scholarly journals Explaining stress coping behaviors in patients with multiple sclerosis based on the PRECEDE model: a qualitative directed content analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Atefeh Homayuni ◽  
Zahra Hosseini ◽  
Sedigheh Abedini

Abstract Background Stress can be regarded as one of the consequences of Multiple Sclerosis (MS) and a factor in exacerbating or recurring the symptoms resulting from the disease. This study aimed to explain the stress coping behaviors in patients with MS based on the PRECEDE model. Methods This study is a qualitative directed content analysis research based on the PRECEDE model. Data were obtained through in-depth semi-structured interviews with 26 patients with MS, who were selected using a purposive sampling and maximum diversity in terms of gender, age, education, marital status, and employment. Data collection continued until the saturation occurred. Simultaneously, collected data were analyzed using a qualitative directed content analysis method. Results Data analysis led to the identification of 11 sub-categories. Of these, 10 sub-categories were assigned to three categories of predisposing factors (awareness, attitude, self-efficacy, and perceived severity), enabling factors (existence of resources, access to resources, skills of using resources, and educational preferences), and reinforcing factors (social support, important others and behavioral consequences). The social comparison category was a new category identified from the analysis of interviews. Conclusions Based on the results, individual, environmental and social factors play a role in the stress of these patients. Designing programs that lead to their empowerment and improvements in the environmental and social conditions can be effective in controlling stress in these patients. Based on the results, planners can adopt the most appropriate strategies to change these determinants, help reduce stress, and promote the psychological standard of living in these patients.

2021 ◽  
Vol 22 (3) ◽  
pp. 378-393
Author(s):  
Sara Bachari ◽  
◽  
Ghazaleh Mandani ◽  
Roya Ghasemzadeh ◽  
Shadab Shahali ◽  
...  

Objective: Chronic Multiple Sclerosis (MS) often occurs in middle-aged people, who are supposed to take their most important roles in the family and community and thus affect their self-advocacy. This study aimed to identify the barriers to self-advocacy in women with MS. Materials & Methods: This study was conducted using a qualitative content analysis method. The participants were 10 female members of the MS Association of Khuzestan Province of Iran aged 30-40 years with different educational levels, marital status, and occupations. They were selected using a purposive sampling method. The study data were collected through semi-structured interviews and continued until data saturation from June to November 2019. The content analysis was performed using Lundman and Graneheim’s qualitative content analysis method with an inductive approach conducted continuously and simultaneously with data collection. To evaluate the validity and reliability of qualitative data, we used Lincoln and Guba criteria (credibility, dependability, conformability, and transferability). Results: The data analysis revealed 900 codes, 21 subcategories, and 6 themes of family barriers, medical barriers, job-related barriers, environmental barriers, sociocultural barriers, and psychological barriers. Conclusion: Women with MS face a variety of barriers to self-advocacy; most of them are related to family, environment, and society, in addition to personal barriers. Social support and the availability of sufficient and appropriate information about MS can play an important role in confronting these women with mentioned barriers and realizing their self-advocacy.


2016 ◽  
Vol 6 (1) ◽  
pp. 145 ◽  
Author(s):  
Gürsel Güler

<p>The aim of this study is to examine the difficulties prospective mathematics teachers experience in mathematical proving, the courses in which they have difficulties in proving, the importance of proof in mathematics education and its functions in their professional lives. The data of the study was collected via semi-structured interviews with fifteen academicians who volunteered to take part in the study. Content analysis method was used to analyze the data obtained. As a result of the study, based the views of the academicians, it was seen that prospective mathematics teachers experience four different difficulties in proving. Besides, in line with the views of the academicians the following categories were formed: the courses that prospective teachers experience difficulty, the importance of proof in mathematics education and its functions in prospective teachers’ professional lives and these categories were presented with their subcategories.</p>


2021 ◽  
Vol 16 (2) ◽  
pp. 45-53
Author(s):  
Fatemeh Kiani ◽  
Alireza Shahsavani ◽  
Zeinab Barahoui

