Barriers to self-care in elderly people with hypertension: a qualitative study

Purpose Hypertension is the most common chronic disease throughout the world. Self-care is the key criteria in determining the final course of the disease. However, the majority of elderly people do not observe self-care behaviors. The purpose of this paper is to analyze the experiences of elderly people with hypertension in order to understand the barriers of their self-care behaviors. Design/methodology/approach This is a qualitative study with a conventional content analysis approach conducted in Tehran, Iran in 2017. Data collection was done among 23 participants – 14 elderly people; 6 cardiologists, geriatric physicians and nurses working in the cardiovascular ward; and 3 caregivers – who were selected by purposeful sampling. Using semi-structured, face-to-face interviews, data collection was continued until data saturation. Findings Three main categories, including attitude limitations, inefficient supportive network and desperation, all showed barriers to self-care by the experiences of elderly people with hypertension. Originality/value Lack of knowledge of the disease and its treatment process is one of the main barriers to self-care in elderly people with hypertension. Deficient supportive resources along with economic and family problems exacerbate the failure to do self-care behaviors.

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Exploring the Barriers of Moral Courage from Iranian Nurses' Point of View: A Qualitative Study

10.21203/rs.3.rs-200452/v1 ◽

2021 ◽

Author(s):

mahnaz rakhshan ◽

noushin mousazadeh ◽

hamideh hakimi ◽

Fahimeh alsadat Hosseini

Keyword(s):

Content Analysis ◽

Qualitative Study ◽

Moral Courage ◽

Point Of View ◽

Hospital Nurses ◽

Factors Affecting ◽

Quantitative Studies ◽

Purposeful Sampling ◽

Data Saturation ◽

Conventional Content Analysis

Abstract Background: Nursing is a caring profession. Due to the nature of their, nurses need moral courage to deliver safe nursing care. Research results have reported a low level of moral courage in the majority of nurses. So the current study aimed to explore the barriers to the formation of moral courage nurses who work in hospitals.Methods: In this qualitative study, conventional content analysis was used to explain the barriers to moral courage in hospital nurses. Data was gathered using in-person, semi-structured in-depth interviews. Interviews were conducted from March to September 2020. Purposeful sampling was used and sampling was continued until data saturation was reached. Data were analyzed using conventional content analysis. Participants were 19 nurses working in hospitals in Iran. Results: Three main themes extracted including organizational failure, deterrent individual identity, and defeated professional culture as well as six categories and eighteen sub-categories.Conclusions: The results of this study revealed the barriers to moral courage which were usually overlooked in previous quantitative studies. It appears that the elimination of these barriers is an effective step in the improvement of nurses’ competencies and delivered care. The results of this study can be helpful in the development of management programs to identify the factors affecting nurses' moral courage and how to improve it.

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Ups and downs of drug rehab among women: a qualitative study

10.21203/rs.2.13817/v1 ◽

2019 ◽

Author(s):

Zahra Boroumandfar ◽

Masoud Kianpour ◽

Maryam Afshari

Keyword(s):

Content Analysis ◽

Drug Abuse ◽

Data Collection ◽

Qualitative Study ◽

Structured Interviews ◽

Vulnerable Group ◽

Addiction Prevention ◽

Theoretical Sampling ◽

Data Saturation ◽

Conventional Content Analysis

Abstract Background: due to the increasing importance of addicted women and the need to pay particular attention to this vulnerable group, and more awareness of women-specific addiction prevention and rehab programs among authorities. Objectives: In this content analysis of qualitative study we explored experiences of the women’s experience of the ups and downs of drug rehab Methods: 30 participants (addicted women) were selected through purposive and theoretical sampling until data saturation. Data collection was conducted through semi structured interviews. Conventional content analysis was utilized to analyze the transcribed interviews. Results: Based on analysis of the obtained results, the experience of women from the ups and downs of leaving the drug abuse yielded two themes and nine sub-themes. The themes were “the need for emancipation” and “Sinking factors”. Conclusions: It is concluded that addiction rehab strategies can only lead the addicted women to a brighter life when, along with open-hearted assistance by the families, women-specific rehab centers are established to help them meet their specific needs.

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Gender bias in hospital leadership: a qualitative study on the experiences of women CEOs

Journal of Health Organization and Management ◽

10.1108/jhom-12-2016-0243 ◽

2017 ◽

Vol 31 (2) ◽

pp. 253-268 ◽

Cited By ~ 5

Author(s):

Sophie Soklaridis ◽

Ayelet Kuper ◽

Cynthia R. Whitehead ◽

Genevieve Ferguson ◽

Valerie H. Taylor ◽

...

