Caregivers’ experiences and perspectives of factors associated with relapse in Iranian people living with schizophrenia: A qualitative study

2021 ◽  
pp. 002076402110689
Author(s):  
Maryam Zabihi Poursaadati ◽  
Masoomeh Maarefvand ◽  
Jafar Bolhari ◽  
Samaneh Hosseinzadeh ◽  
Nahid Songhori ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Work Experience ◽  
Supported Employment ◽  
Informal Caregivers ◽  
Holistic Approach ◽  
Access To Treatment ◽  
Governmental Organization ◽  
Factors Affecting ◽  
Formal Caregivers ◽  
Age Range

Background: Relapse in People Living with Schizophrenia (PLS) has several reasons and recognizing these can increase the effectiveness of treatment interventions. Formal and informal caregivers are an informed source to reduce relapse in PLS. Aim: This study explores the caregivers’ perspective in Iran on the factors affecting relapse in PLS. Method: A total of 28 caregivers (16 formal caregivers and 12 informal caregivers) of PLS were enrolled in our qualitative study. A content analysis was conducted using individual and group, semi-structured in-depth interviews with informal and formal caregivers of PLS. This study was conducted in a hospital, three universities, and a non-governmental organization in Tehran, Iran. Results: The majority (69%) of the participants were females. About half of the informal caregivers were over 60 years old and about 40% of the formal caregivers were in the age range of 30 to 40 years. The average number of years of work for informal caregivers was 17.6 years and the average of work experience among the formal caregivers was 14.1 years. Seven key dual themes were identified from data: ‘awareness-stigma’, ‘social support-social exclusion’, ‘treatment adherence-treatment discontinuation’, ‘holistic approach – one-dimensional approach’, ‘supported employment-social dysfunction’, ‘emotional management in family – family with high emotional expression’, and ‘access to treatment-treatment gap’. Conclusion: The results of this research can help practitioners and policymakers to enable evidence-based practices to reduce relapse in PLS by emphasizing and acting on factors identified in our analyses.

scholarly journals Explaining the determinants of Human Papillomavirus Vaccine uptake and Strategies to Increase Its Uptake among young adults in Capital of Iran: a qualitative study

2020 ◽  
Author(s):  
Soudabeh Yarmohammadi ◽  
Mohtasham Ghaffari ◽  
Ali Ramezankhani
Keyword(s):  
Young Adults ◽  
Qualitative Study ◽  
Work Experience ◽  
Hpv Vaccine ◽  
Structured Interview ◽  
Educational Process ◽  
Vaccine Uptake ◽  
Factors Affecting ◽  
Compulsory Vaccination ◽  
Vaccine Availability

Abstract Background The HPV vaccine prevents the most common cancer in women, which is cervical cancer. This study aimed to determine the factors affecting the uptake and non- uptake of HPV vaccine in the young adult in Tehran and strategies to increase their vaccine uptake. Methods This is the first qualitative study with the conventional content analysis approach in this context in Iran in 2018-2019. Participants, with a maximum variation in terms of age, sex, educational level, occupation, income, work experience, marital status, were selected purposefully to take part in a semi-structured interview. The data were recorded and analyzed according to the interview continued until data saturation. MAXQDA software version 10 was used for data management. Results The participants were 20 health professionals and 10 young adults from Tehran. Factors affecting HPV vaccine uptake and non- uptake identified as seven categories, including knowledge, health value, external stimuli, outcome expectations, perceived threat, healthcare services, and Contextual factors. Moreover, the strategies to increase vaccine uptake included Compulsory vaccination, vaccine availability, and implementing the educational process. Conclusions Considering the factors identified in this study, the authorities and practitioners must take steps to increase the HPV vaccine in young adults by considering the effective factors, as well as the strategies, such as Compulsory vaccination, increasing vaccine availability, and implementing educational interventions.

