Patients’ perception of dignity in Iranian general hospital settings

Background: Dignified care is one of the main objectives of holistic care. Furthermore, paying attention to dignity as one of the fundamental rights of patients is extremely important. However, in many cases, the dignity of hospitalized patients is not considered. Dignity is an abstract concept, and comprehensive studies of the dignity of Iranian patients hospitalized in general hospital settings are limited. Objective: The aim of this study was to explore the concept of dignity from the perspective of patients hospitalized in general hospital settings in Iran. Research design: This study takes a qualitative approach. Data were gathered using individual, semi-structured interviews. Qualitative content analysis was the method used to analyse and interpret the data. The criteria suggested by Guba and Lincoln were used ensure the trustworthiness of the study. Participants and research context: A total of 14 hospitalized patients in general hospital settings in Shiraz participated in this study. Ethical considerations: The Research Ethics Committee of the Shiraz University of Medical Sciences approved the protocol of the study and the ethical principles were followed throughout. Findings: The findings of this study revealed four main themes – ‘respectful atmosphere’, ‘patient privacy’, ‘preservation of authority’ and ‘receiving attention’ – and 10 categories. Discussion: Patients need to be hospitalized in a respectable environment in which their privacy is preserved and paid attention, providing them with sufficient authority in terms of medical decisions and their life-related issues. The dignity of hospitalized patients will be preserved under these conditions. Conclusion: Patients hospitalized in general hospital settings need to retain their dignity. This can contribute to the optimal therapeutic outcomes for them. Therefore, it is suggested that a cultural, professional and institutional background, in which all components of the patient’s dignity are protected and emphasized, should be provided.

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Legal complaints about midwives and the impact on the profession

Nursing Ethics ◽

10.1177/0969733016689816 ◽

2017 ◽

Vol 26 (1) ◽

pp. 148-160 ◽

Cited By ~ 4

Author(s):

Akram Peyman ◽

Nahid Dehghan Nayeri ◽

Mohammad Esmaeilpour Bandboni ◽

Zahra Behboodi Moghadam

Keyword(s):

Qualitative Content Analysis ◽

Well Being ◽

Professional Status ◽

Medical Sciences ◽

Structured Interviews ◽

Ethical Considerations ◽

Written Text ◽

Litigation Process ◽

Training Professional ◽

The Impact

Introduction: Midwives play an important role in maintaining and increasing women’s health and well-being. Training professional midwives is one of the main policies of any healthcare system. Since the number of complaints against midwives has increased recently, this study was conducted to explore the perspectives of midwives regarding patients’ complaint to authorities and their impacts on the profession of midwifery. Methods: Being conducted in 2013, this qualitative study was the first of its type in Iran. Data were collected through in-depth semi-structured interviews with 14 midwives working in different cities across the country. The participants were selected using a purposive sampling method. Interviews were transcribed verbatim and analyzed following a qualitative content analysis approach. Written text was then coded, and themes were extracted from the data. Ethical considerations: The study was conducted with midwives’ free informed consent and was approved by Ethics Committee of Tehran University of Medical Sciences. Findings: By analyzing the data, four main themes regarding the impact of complaint on midwifery profession were developed. These included the following: “dissatisfied of midwifery, professional deviation, obsession with work, and weakening of the professional status.” Conclusion: The experience of patients’ complaint to legal authorities against midwives was described, by participants, as a painful experience. Lack of midwives’ knowledge about professional rules and litigation process created many problems for them and could negatively affect their practice and the society’s attitude toward midwifery. Thus, we suggest that in order to prevent such problems, midwives and midwifery students should be educated regarding factors that have the potential to create such problems and also prevention strategies.

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Caregivers’ perception of women’s dignity in the delivery room: A qualitative study

Nursing Ethics ◽

10.1177/0969733019834975 ◽

2019 ◽

Vol 27 (1) ◽

pp. 116-126 ◽

Cited By ~ 1

Author(s):

Fateme Mohammadi ◽

Hadise sadate Tabatabaei ◽

Farzaneh Mozafari ◽

Mark Gillespie

Keyword(s):