Background and Purpose: Providing services in the nursing profession is very wide. In the field of clinical services, one of the most important is to provide care related to medication, which in fact is one of the ways to assess the quality of nursing care, so this study aims to provide a solution. Technical measures were taken to improve the performance of nurses in the drug delivery process in hospitals affiliated to Zahedan University of Medical Sciences in Iran Materials and Methods: This study was conducted with a qualitative approach and contractual content analysis method in 2017-18. Participants were 16 nurses and a physician working in different wards of the hospital who were included in the study by purposive sampling. The method of data collection was semi-structured interviews. All interviews were conducted and reviewed and analyzed by contractual content analysis. Results: In the present study, "steps to prevent drug error" as the main category and "acting professionally" and "providing technical solutions" as two subcategories were extracted from the data. Conclusion: The results showed that the use of nurses 'experience and knowledge as technical solutions to prevent drug errors can play an important role in improving nurses' performance and increasing patient safety


Retos ◽  
2020 ◽  
pp. 163-168
Author(s):  
Isabelle Plociniak Costa ◽  
André Felipe Caregnato ◽  
José Francisco López-Gil ◽  
Fernando Renato Cavichiolli

Resumo. A formação esportiva é um processo que depende de vários fatores internos e externos ao individuo. Nesse processo, a forma que ocorre a iniciação esportiva é de alta relevância, pois um planejamento organizado possibilita uma formação qualificada. O objetivo deste estudo é investigar como ocorre a iniciação esportiva na modalidade de atletismo de acordo com a perspectiva de atletas olímpicos brasileiros. Metodologia: Foi utilizada uma pesquisa do tipo qualitativo empregando a técnica de entrevistas semiestruturada, sendo que os dados obtidos foram agrupados a partir dos preceitos do método «análise do conteúdo». Resultados: Como resultado aparece que instituições escolares são as entidades de maior prevalência na iniciação esportiva de atletismo no Brasil, na sequência aparecem prefeituras, projetos sociais e associações. E os motivos pela busca da modalidade são variados, sendo a diversão o motivo que mais foi relatada. Conclusões: É possível perceber a importância das instituições escolares na iniciação esportiva, pois auxiliam na experimentação da modalidade de atletismo. Resumen. El entrenamiento deportivo es un proceso que depende de varios factores internos y externos al individuo. En este proceso, la forma en que se produce la iniciación deportiva es de gran relevancia, puesto que una planificación organizada permite una formación de mayor calidad. El objetivo de este estudio es investigar cómo se produce la iniciación deportiva en el atletismo según la perspectiva de atletas olímpicos brasileños. Metodología: Se realizó una investigación cualitativa empleando la técnica de entrevistas semiestructuradas, y los datos obtenidos se agruparon a partir de los preceptos del método de «análisis de contenido». Resultados: Como resultado, parece que las instituciones escolares son las entidades que más prevalecen en la iniciación del atletismo en Brasil; seguido de ayuntamientos, proyectos sociales y asociaciones. Los motivos para la búsqueda de la práctica deportiva son variados, siendo la diversión la razón más reportadas. Conclusiones: Es posible percibir la importancia de las instituciones escolares en la iniciación del deporte, en base a la ayuda que ofrecen a la modalidad deportiva del atletismo.Palabras clave: carrera deportiva, entrenamiento deportivo, instituciones académicas, entrenamiento deportivo, rendimento atlético. Abstract. Sport training is a process that depends on various factors both internal and external to the individual. In this process, the way in which the sports initiation takes place is highly relevant, since an organised planning allows a higher quality training. The objective of this study is to investigate how sport initiation in athletics occurs according to the perspective of Brazilian Olympic athletes. Methodology: A qualitative research was carried out using the technique of semi-structured interviews, and the data obtained were grouped based on the precepts of the «content analysis» method. Results: As a result, it seems that school institutions are the most prevalent entities in the initiation of athletics in Brazil; followed by city halls, social projects and associations. The reasons for the pursuit of sports practice are varied, with fun being the most reported reason. Conclusions: It is possible to perceive the importance of school institutions in the initiation of sport, based on the help they offer to the sport modality of athletics.


Author(s):  
Nasrin Rezaee ◽  
Marjan Mardani-Hamooleh ◽  
Maryam Seraji

Nurses face several challenges in providing care for patients with coronavirus disease in 2019 (COVID-19). The study aimed to explain the nurses' perception of ethical challenges in this regard. The qualitative study was carried out using a content analysis method. Individual and semi-structured interviews were conducted with 24 nurses. Inductive content analysis was used to categorize the data. Nurses' narratives indicated that ethical challenges in caring for patients with COVID-19 included threats to professional values ​​and the absence of a holistic COVID-19 care approach. The first category was subcategorized into the risk of declining quality of patient care and a stigmatized public image about COVID-19 care. The second category was divided into poor spiritual care, poor compassionate care, and lack of family-centered care. Health care managers must develop protocols for nurses that address these issues to alleviate the ethical challenges of COVID-19 care.


