Human Resources ◽

Healthcare Providers ◽

Educational Management ◽

National Team ◽

The Past ◽

Conventional Content Analysis ◽

Depth Interviews

Download Full-text

Declining Desire for Childbearing in Couples with Higher Education: A Qualitative Study in Iran

Journal of Population and Social Studies ◽

10.25133/jpssv292021.037 ◽

2021 ◽

Vol 29 ◽

pp. 604-621

Author(s):

Babak Moeini ◽

◽

Malihe Taheri ◽

Samane Shirahmadi ◽

Marziyeh Otogara ◽

...

Keyword(s):

Higher Education ◽

Qualitative Research ◽

Content Analysis ◽

Educational Level ◽

Population Policy ◽

Significant Decline ◽

Structured Interviews ◽

Highly Educated ◽

The Past ◽

Conventional Content Analysis

Iran has experienced a significant decline in the fertility rate over the past decades. One of the principal reasons for this decline is decreased willingness to bear children, especially in the highly educated couples subset. For that reason, developing and implementing a successful population policy is essential to increase fertility in this subpopulation. The study aimed at explaining the unwillingness to bear children in this subgroup. The qualitative research was conducted using a content analysis approach based on the data acquired using in-depth and semi-structured interviews with couples with an educational level of master’s and above, and without children or having one child. In this study, in total, 40 couples (40 women and 40 men) were interviewed. Of the participants, 57.5% had one child. Four main themes were developed using conventional content analysis: rationality and awareness, gender equality and willingness to bear children, cultural and social renovation, and concern about the child’s future. The results indicated that different factors such as economic, social, and cultural reasons and less hope in the future affect unwillingness to bear children in highly educated couples. Taking into account, these factors are essential at the time of development and implementation of pro-natalist policies.

Download Full-text

Reflecting on the Challenges encountered by nurses at the great Earthquake in the West of Iran: A qualitative study

10.21203/rs.3.rs-38281/v2 ◽

2020 ◽

Author(s):

Alireza Abdi ◽

Aliakbar Vaisi -Raygani ◽

Bahareh Najafi ◽

Hamid saidi ◽

Khalil Moradi

Keyword(s):

Data Analysis ◽

Human Resources ◽

Healthcare Providers ◽

Great Earthquake ◽

The West ◽

Educational Management ◽

National Team ◽

The Past ◽

Conventional Content Analysis ◽

Depth Interviews

Abstract Background: Iran has experienced an increasing number of earthquake disasters in the past three decades. Nurses are the largest group of healthcare providers that play an important role in responding to disasters. Therefore, this study aimed to explore the nursing challenges to provide cares to the injured in the Kermanshah earthquake, Iran. Methods: The present study was conducted as a qualitative conventional content analysis, and data collection was carried out through 16 semi‑structured and in‑depth interviews with the nurses involved in providing cares to the injured in the Kermanshah earthquake.The data were analyzed following Graneheim and Lundman’s approach. Results: Data analysis led to the emergence of 453 primary codes, 14 subcategories, and 5 categories. The five categories were as follows: (a) organizational and managerial challenges; (b) human resources; (c) infrastructure; (d) educational system; (e) and ethical. Conclusion: The results of this study showed that nurses faced with several challenges in providing care to earthquake victims. Based on these findings, better educational management and planning, infrastructure reform, and establishment of a crisis nursing national team seem absolutely necessary.

Download Full-text

How do you quit vaping? A content analysis of a quit vaping community on Reddit. (Preprint)

10.2196/preprints.28303 ◽

2021 ◽

Author(s):

Laura Struik ◽

Youjin Yang

Keyword(s):