Keyword(s):

Qualitative Study ◽

Gender Bias ◽

Female Leaders ◽

Content Type ◽

Hospital Leadership ◽

Purposeful Sampling ◽

Women Ceos ◽

Hospital Ceos ◽

The Individual ◽

Systemic Discrimination

Purpose The purpose of this paper is to examine the experiences of gender bias among women hospital CEOs and explore to what these female leaders attribute their success within a male-dominated hospital executive leadership milieu. Design/methodology/approach This qualitative study involved 12 women hospital CEOs from across Ontario, Canada. Purposeful sampling techniques and in-depth qualitative interview methods were used to facilitate discussion around experiences of gender and leadership. Findings Responses fell into two groups: the first group represented the statement “Gender inequality is alive and well”. The second group reflected the statement “Gender inequity is not significant, did not happen to me, and things are better now”. This group contained a sub-group with no consciousness of systemic discrimination and that claimed having no gendered experiences in their leadership journey. The first group described gender issues in various contexts, from the individual to the systemic. The second group was ambivalent about gender as a factor impacting leadership trajectories. Originality/value Representations of women’s leadership have become detached from feminism, with major consequences for women. This study reveals how difficult it is for some women CEOs to identify gender bias. The subtle everyday norms and practices within the workplace make it difficult to name and explain gender bias explicitly and may explain the challenges in understanding how it might affect a woman’s career path.

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Does an impaired capacity for self-care impact the prevalence of social and emotional loneliness among elderly people?

Working with Older People ◽

10.1108/wwop-01-2018-0001 ◽

2018 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Irena Canjuga ◽

Danica Železnik ◽

Marijana Neuberg ◽

Marija Božicevic ◽

Tina Cikac

Keyword(s):

Health Care ◽

Elderly People ◽

Age Distribution ◽

Self Care ◽

The Elderly ◽

The Self ◽

Content Type ◽

Care Assessment ◽

Significant Difference ◽

The Impact

Purpose The purpose of this paper is to explore the impact of self-care on the prevalence of loneliness among elderly people living in retirement homes and older people living in their homes/communities. Design/methodology/approach The research was conducted through standardized SELSA-L assessment loneliness questionnaires and the Self Care Assessment Worksheet for self-care assessment. The results were processed using the Kruskal–Wallis test. Findings The obtained results have shown that impaired self-care ability affects the prevalence of loneliness among the elderly almost the same in both groups of participants. However, regarding the relationship between the state of health and self-care, only a statistically significant difference in the prevalence of loneliness is found in the case of the participants living in their homes, with the worst health condition affecting the poorer psychological care. Research limitations/implications It is necessary to point out the limitations of the research, primarily sample limitations and the selected design of the study. The sample consisted of two different and relatively small groups of participants which could adversely affect the representativeness of the sample and reduce the possibility of generalising the results. The next limiting factor is the age distribution the authors used in the research, where the age of the participants as a very important variable was collected by age range and not precisely which consequently resulted in inequality in subgroup sizes. Thus, the middle age (75–85) covers up to ten years, which is a huge range at an older age and can mean major differences in functional ability, and can impact the self-care assessment. Practical implications Nurses are indispensable in care for the elderly and they need to promote and encourage self-care of the elderly through health care. Elderly people living in retirement homes should be allowed to participate equally in health care in order to preserve their own autonomy and dignity. However, to benefit those who live in their homes, nurses should be connected to the local community and thus stimulate various forms of preventative (testing blood sugar levels, blood pressure and educating on the importance of preventive examinations) or recreational activities in the environment of elderly people with the goal of preserving their functional abilities. Originality/value The impact of self-care on loneliness was not sufficiently researched, and this paper contributed to understanding the complexity of loneliness phenomena among the elderly with the aim of developing a model of prevention.