2020 ◽  
Author(s):  
Sima Hejazi ◽  
Meimanat Hosseini ◽  
Abbas Ebadi ◽  
Hamid AlaviMajd

Abstract Background Living with End Stage Kidney Disease and hemodialysis place too much burden on patients and their caregivers. The concept of caregiver burden describes a set of diverse caregiver experiences in providing care and requires a complex and multifaceted definition. Limited studies have looked at caregivers of patients receiving hemodialysis and the concept of caregiver burden from their perspective. This study aims to develop the concept of caregiver burden among family caregivers of patients receiving hemodialysis.Method This study was conducted using directed qualitative content analysis method. Twenty one family caregivers, patients, dialysis nurses, physicians, and social workers in teaching hospitals of Tehran and the Iranian Kidney Foundation, Tehran, Iran were enrolled using maximum variation purposive sampling method. Sampling was continued until data saturation was reached. The data collection method was in-depth and semi-structured interviews. In order to analyze the data, the directed qualitative content analysis method was conducted based on the method proposed by Elo and Kyngas which was modified by Assaroudi et al.Results A total of 1162 codes, 63 subcategories, 18 generic categories, and 5 main categories were extracted. The concept of caregiver burden in family caregivers of patients receiving hemodialysis and its dimensions based on the dimensions of the Structural Model of Caregiver Burden Model were approved and another dimension titled a time-dependent burden added to it. Conclusions The caregiver burden experienced by caregivers of patients receiving hemodialysis has physical, psychological, emotional, spiritual, financial, social, and time-dependent dimensions.


2020 ◽  
Author(s):  
keshvar samadaee gelehkolaee ◽  
Raziyeh Maasoumi ◽  
Seyed Ali Azin ◽  
Saharnaz Nedjat ◽  
Moslem Parto ◽  
...  

Abstract Background: A coherent sexuality education program for adolescents is part of their sexual and reproductive rights and can help them have a healthier future. Therefore, the aim of this study was to explore the perspectives and intervention preferences of Iranian stakeholders regarding comprehensive sexuality education (CSE) in male adolescents based on the IMB model (Information, Motivation, Behavioral skills). Methods: This study was a qualitative study that was analyzed through a directed content analysis approach. Individual interviews and focused group discussions (FGDs) were used for data collection. The data were collected through in-depth semi-structured interviews with stakeholders in two schools and the Education Department in Sari and the Ministry of Health and Ministry of Education in Tehran from March 2019 to August 2019. Data saturation was achieved after 28 interviews and 1 FGDs with 9 participants. Finally, two sets of data were coded and analyzed using directed content analysis. Results: In this study, five themes emerged as (1) role of institutions; (2) role of organizations; (3) need for stakeholder’s partnership; (4) need for adolescent sexuality socialization management; and (5) need for enhancing the teachers’ professional competence, which seemed to influence the implementation of CSE in male adolescents. Participants also expressed a number of intervention preferences for CSE. The most important of these was the change in macro policies, helping to create a culture against all forms of violence and breaking the taboo of sexuality education for children and adolescents.Conclusions: The results of this study revealed the need for a CSE program for adolescents' sexuality socialization. The finding showed that teachers required training to enhance their professional competence about sexuality issues. Therefore, it is necessary to design and implement culture-appropriate skill based programs to enhance the teachers’ professional competence regarding the adolescents’ sexual health.


2021 ◽  
Vol 9 (2) ◽  
pp. 81-92
Author(s):  
Somayeh Seyed Karimi ◽  
◽  
Anahita Khodabakhshi-Koolaee ◽  
Mohammad Reza Falsafinejad ◽  
◽  
...  