Mental Health ◽

Content Analysis ◽

Intervention Development ◽

Physical And Mental Health ◽

The Past ◽

Quit Smoking ◽

Mental Health Benefits ◽

Conventional Content Analysis ◽

Physical Consequences ◽

Data Analytic

BACKGROUND Vaping has increased dramatically over the past few years, especially among younger demographics. However, researchers are finding that a large number of e-cigarette users want to quit. Little is known about the unique aspects of vaping cessation, which is critical to informing the development of relevant resources and interventions for e-cigarette users who want to quit. Social media forums, like Reddit, provide opportunities to understand the experiences of behavior change, like quitting vaping, from the perspectives of end users. OBJECTIVE The aim of this study was to examine a quit vaping subreddit to understand how e-cigarette users are experiencing and approaching vaping cessation. Specifically, we examined reasons for starting vaping, reasons for quitting, methods of quitting, barriers and facilitators to quitting, and benefits of quitting. METHODS A total of 1228 posts were collected. Using conventional content analysis, the posts were inductively coded to generate categories and subcategories. Data was analyzed using NVivo 12 qualitative data analytic software. RESULTS The majority of users cited using e-cigarettes to help them quit smoking. Their reasons for quitting primarily related to feeling "stuck to the vape", and experiencing negative physical consequences associated with vaping, especially in relation to their lungs (e.g., tight chest). Most users reported a preference for gradual reduction in use, particularly through the use of their own devices by tapering the nicotine content. The top barriers to quitting primarily related to intensity of addiction and mental health challenges. The top facilitators to quitting related to employing distraction techniques (e.g., hobby, gaming, mindfulness exercises), as well as having a positive mindset. Reported benefits included physical and mental health benefits, as well as financial freedom. CONCLUSIONS The findings of this study reveal unique aspects that encompass the process of quitting vaping. These findings have significant implications for both policy and intervention development.

Download Full-text

Reflecting on the challenges encountered by nurses at the great Kermanshah earthquake: a qualitative study

BMC Nursing ◽

10.1186/s12912-021-00605-3 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Alireza Abdi ◽

Aliakbar Vaisi -Raygani ◽

Bahareh Najafi ◽

Hamid Saidi ◽

Khalil Moradi

Keyword(s):

Qualitative Study ◽

Human Resources ◽

Sampling Method ◽

Healthcare Providers ◽

Structured Interviews ◽

Educational Management ◽

National Team ◽

The Past ◽

Purposeful Sampling ◽

Conventional Content Analysis

Abstract Background Iran has experienced an increasing number of earthquake in the past three decades. Nurses are the largest group of healthcare providers that play an important role in responding to disasters. Based on previous studies, they experienced challenges providing care in the previous disasters. Therefore, this study aimed to explore the nursing challenges to provide care to the injured in the Kermanshah earthquake, Iran. Methods This is a qualitative study with conventional content analysis using Granheim and Landman approach. In this study, 16 nurses involved in providing care to the injured in the Kermanshah earthquake were selected by purposeful sampling method. Data were collected using in-depth semi-structured interviews. The criteria proposed by Guba and Lincoln were used to ensure the validity of the study. Results Data analysis led to the emergence of 453 primary codes, 14 subcategories, and 5 categories. The five categories were as follows: (a) organizational and managerial challenges; (b) human resources; (c) infrastructure; (d) educational preparations; (e) and ethical. Conclusions The results of this study showed that nurses faced several challenges in providing care to earthquake victims. Based on these findings, better educational management and planning, infrastructure reform, and establishment of a crisis nursing national team seem necessary.

Download Full-text

Nurses’ experiences of the role of organizational and environmental factors in the development of love of the profession: a qualitative study

10.21203/rs.3.rs-1101147/v1 ◽

2021 ◽

Author(s):

Mohsen Adib-Hajbaghery ◽

Shahnaz Bolandian-Bafghi ◽

Mitra Zandi

Keyword(s):

Content Analysis ◽

Environmental Factors ◽

Qualitative Study ◽

Family Support ◽

Interpersonal Relationships ◽

Organizational Support ◽

Public Image ◽

Factors Affecting ◽

Conventional Content Analysis

Abstract Background Love of the profession has significant relationship with nurses’ job motivation and care quality. However, there is limited information about organizational and environmental factors affecting LOP among nurses. Aim This study aimed at exploring nurses’ experiences of the role of organizational and environmental factors in the development of Love of the profession. Methods This qualitative study was conducted in 2020–2021 using the conventional content analysis approach. Participants were Fifteen Iranian nurses with deep Love of the profession, nursing instructors, and nursing managers purposefully selected from different healthcare and academic settings in seven large cities of Iran. Data were gathered via semi-structured interviews and were analyzed via the conventional content analysis method proposed by Graneheim and Lundman. Results Organizational and environmental factors affecting the development of Love of the profession were grouped into three main categories, The social context of the profession (with two subcategories), family support (with two subcategories), and organizational health (with four subcategories). Subcategories were respectively historical context of the profession, the evolving context, emotional family support, instrumental family support, quality of interpersonal relationships in the organization, level of organizational justice, level of authority delegation to nurses, and level of organizational support. Conclusions Different organizational and environmental factors can affect nurses’ Love of the profession development. Improving public image of nursing, providing nurses with stronger support, improving organizational climate, and strengthening interpersonal relationships in healthcare settings are recommended to develop nurses’ Love of the profession.