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Knowledge acquisition efficiency, strategic renewal frequency and firm performance in high velocity environments

Journal of Knowledge Management ◽

10.1108/jkm-04-2020-0287 ◽

2020 ◽

Vol 24 (9) ◽

pp. 2035-2055

Author(s):

Kilho Shin ◽

Liliana Pérez-Nordtvedt

Keyword(s):

Data Collection ◽

Knowledge Acquisition ◽

High Velocity ◽

Fashion Industry ◽

Content Type ◽

Face To Face ◽

Strategic Renewal ◽

South Korean ◽

Site Survey ◽

Data Collection Process

Purpose The purpose of this study is to investigate what type of knowledge enhances the frequency of strategic renewal for organizations operating in high velocity environments. It also investigates whether strategic renewal frequency is beneficial, rather than harmful in such environments. Design/methodology/approach The study followed a two-step data collection process involving pilot interviews and an on-site survey data collection procedure. The authors first conducted face-to-face pilot interviews with 16 fashion retailers lasting 30 min to 2 h. They then tested their hypotheses by using a sample of 152 South Korean fashion retailers, as the fashion industry is a prototypical high velocity environment. Findings Firms that have a higher rate of strategic renewal frequency outperform those with a lower one. Moreover, the frequency of strategic renewal mitigates the ill effects of lack of legitimacy not imbued by a franchisor’s backing. Finally, firms can increase the frequency of their strategic renewal efforts by accessing knowledge from their main customers more efficiently. Originality/value The results of this study provide a refined picture of the role of knowledge acquisition efficiency and strategic renewal frequency in the pursuit of competitive advantage in high velocity environments.

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Exploring Iranian Women’s Perceptions and Experiences of Their Spouses’ Behavior towards Male Factor Infertility: A Qualitative Study

Current Women s Health Reviews ◽

10.2174/1573404815666191204113516 ◽

2020 ◽

Vol 16 (1) ◽

pp. 60-68

Author(s):

Ali Taghipour ◽

Fatemeh Zahra Karimi ◽

Robab Latifnejad Roudsari

Keyword(s):

Content Analysis ◽

Qualitative Study ◽

Male Factor Infertility ◽

Male Factor ◽

Marital Problems ◽

Sperm Analysis ◽

Purposeful Sampling ◽

Time Period ◽

Women’S Perceptions ◽

Data Saturation

Background: Infertility, as a life crisis, affects women more than men, even when women are not infertile. Objective: This study was conducted aimed at exploring Iranian women’s perceptions and experiences of their husbands’ behavior towards male factor infertility. Methods: This qualitative study was performed using content analysis. A purposeful sampling method was employed and continued until data saturation for women who had referred to Milad Fertility Clinic and Health Care Centers within the time period of 2014-2015 in Mashhad, Iran, with their husbands being infertile. Thirty semi-structured in-depth interviews were conducted with 18 women. Conventional content analysis was employed to analyze the data. Besides, Lincoln and Guba's evaluative criteria were utilized to check the trustworthiness of the study. Results: Perceived spousal emotional distress was the main topic of the study, which consisted of two subgroups, i.e., 1- husbands’ chaotic emotions with the sub-categories, including the “feelings of inferiority and incompetence”, “isolationism in life”, “irritability and arrogance”, “pessimism and cynicism”, as well as “anxiety and aggression”, and 2- husbands’ reluctance to seek treatment, including “inattention to medical prescriptions”, “resistance to the sperm analysis test”, and “opposition to the assisted reproductive technology and adoption”. Conclusion: Male infertility can lead to marital problems and mistreatment of women. Hence, supportive and preventive measures are required to improve the conditions of such women.

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Factors affecting successful induced lactation process among Malaysian women: a qualitative study

British Food Journal ◽

10.1108/bfj-03-2020-0254 ◽

2020 ◽

Vol 122 (10) ◽

pp. 3049-3063

Author(s):

Norsyamlina Che Abdul Rahim ◽

Zaharah Sulaiman ◽

Tengku Alina Tengku Ismail ◽

Tahir Aris

Keyword(s):