Objective: The birth of the first child and the couple’s transition to parenthood can significantly change individuals’ marital life. Accordingly, this study aimed to identify psychological challenges to transition to parenthood in first-time parents. Methods: The study employed a qualitative approach based on the content analysis method. The research population included all first-time parents who were referred to the Amjadieh Khaghani Community Counseling Center in District 7 of Tehran City, Iran, from May to August 2020. Besides, the studied couples had a child aged <4 years old. The study participants were 17 couples (n=34 subjects) who were selected using the purposive sampling technique and based on the theoretical saturation criterion. The required data were collected by conducting semi-structured interviews with the research participants. The interviews were recorded, then transcribed verbatim. eventually, after the extraction, the obtained data were coded and categorized using a content analysis method in MAXQDA. Results: Analyzing the obtained data revealed that the transition to parenthood can typically be considered either a positive or negative experience. The most serious challenges faced by couples in the transition to parenthood included ambiguity and changes in the spousal role; duality and conflict in the motherhood role; feeling restricted and prevented from pursuing personal goals; psychological and emotional support from the family and husband; parenting disagreements; changes in sexual relations; fear of the failure to financially support the child; dissatisfaction with the appearance and weight change, and differences in parenting practices. The core theme was the transition to parenthood; from couples to parents. Conclusion: Transition to parenthood seems to be a vital change in the lives of couples; thus, some measures are required to prepare couples for such a transition. The insights from this study can help family counselors, midwives, and family nurses to develop and hold training and preparation programs for couples; such services should be provided to the couples before experiencing parenthood. This could prepare parents for the challenges of their new life.


2019 ◽  
Author(s):  
Hamid Safarpour ◽  
Saeideh Fooladlou ◽  
Meysam Safi Keykaleh ◽  
Somayyeh Mousavipour ◽  
Davoud Pirani ◽  
...  

Abstract Background Examining various problems after disasters is important for affected people. One of the most important problems after disasters is the management of humanitarian aid and donations among the affected people. Therefore, the aim of this study was to explore Challenges and barriers of humanitarian aid management in 2017 Kermanshah Earthquake. Methods This study was conducted using conventional qualitative content analysis method. This study was carried out from November 2017 to January 2018. The data were collected through semi-structured interviews and purposeful sampling and continued until the saturation of the data. Data collection and analysis phases of research proceed simultaneously and with constant comparison. 21 people, including 6 humanitarian aid manager, 6 volunteers, 4 aid workers, and 5 affected people participated in the study. Results The findings of this study identified two categories and 12 sub-categories concerning challenges and barriers of humanitarian aid and donors’ management during the 2017 Kermanshah Earthquake. During the analysis process two main categories included management and policy barriers, and structural and operational barriers were extracted. Conclusions Effective management and proper policies in relation to humanitarian aid and the modifying of structural and operational barriers can resulted in improve performance and effective humanitarian aid management.


Author(s):  
Zohre Najafi ◽  
Abbas Abbaszadeh ◽  
Hassan Vaezi ◽  
Maryam Rassouli ◽  
Amir Mirhaghi ◽  
...  

Introduction: The lack of a fixed and clear protocol causes confusion for nurses resulting in care performance delay in the emergency room (ER). Given that the purpose of triage is to examine the patient upon arrival in ER for the rapid classification and prioritization of emergency patients in need of treatment, it seems that the development and implementation of hospital triage standards can greatly affect this purpose. Objective: The present study was conducted to review the experiences of experts in hospital triage in terms of determining the standards of hospital ER triage. Methods: This qualitative research was conducted through content analysis method based on Donabedian model. Participants include experts (Politician, Nurse Supervisor, Nurse, Midwife, Faculty of Nursing, Emergency Medicine Specialist) working in educational and private hospitals and single-specialized ERs. Data were collected through in-depth and semi-structured interviews lasting between 25-60 minutes. The main interview questions were: What are the structural standards of a good triage?  What are the process standards for a good triage?  What are the standards of a good triage? Data analyzed through Content Directed Analysis with Shannon and Hsieh approach. Results: Totally, 21 experts the mean age of 46.9±1.8 (ranged from 30 to 57) years and the mean work experience of 18.9± 8.21 years were participated, of whom 16 (76.2%) persons were male. From the analysis, we extracted 48 codes, 14 subcategories and 3 main categories of "structural standards", "process standards" and "outcome standards". Conclusions: Guidelines are needed so that the nurse in charge of triage can quickly and accurately undertake the important responsibility of patient triage. Additionally, having structure and process and outcome standards improves triage performance.


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