Download Full-text

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

The Qualitative Report ◽

10.46743/2160-3715/2018.3020 ◽

2018 ◽

Author(s):

Parand Pourghane ◽

Maryam Rajab pour Nikfam ◽

Abbas Ebadi

Keyword(s):

Content Analysis ◽

Qualitative Content Analysis ◽

Healthcare Providers ◽

Family Members ◽

Hospitalized Patients ◽

Structured Interviews ◽

Study Results ◽

Study Population ◽

Conventional Content Analysis ◽

Scientific Accuracy

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.

Download Full-text

Clinical trials — the personal perspective of the research physician?

Annals of the Russian academy of medical sciences ◽

10.15690/vramn1356 ◽

2020 ◽

Vol 75 (3) ◽

pp. 256-263

Author(s):

Maria Y. Egorova ◽

Irina A. Shuvalova ◽

Olga I. Zvonareva ◽

Igor D. Pimenov ◽

Olga S. Kobyakova ◽

...

Keyword(s):

Clinical Trials ◽

Medical Care ◽

New Technologies ◽

Healthcare Providers ◽

Study Drug ◽

Well Being ◽

Personal Perspective ◽

Public And Private ◽

Factors Affecting ◽

To Receive

Background. The organization of clinical trials (CTs) requires the participation and coordination of healthcare providers, patients, public and private parties. Obstacles to the participation of any of these groups pose a risk of lowering the potential for the implementation of CTs. Researchers are a key human resource in conducting of CT. Their motivation for participation can have a significant impact on the recruitment and retention of patients, on the quality of the data collected, which determines the overall outcome of the study. Aims to assess the factors affecting the inclusion of Russian physicians-researchers in CT, and to determine their role in relations with patients-participants. Materials and methods. The study was organized as a part of the Russian multicenter face-to-face study. A survey was conducted of researchers from 10 cities of Russia (20172018). The participation in the survey for doctors was anonymous and voluntary. Results. The study involved 78 respondents. Most research doctors highly value the importance of research for science (4,84 0,39), society (4,67 0,46) and slightly lower for participating patients (4,44 0,61). The expectations of medical researchers are related to improving their financial situation and attaining new experience (n = 14; 18,18%). However, the opportunity to work with new technologies of treatment and diagnosis (n = 41; 52,56%) acted as a motivating factor. According to the questionnaire, the vast majority of research doctors (n = 29; 37,18%) believe that the main reason for patients to participate in CT is to receive quality and free medical care. The most significant obstacle to the inclusion of participants in CT was the side effects of the study drug (n = 38; 48,71%). Conclusions. The potential of clinical researchers in Russia is very high. The patient-participant acts for the research doctor as the subject of the study, and not the object, so the well-being of the patient is not indifferent to the doctor. However, the features of the functioning of our health care system form the motivation of doctors-researchers (additional earnings, professional self-development) and the way they perceive the motivation of patients (CT as an opportunity to receive quality medical care).

Download Full-text

Preventive aspect of ayurveda and yoga towards newly emerging disease COVID-19

Journal of Complementary and Integrative Medicine ◽

10.1515/jcim-2020-0175 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Ranjeet S. Sawant ◽

Bharat D. Zinjurke ◽

Sandeep V. Binorkar

Keyword(s):

Public Health ◽

Severe Acute Respiratory Syndrome ◽

Medical Care ◽

Supportive Therapy ◽

Prophylactic Therapy ◽

Current Line ◽

Therapeutic Aspect ◽

The Past

Abstract The ongoing coronavirus pandemic is caused by severe acute respiratory syndrome coronavirus 2 (SARS CoV 2) and unique in various facets. The earlier experience from the past severe acute respiratory syndrome (SARS) epidemics seem to be insufficient and there is need for better strategies in public health and medical care. Ayurved & Yog are well known for their preventive and therapeutic aspect, but not getting utilized properly for prevention of Covid 19 crisis which may also be helpful as supportive therapy along with current line of management. This paper is aimed at unrevealing the role of Ayurved and Yoga guidelines established by Department of AYUSH for prevention from SARS-CoV-2 by providing help to improving the quality of supportive/prophylactic therapy in relation with their immunity.

Download Full-text