Content Analysis ◽

Pregnant Women ◽

Qualitative Content Analysis ◽

Delivery Room ◽

Medical Sciences ◽

Ethical Considerations ◽

Individual Interviews ◽

Targeted Sampling ◽

Content Analysis Method ◽

Conventional Content Analysis

Introduction: Dignified care is one of the moral responsibilities of professional caregivers. However, in many cases the dignity of hospitalized patients, especially women in the delivery room, is not maintained. Dignity is an abstract concept and there has been no previous research exploring the dignity of pregnant women in the delivery room in Iran. Objectives: The objective of this study is to define and explain the concept of dignity for pregnant women in the delivery room from the perspectives of professional caregivers. Research design: This is qualitative research. The data were collected through in-depth semi-structured individual interviews. The conventional content analysis method was used to analyze the data. In qualitative content analysis, participant narrative is examined in-depth and sorted into categories and themes. Participants and research context: Potential participants who met the entrance criteria for this study were approached between July 2016 and February 2017. In all, 20 professional caregivers working in the delivery room setting within Iranian general hospitals were invited to participate in the study. The sampling was done through targeted sampling until saturation was achieved. Ethical considerations: The research ethics committee of the Shiraz University of Medical Sciences has approved the study’s protocol and all commonly recognized ethical principles were followed throughout the study. Findings: The findings of this study were presented in three main themes, including “privacy,” “respecting patients’ preferences,” and “comprehensive attention” and eight categories. Discussions and conclusion: Women in the delivery room need to be taken care of in an environment where healthcare staff promote the preservation of dignity through maintaining privacy, by providing attentive care and through ensuring that patient preferences regarding care and treatment are respected. In such an environment, the dignity of these women would be maintained and desirable outcomes achieved.

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Human dignity in religion-embedded cross-cultural nursing

Nursing Ethics ◽

10.1177/0969733014521095 ◽

2014 ◽

Vol 21 (8) ◽

pp. 916-928 ◽

Cited By ~ 13

Author(s):

Mohammad A Cheraghi ◽

Arpi Manookian ◽

Alireza N Nasrabadi

Keyword(s):

Human Dignity ◽

Cross Cultural ◽

Medical Sciences ◽

Structured Interviews ◽

Ethical Considerations ◽

Extrinsic Factors ◽

Anonymous Reporting ◽

Religious Perspectives ◽

Centered Care ◽

Cultural Care

Background: Although human dignity is an unconditional value of every human being, it can be shattered by extrinsic factors. It is necessary to discover the authentic meaning of patients’ dignity preservation from different religious perspectives to provide professional cross-cultural care in a diverse setting. Research objective: This article identifies common experiences of Iranian Muslim and Armenian Christian patients regarding dignified care at the bedside. Research design: This is a qualitative study of participants’ experiences of dignified care elicited by individual in-depth semi-structured interviews. Participants and research context: A purposeful sample of 10 participants (five Iranian Muslims and five Iranian Armenians) from various private and governmental hospital settings was chosen. Ethical considerations: This study was approved by the ethics committee of Tehran University of Medical Sciences. All the participants were provided with information about the purpose and the nature of the study, the voluntary condition of their participation in this study, and the anonymous reporting of recorded interviews. Findings: The common experiences of Christian and Muslim patients regarding dignity preservation emerged as “exigency of respecting human nobility” and “providing person-centered care.” Discussion and conclusion: It is essential to recognize the humanness and individuality of each patient to preserve and promote human dignity in diverse cross-cultural settings. The findings support and expand current understanding about the objective and subjective nature of dignity preservation in cross-cultural nursing.

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Cancer patients’ perspectives on dignity in care

Nursing Ethics ◽

10.1177/0969733019845126 ◽

2019 ◽

Vol 27 (1) ◽

pp. 127-140 ◽

Cited By ~ 1

Author(s):

Samaneh Bagherian ◽

Farkhondeh Sharif ◽

Ladan Zarshenas ◽

Camellia Torabizadeh ◽

Abbas Abbaszadeh ◽

...

Keyword(s):

