Unsafe nursing documentation: A qualitative content analysis

Background Nursing documentation as a pivotal part of nursing care has many implications for patient care in terms of safety and ethics. Objectives To explore factors influencing nursing documentation from nurses’ perspectives in the Iranian nursing context. Methods This qualitative study was carried out using a qualitative content analysis of data collected from 2018 to 2019 in two urban areas of Iran. Semi-structured interviews (n = 15), observations, and reviews of patients’ medical files were used for data collection. Ethical considerations This study was conducted in accordance with the ethical principles of research and regulations in terms of confidentiality of data, anonymity, and provision of informed consent. Findings The main theme of this study was “unsafe documentation.” Two categories, “types of errors in reporting” and “reasons of errors in reporting,” and 12 subcategories were developed indicating factors influencing nursing documentation in the Iranian nursing context. Conclusion In general, individual, organizational, and national factors affected nursing documentation in Iran. In this respect, hiring more nurses, application of reforms in the healthcare management structure, devising appropriate regulations regarding division of labor, constant education of healthcare staff, establishment of clinical governance, improvement of interpersonal relationships, development of hardware and software techniques for documentation, and provision of support should be done to improve the quality of nursing documentation. The above-mentioned suggestions can help nurses with a safe, ethical, lawful, and reliable documentation in nursing practice.

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Experiences of Health Providers and patients in COVID‑19: A SWOT analysis

10.21203/rs.3.rs-850666/v1 ◽

2021 ◽

Author(s):

Aliasghar kheirkhah ◽

Ehsan Movahed ◽

Fereshte gheyabi ◽

Fatemeh kave Farsani ◽

Fatemeh Rigabadi

Keyword(s):

Content Analysis ◽

Data Analysis ◽

Health System ◽

Swot Analysis ◽

Qualitative Content Analysis ◽

Main Theme ◽

Health Providers ◽

Structured Interviews ◽

Community Members ◽

The Family

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.

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Exploring the experience of medical faculty members about the challenges of academic faculty promotion system in the Iranian context: a qualitative study

10.53350/pjmhs211551241 ◽

2021 ◽

Vol 15 (5) ◽

pp. 1241-1248

Author(s):

H. Didehban ◽

A. Mirzazadeh ◽

H. R. Khankeh

Keyword(s):

Content Analysis ◽

Qualitative Content Analysis ◽

Medical Science ◽

Medical Faculty ◽

Main Theme ◽

Structured Interviews ◽

Academic Promotion ◽

Structural Problems ◽

Iranian Context ◽

Promotion Process

Background: Faculties' academic promotion process plays a significant role in career development and organizational change. Studies have indicated that this process is stressful and tense in the Iranian context. This study aimed to identify factors affecting medical faculty academic promotion at Tehran University of Medical Science. Methods: In this qualitative content analysis, 15 faculties at Tehran University of Medical Sciences were studied during 2016-2018. Purpose full sampling used for selecting participants. Data collection was performed using semi-structured interviews and demographic information. The collected data were analyzed through constant comparison analysis using grounded theory data analysis being recommended by Corbin and Strauss 2008. Results: Based on the experiences of participants, the factor affecting medical faculties academic promotion fit in two themes: problems in evaluation process and structural problems in promotion process. The first main theme consists of four main categories, i.e. “quantitative evaluation and objectivity "-'' necessity of differential evaluation "-'' lack of attention to the consequence" and other problems of evaluation area”. The other theme has the following main categories: “high research orientation in regulation "-" necessity of re-defining the promotion indicators"-"mandatory in promotion process" and " lack of attention to occupational problems of faculties”. Each category will have its subcategories. Conclusion: The results indicated that faculties are facing many problems in the field of academic promotion and need to improve the laws, evaluate qualitatively, pay more attention to education criteria, and redefine cultural and executive criteria. Keywords: Academic promotion, medical faculty, medical university, content analysis, challenge

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Barriers to Provision of Spiritual Care in Mental Health Care Centers: A Qualitative Content Analysis