THE PROFILE OF A LEADER AND HIS LEDERSHIP

2018 ◽  
Vol 28 (1) ◽  
pp. 345-350
Author(s):  
Ali Hajro
Keyword(s):  
Leadership Skills ◽  
Real Power ◽  
Governmental Organization ◽  
Factors Affecting ◽  
The Real ◽  
The Core ◽  
Behavior Code ◽  
The People ◽  
Study Case ◽  
Personal Skills

The Current and future leaders live in a turbulent and chaotic environment, where the real power of acting derives from the recognition of the concept of change and looking for options. In this type of environment a lot of competence is necessary for the leaders to survive. The aim of this study case was to explore i.e. gain a clearer picture of the position of the leader, their characteristics, functions, levels, the core and the factors affecting the leader and their leadership. To see what type of leader the people want simply to draw conclusions about the characteristics, qualities and techniques of a leader and their leadership. So that in the end, to have empirical proof of the leader. The set goal in this study case is today’s leaders in everyday process, starting from the very beginning of their work, to serve as an example in developing inter-personal skills at the same time as treating people with dignity and respect. In other words, they have to possess leadership skills, characteristics and the necessary actions. This research aims at finding out the real attributes that is the profile of a leader and their leadership running an organization regardless if it is economic, political, and military or some other non-governmental organization. The values are more than a set of rules, they are not only behavior code, and they say what a leader should be every day in every action that they take. The values shade the leaders’ identity and the organization that they run.

About some of the factors for public administration effectiveness

2020 ◽  
Vol 22 (1) ◽  
pp. 26-32
Author(s):  
ALIKHAN М. BAIMENOV ◽  
Keyword(s):  
Public Administration ◽  
Corporate Culture ◽  
Work Experience ◽  
Information Technologies ◽  
Selection Process ◽  
Rapid Development ◽  
The State ◽  
Information Flows ◽  
Factors Affecting ◽  
State Apparatus

The article emphasizes that modern governments, working in unique socio-economic, historical and cultural conditions, must take into account global trends, as well as the growth of citizens’ expectations associated with the rapid development of information technologies and other factors. In such circumstances, special attention is paid to the effectiveness of public administration. The article discusses some of the significant factors impacting the effectiveness of public administration, such as the professionalization of the state apparatus, the legibility of the institutional framework, the optimization of information flows and corporate culture. In accordance with this, on the basis of work experience in the public administration system and analysis of civil service reforms in the countries of the region, the main challenges and possible solutions are shown. In the professionalization of the state apparatus, the importance of the merit principles in the selection and promotion stages of personnel through the empowerment of human resource (HR) management services, the integrity of tools and approaches at all stages of selection process, and the responsibility of the selection board are noted. The author focuses on the need to ensure a balance of powers, responsibility and resources, delimitation of powers between political and administrative civil servants, optimization of information flows. Particular importance is paid to corporate culture, which is one of the main factors affecting the efficiency of the state apparatus. It is noted that central values of corporate culture and leadership in state bodies of the countries of our region, along with generally accepted in the modern leadership theory, should be respect for the dignity, work and time of employees.

scholarly journals ‘You see the empty bed which means it’s either a transplant or a death’: a qualitative study exploring the impact of death in the haemodialysis community

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e046537
Author(s):  
Sheera Sutherland ◽  
Kirsty E Durley ◽  
Kirsty Gillies ◽  
Margaret Glogowska ◽  
Daniel S Lasserson ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Clinical Setting ◽  
Support Services ◽  
Research Team ◽  
Central Importance ◽  
Semistructured Interviews ◽  
Age Range ◽  
The Impact ◽  
Community Patients