Cancer Patients ◽

Human Dignity ◽

Qualitative Content Analysis ◽

Personal Space ◽

Fundamental Rights ◽

Ethical Principles ◽

Care Plan ◽

Research Approach ◽

Structured Interviews ◽

Southwest Of Iran

Background: Since “dignity” is one of the fundamental rights of every patient, consideration for patients’ dignity is essential. Unfortunately, in many cases, especially in cancer patients, dignity is not fully respected. Dignity is an abstract concept, and there are only a few comprehensive studies on the dignity of cancer patients in Iran. Research objective: This study aimed to evaluate the perception of Iranian cancer patients on human dignity. Research design: A qualitative research approach was used as the study design. The data were collected through individual semi-structured interviews and analyzed using the qualitative content analysis method. Participants and research context: This study was conducted on cancer patients in internal medicine wards in Iran. The data were gathered through semi-structured interviews from May 2017 to February 2018. Ethical considerations: The study protocol was approved by the Research Ethics Committee of medical universities located in Southwest of Iran. The ethical principles were carefully followed throughout the study. Findings: Based on the results of the interviews, 3 main themes and 11 categories were determined. The main themes were identified as the “personal space and privacy,” “respect for human values,” and “moral support.” Discussion: The results of the present study showed the necessity of care for cancer patients in a respectful manner. The key elements in such care were the preservation of their personal space and privacy, respect for their values, and the provision of adequate moral support. These measures will have a positive effect on the perception of such patients on human dignity. Conclusion: Considering the special care required by cancer patients, the Iranian healthcare and hygiene managers should design and implement a care plan that includes the ethical principles related to human dignity.

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The Perceived Social Support by Iranian Women with Breast Cancer: A Qualitative Study

10.21203/rs.3.rs-295984/v1 ◽

2021 ◽

Author(s):

Leila Mokhtari ◽

Abdollah Khorami Markani ◽

Hamid Reza Khalkhali ◽

Aram Feizi

Keyword(s):

Breast Cancer ◽

Social Support ◽

Qualitative Study ◽

Lived Experience ◽

Qualitative Content Analysis ◽

Healthcare Providers ◽

Well Being ◽

Medical Sciences ◽

Structured Interviews ◽

The Family

Abstract Background: Social support has an importnat role in improving health outcomes and is considered as one of the crucial aspects of the modern care in cancer patients. Therefore this article aims at discovering and describing the dimensions of social support based on the lived experience of women suffering from breast cancer.Methods: In this qualitative study, 22 women with breast cancer were selected through purposive sampling from 7 hospitals affiliated to Urmia University of Medical Sciences. The data were collected through semi-structured interviews and were analyzed by the Conventional Qualitative Content Analysis and Graneheim’s and Lundman’s (2004) approach, using MAXQDA software, version 10.Results: After completion of the analyzing process, 6 categories were appeared including “creating an empathic atmosphere by family and community”, “creating a safe communication network for the patient”, “adaption to disease”, “giving meaning to life”, “the feeling of satisfaction with the healthcare providers for fulfilling their role”, and “accepting the support and help of family and friends in fighting the disease”. Conclusion: According to the findings, good social support during the illness can result in the spiritual, mental, and physical well-being of the patients and is one of the most effective factors in fighting the disease and feeling of recovery. The findings of this study can be used to develop plans to help the patients to achieve more support from the family, healthcare providers and the community and even providing the required supportive care for this group of women.

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Using an LMS in Teaching English: A Qualitative Content Analysis of Medical Sciences Students’ Evaluations and Suggestions

The Qualitative Report ◽

10.46743/2160-3715/2019.3613 ◽

2019 ◽

Author(s):

Iman Alizadeh

Keyword(s):

Content Analysis ◽

Time Management ◽

Qualitative Content Analysis ◽

Academic Misconduct ◽

Medical Sciences ◽

Teaching English ◽

Structured Interviews ◽

Education Development ◽

Web Based ◽

The University

In this study, I aimed to discover Iranian medical sciences students’ evaluation of using a Learning Management System (LMS) in teaching English and to collect their suggestions for using the system more efficiently. To collect data, I conducted semi-structured interviews with 38 students. The themes emerging from the qualitative content analysis of the students’ responses were (1) technical advantages (accessibility, and online homework bank), (2) educational gains (learning gains, benefits for professors, and professor-student interaction), (3) logistical benefits (optimizing class time, task management, and logistical support), (4) educational shortcomings (limited instruction, correction and feedback, and academic misconduct), (5) technical limitations (Internet problems, and technical glitches), (6) administrative problems (time mismanagement, and logistical challenges), (7) education development (instruction, educational materials, organizing tests, correction and feedback, and quantity and quality of assignments), (8) LMS platform modifications (offline platform, and upgrading the LMS), and (9) logistics improvement (student support, and time management). Based on the findings, the educational officials should consider the educational, technical and logistical requirements of using the LMS in the university programs, use a field-specific LMS or modify the existing one with an eye to the students’ needs, and improve the infrastructure required for using web-based educational technologies.