Qualitative Study ◽

Ethnic Groups ◽

Treatment Plan ◽

Positive Influence ◽

Recall Bias ◽

Content Type ◽

Factors Affecting ◽

Daily Schedule ◽

East Malaysia ◽

Data Saturation

PurposeThis qualitative study was to understand the factors affecting successful adoptive breastfeeding among women who underwent induced lactation process.Design/methodology/approachThis study conducted in-depth interviews among induced lactation women in five states based on five regions [South (Johor), Central (Selangor), North (Penang), East (Kelantan) and East Malaysia (Sabah)]. The interviews have been consented, audio-recorded then transcribed verbatim, followed by identification of emerging themes.FindingsData saturation was achieved after interviewing a total of 23 induced lactation women. There were six main themes that emerged to describe factors affecting successful induced lactation process: (1) support and encouragement, (2) diet supplementation, (3) breastfeeding devices support, (4) incorporating treatment plan in the daily schedule, (5) high determination and pleasant attitude and (6) being informed on induced lactation process.Research limitations/implicationsThere can be recall bias among the respondents since the information was collected retrospectively, one to two years after the induced lactation practice completed. Due to that, we cannot rule out recall bias in the responses given in the interviews. In this study, induced lactation women barely were ethnic Malay Muslims. Thus, comparisons to other ethnic groups were not possible. This was due to the difficulty to get participation from induced lactation mother of other ethnic groups in the study. Even though the success is demonstrated, a significant limitation is that the ratio between Muslims and non-Muslims cannot be performed for the reason that the respondents only consists of Muslims alone.Originality/valueThe benefits of breastfeeding by an adoptive woman are numerous for both the mother and baby. There are multifactors involved in successful induced lactation process. After experiencing induced lactation, all respondents agreed that it has prepared them to be real mothers and breastfeeding is a pleasurable experience. All respondents corresponded to breastfeeding have a positive influence in the aspect of affection and touch. A mother who feels confident in her ability to lactate and is reassured by those around her will be most likely to feel successful in this great attempt.

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Spiritual self-care in adolescents: a qualitative study

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2019-0248 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Nafiseh Hekmati Pour ◽

Gholam Reza Mahmoodi-Shan ◽

Abbas Ebadi ◽

Nasser Behnampour

Keyword(s):

Content Analysis ◽

Qualitative Study ◽

Self Care ◽

Spiritual Needs ◽

Religious Activities ◽

Spiritual Beliefs ◽

Structured Interviews ◽

Purposeful Sampling ◽

Spiritual Self ◽

Age Range

AbstractObjectivesOne of the existential questions during adolescence is about the ambiguity in spiritual realms. Adolescents at this age not only have the spiritual, psychological, and unique needs, but also have spiritual needs that help them to relax and solve problems. Therefore, this qualitative study aimed to understand the concept of spiritual self-care in Iranian adolescents in 2019.MethodsThis qualitative study with content analysis approach was conducted on 14 adolescents with the age range of 14–20 years, who had been selected by purposeful sampling method. Data were collected by semi-structured interviews which were carried out between 4 March 2019 and 20 August 2019.ResultsThe interviews were transcribed immediately after the recording, and then were analyzed using direct content analysis. A total of 252 primary codes related to the adolescents’ spiritual self-care were extracted from the analysis, which determined 4 main aspects of spiritual self-care (spiritual belief, spiritual experience, social-religious activities, and spiritual growth).ConclusionsThe findings of this study showed that, spiritual self-care is a form of self-care by which a person uses his or her spiritual beliefs, teachings, and experiences as a source of control over stress and crises, and will be able to cope with problems.

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Preparation for sexual and reproductive self-care in Iranian adolescent girls: a qualitative study

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2016-0094 ◽

2017 ◽

Vol 30 (1) ◽

Cited By ~ 1

Author(s):

Zainab Alimoradi ◽

Nourossadat Kariman ◽

Fazlollah Ahmadi ◽

Masoumeh Simbar

Keyword(s):

Health Care ◽

Content Analysis ◽

Reproductive Health ◽

Data Collection ◽

Qualitative Study ◽

Adolescent Girls ◽

Sexual Behaviors ◽

Sexual And Reproductive Health ◽

Self Care ◽

Main Theme

AbstractBackgroundAdolescence is one of the most important stages in every individual’s life. Pubertal changes and acquiring reproduction capability require adolescents to perform special health care processes. Also the possibility of involvement in high-risk sexual behaviors endangers adolescent girls’ sexual and reproductive health.ObjectiveIncrease and deepen the understanding and knowledge of the factors affecting Iranian adolescent girls’ readiness to take care of their sexual and reproductive health.Materials and methodsThe present qualitative study was conducted using conventional content analysis method. The participants included 18 adolescents who were aged 13–19 years old, single, studying at high school, art school, or university and had no history of chronic medical or psychological diseases; further, most of them had the experience of menstruation. Purposive sampling was initiated and continued until data saturation. Data collection were performed using in-depth and unstructured interviews. Qualitative content analysis of the interviews was conducted simultaneously with data collection using the Graneheim and Lundman approach .MAXQDA 2010 software was used for storage, retrieval, and management of the data.FindingsPreparation for care was the main theme that emerged in this study along with 19 subcategories and four main categories, including desirable interaction between families and adolescents, readiness for puberty and menstruation, life skills and spiritual self-monitoring.ConclusionThe education and health care systems’ authorities of the country can exploit the results of this study for making policies and interventions expedient to the society’s cultural conditions in order to improve the reproductive and sexual self-care status of adolescents’ girls.

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