Iranian Journal of Psychiatry and Behavioral Sciences ◽

10.5812/ijpbs.115702 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Siamak Amiri ◽

Parvaneh Vasli ◽

Jamileh Mohtashami ◽

Nadereh Memaryan

Keyword(s):

Mental Health ◽

Health Care ◽

Content Analysis ◽

Mental Health Care ◽

Spiritual Care ◽

Qualitative Content Analysis ◽

Structured Interviews ◽

Data Saturation ◽

Health Care Centers

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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Discrimination in Healthcare, Experiences of Nurses, Physicians and Patients: A Qualitative Content Analysis

10.21203/rs.3.rs-229654/v1 ◽

2021 ◽

Author(s):

Mohammad javad Hosseinabadi-farahani ◽

Masoud Fallahi-khoshknab ◽

Narges Arsalani ◽

Mohammadali Hosseini ◽

Eesa Mohammadi

Keyword(s):

Health Care ◽

Content Analysis ◽

Interpersonal Relationships ◽

Qualitative Content Analysis ◽

Nursing Assistants ◽

Structured Interviews ◽

Clinical Nurses ◽

Medical Centers ◽

Quantitative Studies ◽

The City

Abstract Background: Justice in health is one of the main concerns of health organizations, and discrimination in health care is one of the negative outcomes to achieving this goal. Hence, a full understanding of the phenomenon of discrimination in health care and adopting strategies to eliminate it is necessary. The present study was conducted to determine the experiences of nurses, physicians, and patients of discrimination in health care. Methods: The present qualitative content analysis study was conducted between 2019 and 2020. Data were collected through semi-structured interviews with 18 participants (2 physicians, 3 nursing supervisors, 2 head nurses, 4 clinical nurses, 2 nursing assistants, and 3 hospitalized patients) in one public and one private hospital in the city of Tehran. The participants were selected by purposive sampling, which continued until saturation of data. Data obtained were analyzed using Graneheim and Lundman method.Results: Four main categories and 14 subcategories were extracted from data analysis: 1) Habitual discrimination (everyday discrimination in health centers, ignoring patient rights, low levels of trust in medical staff); 2) interpersonal relationships (expectations of associates, respect for colleagues and friends, the possibility of the occurrence of similar situations, reciprocating people’s favors); 3) shortage of health care resources (shortage of medical equipment, heavy workload, infrastructures of medical centers, lack of access to physicians); and 4) Favoritism (ethnicity, favoritism as a common method, and as the ultimate solution to problems).Conclusion: The present study revealed certain dimensions of discrimination in health care that remain hidden in many quantitative studies. Thus, it appears that health system managers will be able to move towards eliminating discrimination in health care and providing ethical care by considering these issues and adopting appropriate strategies.

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Views about sensory modulation from people with schizophrenia and treating staff: A multisite qualitative study

British Journal of Occupational Therapy ◽

10.1177/0308022620988470 ◽

2021 ◽

pp. 030802262098847

Author(s):

Tawanda Machingura ◽

Chris Lloyd ◽

Karen Murphy ◽

Sarah Goulder ◽

David Shum ◽

...

Keyword(s):

Content Analysis ◽

Treatment Option ◽

Perceived Risk ◽

Quantitative Methods ◽

Qualitative Content Analysis ◽

Treatment Options ◽

Occupational Therapists ◽

Sensory Modulation ◽

Structured Interviews ◽

Effective Training

Introduction Current non-pharmacological treatment options for people with schizophrenia are limited. There is, however, emerging evidence that sensory modulation can be beneficial for this population. This study aimed to gain insight into sensory modulation from the user’s and the treating staff’s perspectives. Method A qualitative content analysis design was used. Transcripts from occupational therapists ( n=11) and patients with schizophrenia ( n=13) derived from in-depth semi-structured interviews were analysed for themes using content analysis. Results Five themes emerged from this study: Service user education on the sensory approach is the key; A variety of tools should be tried; Sensory modulation provides a valued treatment option; There are challenges of managing perceived risk at an organisational level; and There is a shortage of accessible and effective training. Conclusion People with schizophrenia and treating staff had congruent perceptions regarding the use of sensory modulation as a treatment option. The findings suggest that sensory modulation can be a valued addition to treatment options for people with schizophrenia. We suggest further research on sensory modulation intervention effectiveness using quantitative methods so these results can be further explored.