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Exploring the Experiences of Professors in the Process of Writing Graduate Students' Dissertations: A Qualitative Study

Journal of Medical Education and Development ◽

10.18502/jmed.v16i1.6359 ◽

2021 ◽

Author(s):

S Valiee ◽

P Taymoori ◽

T Pashaei ◽

A Bahmani

Keyword(s):

Content Analysis ◽

Qualitative Content Analysis ◽

Postgraduate Education ◽

Analysis Method ◽

Medical Sciences ◽

Structured Interviews ◽

Postgraduate Students ◽

Purposeful Sampling ◽

Content Analysis Method ◽

Teachers Experiences

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.

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Secondary use of electronic health records: Availability aspects in two Nordic countries

Health Information Management Journal ◽

10.1177/1833358318817473 ◽

2018 ◽

Vol 48 (3) ◽

pp. 144-151

Author(s):

Antti Vikström ◽

Hans Moen ◽

Sanaz Rahimi Moosavi ◽

Tapio Salakoski ◽

Sanna Salanterä

Keyword(s):

Electronic Health Records ◽

Privacy Preservation ◽

Academic Research ◽

Patient Privacy ◽

Structured Interviews ◽

Secondary Users ◽

Health Records ◽

Domain Experts ◽

Secondary Use ◽

Electronic Health

Background: The potential for the secondary use of electronic health records (EHRs) is underused due to restrictions in national legislation. For privacy purposes, legislative restrictions limit the availability and content of EHR data provided to secondary users. These limitations do not encourage healthcare organisations to develop procedures to promote the secondary use of EHRs. Objective: The objective of this study is to identify factors that restrict the secondary use of unstructured EHRs in academic research in Finland and Sweden. Method: A study was conducted to identify these availability-restricting issues that pertain to the academic secondary use of unstructured EHRs. Using semi-structured interviews, 14 domain experts in science, hospital management and business were interviewed to evaluate the efficiency of procedures and technologies that are implemented in secondary use processes. Results: The results demonstrate three aspects that restrict the availability of unstructured EHRs for secondary purposes: (i) the management and (ii) privacy preservation of such data as well as (iii) potential secondary users. Conclusion: Based on these categories, two approaches for the secondary use of unstructured EHRs are identified: the protected processing environment and altered data. Implications: The protected processing environment ensures patient privacy by providing unstructured EHRs for exclusive user groups that have preferred use intentions. Compared to the use of such processing environments, data alteration enables the secondary use of unstructured EHRs for a larger user group with various use intentions but that yield less valuable content.

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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.

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Workplace challenges and nurses recovered from COVID-19

Nursing Ethics ◽

10.1177/09697330211020439 ◽

2021 ◽

pp. 096973302110204

Author(s):

Farshad Mohammadi ◽

Moloud Radfar ◽

Masumeh Hemmati Maslak Pak

Keyword(s):

Phenomenological Approach ◽

Ethics Committee ◽

Care Provision ◽

Ethical Values ◽

Medical Sciences ◽

Structured Interviews ◽

Ethical Considerations ◽

Health Organizations ◽

Van Manen ◽

Workplace Challenges

Background: Although many studies have addressed COVID-19, the challenges faced by nurses in their workplace after recovering from this disease have not been investigated. As the backbone of the health system and at the forefront of the fight against COVID-19, nurses are exposed to serious risks of infection and even death. They may also face numerous challenges in their workplace after recovering from COVID-19. It is therefore ethically recommended that the problems of these nurses be solved to increase their job satisfaction and encourage them to remain in their profession. Objectives: The present research was conducted to determine the workplace challenges faced by nurses who had recovered from COVID-19. Methods: This qualitative study was conducted using the interpretive phenomenological approach proposed by van Manen. The data collected through 17 in-depth semi-structured interviews with 14 eligible nurses at different occupational levels were analyzed using the six steps proposed by van Manen. These nurses had also recovered from COVID-19. Ethical considerations: This study was approved by the Ethics Committee of Urmia University of Medical Sciences (IR.UMSU.REC.1399.318). Findings: Four themes and 20 subthemes extracted from analyzing the data explained the challenges faced by the nurses after their return to work. The themes included declined ethical values (four subthemes), infected nurses, forgotten patients (three subthemes), gradually leaving the job (six subthemes), and corona phobia (seven subthemes). Conclusion: The present findings can be used to lay the foundations for adopting humanitarian policies in health organizations in terms of ethical care provision during future pandemics.

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