ObjectiveTo explore the impact of the death of a patient in the haemodialysis unit on fellow patients.MethodsWe interviewed patients on dialysis in a tertiary dialysis centre using semistructured interviews. We purposively sampled patients who had experienced the death of a fellow patient. After interviews were transcribed, they were thematically analysed by independent members of the research team using inductive analysis. Input from the team during analysis ensured the rigour and quality of the findings.Results10 participants completed the interviews (6 females and 4 males with an age range of 42–88 years). The four core themes that emerged from the interviews included: (1) patients’ relationship to haemodialysis, (2) how patients define the haemodialysis community, (3) patients’ views on death and bereavement and (4) patients’ expectations around death in the dialysis community. Patients noticed avoidance behaviour by staff in relation to discussing death in the unit and would prefer a culture of open acknowledgement.ConclusionStaff acknowledgement of death is of central importance to patients on haemodialysis who feel that the staff are part of their community. This should guide the development of appropriate bereavement support services and a framework that promotes the provision of guidance for staff and patients in this unique clinical setting. However, the authors acknowledge the homogenous sample recruited in a single setting may limit the transferability of the study. Further work is needed to understand diverse patient and nurse experiences and perceptions when sharing the knowledge of a patient’s death and how they react to loss.

scholarly journals Facilitating Successful Smart Campus Transitions: A Systems Thinking-SWOT Analysis Approach

2021 ◽  
Vol 11 (5) ◽  
pp. 2044
Author(s):  
Bankole Awuzie ◽  
Alfred Beati Ngowi ◽  
Temitope Omotayo ◽  
Lovelin Obi ◽  
Julius Akotia
Keyword(s):  
Systems Thinking ◽  
Swot Analysis ◽  
Qualitative Content Analysis ◽  
Holistic Approach ◽  
Education Institution ◽  
Factors Affecting ◽  
Smart Campus ◽  
University Of Technology ◽  
Management Approaches ◽  
Gap Data

An identification of strengths, weakness, opportunities, and threats (SWOT) factors remains imperative for enabling a successful Smart Campus transition. The absence of a structured approach for analyzing the relationships between these SWOT factors and the influence thereof on Smart Campus transitions negate effective implementation. This study leverages a systems thinking approach to bridge this gap. Data were collected through a stakeholder workshop within a University of Technology case study and analyzed using qualitative content analysis (QCA). This resulted in the establishment of SWOT factors affecting Smart Campus transitions. Systems thinking was utilized to analyze the relationships between these SWOT factors resulting in a causal loop diagram (CLD) highlighting extant interrelationships. A panel of experts drawn from the United Kingdom, New Zealand, and South Africa validated the relationships between the SWOT factors as elucidated in the CLD. Subsequently, a Smart Campus transition framework predicated on the CLD archetypes was developed. The framework provided a holistic approach to understanding the interrelationships between various SWOT factors influencing Smart Campus transitions. This framework remains a valuable tool for facilitating optimal strategic planning and management approaches by policy makers, academics, and implementers within the global Higher Education Institution (HEI) landscape for managing successful Smart Campus transition at the South African University of Technology (SAUoT) and beyond.

scholarly journals Identifying Risk Factors Affecting the Usage of Digital and Social Media: A Preliminary Qualitative Study in the Dental Profession and Dental Education

2021 ◽  
Vol 9 (5) ◽  
pp. 53
Author(s):  
Rayan Sharka ◽  
Jonathan P. San Diego ◽  
Melanie Nasseripour ◽  
Avijit Banerjee
Keyword(s):  
Risk Factors ◽  
Qualitative Study ◽  
Perceived Risk ◽  
Dental Education ◽  
Dental Students ◽  
General Context ◽  
Structured Interviews ◽  
Factors Affecting ◽  
The Uk ◽  
Dental Professionals

Aims: This study aimed to identify the risk factors of using DSM to provide an insight into the inherent implications this has on dental professionals in practice and trainee professionals’ education. Materials and methods: Twenty-one participants (10 dental professionals and 11 undergraduate and postgraduate dental students) participated in this qualitative study using semi-structured interviews in a dental school in the UK. The interviews were analysed and categorised into themes, some of which were identified from previous literature (e.g., privacy and psychological risks) and others emerged from the data (e.g., deceptive and misleading information). Results: The thematic analysis of interview transcripts identified nine perceived risk themes. Three themes were associated with the use of DSM in the general context, and six themes were related to the use of DSM in professional and education context. Conclusions: This study provided evidence to understand the risk factors of using DSM in dental education and the profession, but the magnitude of these risks on the uptake and usefulness of DSM needs to be assessed.

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