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Therapeutic Alliance in Interpreter-Mediated Psychotherapy from the Perspective of Refugee Patients: Results of Qualitative Interviews

Verhaltenstherapie ◽

10.1159/000517136 ◽

2021 ◽

pp. 1-9

Author(s):

Saskia Hanft-Robert ◽

Nadine Janis Pohontsch ◽

Cornelia Uhr ◽

Alexander Redlich ◽

Franka Metzner

Keyword(s):

Content Analysis ◽

Therapeutic Alliance ◽

Successful Treatment ◽

Qualitative Content Analysis ◽

Qualitative Interviews ◽

Therapeutic Treatment ◽

Factors Influencing ◽

Recommendations For Action ◽

Patients Perspective

Background: The therapeutic alliance is considered to be one of the most important factors of psychotherapy and is a necessary requirement for a successful treatment in interpreter-mediated psychotherapy. Patients and Methods: Using interpreter-mediated guided interviews, 10 refugee patients who experienced interpreter-mediated psychotherapy were asked about factors influencing the development of a trusting therapeutic alliance in the triad. The analysis of the interviews followed the rules of content-structuring qualitative content analysis. Results: A total of 11 factors were identified which could be assigned to the interpreter, therapist, or patient. In the analysis, the central role of the interpreter in establishing a therapeutic alliance in the triad became particularly clear. Conclusions: Consideration of the factors that, from the patients’ perspective, influence the establishment and maintenance of a trusting alliance within the triad, as well as the recommendations for action derived from this for psychotherapists and interpreters can lead to an improvement in the therapeutic treatment of refugees.

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Social support from the perspective of adolescent victims of domestic violence

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420140000400006 ◽

2014 ◽

Vol 48 (4) ◽

pp. 610-617 ◽

Cited By ~ 6

Author(s):

Diene Monique Carlos ◽

Maria das Graças Carvalho Ferriani ◽

Michelly Rodrigues Esteves ◽

Lygia Maria Pereira da Silva ◽

Liliana Scatena

Keyword(s):

Social Support ◽

Domestic Violence ◽

Content Analysis ◽

Qualitative Study ◽

Interpersonal Relationships ◽

Extended Family ◽

Structured Interviews ◽

The Social ◽

Sources Of Support ◽

Adolescent Victims

Objective: Assess the understanding of adolescents regarding the social support received in situations of domestic violence. Method: A qualitative study with data collection carried out through focus groups with 17 adolescent victims of domestic violence, institutionally welcomed in Campinas-SP, and through semi-structured interviews with seven of these adolescents. Information was analyzed by content analysis, thematic modality. Results: Observing the thematic categories it was found that social support for the subjects came from the extended family, the community, the Guardianship Council, the interpersonal relationships established at the user embracement institution and from the religiosity/spirituality. Conclusion: The mentioned sources of support deserve to be enhanced and expanded. With the current complexity of the morbidity and mortality profiles, especially in children and adolescents, the (re)signification and the (re)construction of health actions is imperative.  

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Exploring the experiences of nurses caring for patients with COVID-19: a qualitative study in Iran

BMC Nursing ◽

10.1186/s12912-022-00805-5 ◽

2022 ◽

Vol 21 (1) ◽

Author(s):

Sudabeh Ahmadidarrehsima ◽

Nasibeh Salari ◽

Neda Dastyar ◽

Foozieh Rafati

Keyword(s):

Compassion Fatigue ◽

Qualitative Content Analysis ◽

Patient Care Team ◽

Social Experiences ◽

Mitigation Strategies ◽

Structured Interviews ◽

Master's Degrees ◽

Social Burden ◽

Professional Needs

Abstract Background The coronavirus disease (COVID-19) is now a major public health emergency in the world. Nurses as key members of the COVID-19 patient care team are exposed to most challenges caused by the disease. As exploring the experiences of nurses as patient supporters and caregivers can play an important role in improving the quality of care for patients with COVID-19 disease, the present study explored the experiences of nurses caring for patients with COVID-19. Methods The study employed a qualitative design. This study employed purposive sampling to select 10 nurses with bachelors and master’s degrees in nursing who were taking care of patients with COVID-19 in ICUs or inpatient wards in southern Iran. Data were collected through semi-structured interviews. The collected data were analyzed using the qualitative content analysis procedure proposed by Graneheim and Lundman. Results The analysis of the data revealed four main themes and ten sub-themes: A) physical, psychological, and social burden of care (excessive workload; fear, anxiety, worry; unpleasant social experiences; compassion fatigue) B) unmet needs (personal needs and professional needs) C) positive experiences (pleasant social experiences and inner satisfaction), and D) strategies (problem-solving strategies and stress symptom mitigation strategies). Conclusions An analysis of the themes and subthemes extracted in this study suggested that the nurses who participated in this study faced many personal and professional challenges. Therefore, health officials and specialists need to pay special attention to nurses’ challenges and needs.

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Online Collaborative Writing via Google Docs: Case Studies in the EFL Classroom

Journal of Language Teaching and Research ◽

10.17507/jltr.1206.08 ◽

2021 ◽

Vol 12 (6) ◽

pp. 922-934

Author(s):

Nakhon Kitjaroonchai ◽

Suksan Suppasetseree

Keyword(s):

Small Group ◽

Qualitative Content Analysis ◽

Collaborative Writing ◽

Interaction Patterns ◽

Structured Interviews ◽

Google Docs ◽

Efl Learners ◽

Language Functions ◽

Factors Influencing

This article reported a case study investigating small group interaction patterns in online collaborative writing tasks and factors influencing team collaborations. Participants included six Asian EFL university students who formed two small groups and were engaged in two online collaborative writing tasks via Google Docs. Data collection included the participants’ use of writing change functions and language functions during the collaborative writing processes revealed through Google Docs archives and collaborative essays. Semi-structured interviews were employed to examine factors influencing small group collaborations. The findings revealed that the two teams exhibited divergent interaction patterns, but the patterns of interaction remained consistent within each group across both tasks. The qualitative content analysis showed factors that affected team collaborations were individual goals, learners’ English proficiency, individual roles, and the use of collaborative agency. The findings may help elucidate the divergence of online collaborative writing and provide insightful information for instructors to design collaborative writing activities and assist EFL learners in the co-construction of writing tasks.

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Les joueurs sans problème de jeu de 55 ans et plus : événements, conséquences et caractéristiques structurelles et environnementales influençant les habitudes de jeu

Journal of Gambling Issues ◽

10.4309/jgi.2016.32.6 ◽

2016 ◽

pp. 89

Author(s):

Isabelle Giroux ◽

Francine Ferland ◽

Cathy Savard ◽

Christian Jacques ◽

Priscilla Brochu ◽

...

Keyword(s):

Content Analysis ◽

Focus Groups ◽

Life Events ◽

Psychological Health ◽

Qualitative Content Analysis ◽

Individual Characteristics ◽

Gambling Problems ◽

Negative Consequences ◽

The Individual

Gambling habits of people aged 55 years and over without gambling problems are rarely being investigated. In order to document life events and to identify the impacts of gambling on quality of life, 19 participants aged 55 to 74 years without gambling problems, male and female, were assembled in three focus groups. Qualitative content analysis of the groups reveals changes in gambling habits associated with transition to retirement and occurrence of health problems. The content analysis further reveals a variety of positive and negative consequences of gambling habits on finances, hobbies, social relationships, and psychological health. Although the focus groups did not target the structural or environmental characteristics of gambling that influence participants' gambling habits, those themes were brought up spontaneously. Results highlight the necessity to study life events from a larger perspective including, for example, protective and risk factors, in order to better understand the life contexts and the individual characteristics that may lead to an alteration or not of gambling habits.

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