scholarly journals Experiences of Conscious Patients Undergoing Tracheal Intubation; A Qualitative Study

Author(s):  
Ali Labaf ◽  
Fariba Asghari ◽  
Shahram Samadi ◽  
Atefeh Abdollahi ◽  
Seyran Zobeiry ◽  
...  

Background: Tracheal intubation is a life-saving action in situations such as respiratory failure. However, this therapeutic approach may produce a series of side effects and physiological stress, such as pain, insomnia, anxiety, fear, etc. Methods: The present study is a qualitative research with a content analysis method conducted for a period of two years. This study's required information has been collected using non-structured face-to-face interviews with 22 patients hospitalized in emergency and intensive care units. The data were analyzed using open coding and MAXQDA 12. Results: Findings from the interviews' were divided into two main categories of mental and physical experiences. Mental experiences are divided into 12 sub-categories and physical experiences into 7 sub-categories, each of them is also divided into further categories. Inability to speak is the most frequent complaint of patients in this study. The pain was the most common physical complaint of patients, mostly due to pain in the organs and pain due to blood sampling. Conclusion: Despite special training of medical staff in emergency and intensive care units to take care of patients and to obviate their special needs, it is observing that some patients under certain conditions such as intubation still face many unmet needs.

2021 ◽  
Author(s):  
Azam Naderi ◽  
Abbas Abbaszadeh ◽  
Rostam Jalali ◽  
Marzieh Pazokian ◽  
Camelia Rohani

Abstract Background Nurse prescribing is a successful innovation in the role of nurses in the world. It is crucial to assess the challenges of nurse prescribing roles in the Intensive Care Units (ICU), due to the needs of the patients in these units. This qualitative study aimed was to explore the experts’ experiences regarding lack of the legality of nurse prescribing in ICU in the healthcare system of Iran. Methods Data were collected through semi structured face-to-face interviews with 33 experts chosen according to purposive and snowballing sampling with maximum variation. The interviews were analysed using Graneheim and Lundman's conventional content analysis method. After overviewing the interviews, semantic units, codes, subcategories, categories and themes were extracted. The qualitative data were analysed using MAXQDA software version 10. Results The main theme of the study was “The current challenges due to the illegality of nurse prescribing” with five categories and 12 subcategories. The five categories included the "current reality of illegal prescribing", "patient safety threat", "current conflicts", "physician as an autocratic group," and "prescribing demands." Conclusion Despite the nurse prescribing role has been legalized and implemented in many countries, there is still no law in the ICU and other places in Iran, and this lack of legality has led to the conflicts and challenges for the patients, nurses and healthcare system. The legality of nurse prescribing in the ICU can prevent medication errors and endangering patient safety.


2019 ◽  
Vol 09 (01) ◽  
pp. 016-020
Author(s):  
Haydeh Heidari ◽  
Marjan Mardani-Hamooleh

AbstractFamily-centered care (FCC) is one of the important elements of care in neonatal intensive care units (NICUs). The aim of this study was to understand the nurses' perception of FCC in NICUs. This qualitative study was performed using conventional content analysis. Participants in this study included 18 nurses who were selected by a purposeful method. Semistructured, in-depth and face-to-face interviews were conducted with the participants. All interviews were written down, reviewed, and analyzed. Two categories were identified after the data analysis: (1) prerequisite for providing FCC and (2) parents' participation. Prerequisite for providing FCC consisted of two subcategories namely suitable facilities and adequate personnel. Parents' participation included subcategories of parents: neonate's attachment and parents' training. Nurses' perception of FCC in NICUs can facilitate an appropriate condition for the participation of family members in the care of neonates.


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Yaser Moradi ◽  
Rahim Baghaei ◽  
keyvan Hosseingholipour ◽  
Farzin Mollazadeh

Abstract Background The exponential spread of COVID-19 has caused a huge threat to public health worldwide. Providing care for patients with COVID-19 is a stressful experience for ICU nurses, which can affect their protective reactions. The present study was conducted to explore the protective reactions of ICU nurses providing care for patients with COVID-19. Methods This qualitative descriptive study was conducted to discover the protective reactions of nurses providing care for patients with COVID-19. A total of 14 ICU nurses were selected by purposive sampling. Data were collected using individual semi-structured face-to-face interviews. All interviews were recorded, and then codes and themes were extracted using content analysis method. Finding Seventeen subcategories, six categories and two themes were extracted from the analysis of data. These themes include “Unbalanced self-protective reactions” and “Responsible self-protective reactions”. Conclusion During the COVID-19 epidemic and crisis, ICU nurses exhibit different self-protective reactions when providing care for patients with COVID-19, which include unbalanced and responsible reactions. Nursing managers can mitigate these unbalanced reactions by identifying them and their roots. Identifying the protective reactions of ICU nurses in providing care for patients with COVID-19 could assist in developing the necessary interventions to promote positive reactions and reduce unbalanced reactions by finding their root causes.


2021 ◽  
Author(s):  
Hasan Edalatkhah ◽  
Saeid Sadeghie-Ahary ◽  
Fatemeh Abbasnejad ◽  
Mansoureh Karimollahi

Abstract Background The skin condition called Melasma affects patients’ appearance significantly and also impacts them psychologically and emotionally, besides leading to an impaired body image. Aim Since access to quality information in different cultural environments is necessary to understand the psychological problems associated with Melasma, the aim of this qualitative study was to explore the experiences of 20 Iranian women with Melasma. Patients/Methods: The content analysis method was employed for this study. Twenty participants were selected through purposive sampling, and data was collected through face-to-face in-depth interviews, and then transcribed verbatim. Results After categorizing the initial codes, 14 subthemes were identified, which were classified under five themes—camouflage, seeking treatment, lost beauty, grief, and others’ reaction; these were then grouped under a general one, “in search of lost beauty.” Conclusions Melasma has a tremendous impact on the lives of the women it affects, and therapists should focus on the condition’s social and psychological aspects, in addition to treatment.


2018 ◽  
Vol 26 (6) ◽  
pp. 1873-1885 ◽  
Author(s):  
Somayeh Mousazadeh ◽  
Shahrzad Yektatalab ◽  
Marzieh Momennasab ◽  
Soroor Parvizy

Background: Nurses face challenges regarding professional identify. Being unaware of these challenges and not owning positive professional identify leads to a lack of self-confidence. Thus, nurses face problems in interpersonal communication and lose their attachment to their profession. Few studies have engaged with impediments to forming positive professional identity in relation to intensive care nurses. Objective: The purpose of this study is to investigate the impediments to forming positive professional identity in nurses working in intensive care unit. Research design: In this study, the conventional content analysis method was used in order to obtain the impediments to forming positive professional identities in nurses. Data were collected through 15 semi-structured interviews and 2 focus group interviews from March 2015 to June 2016. Purposive sampling was used and participants were recruited until data saturation was reached; they were then analyzed using the conventional content analysis method. Participants and research context: In total, 24 intensive care unit nurses from one hospital in Northern Iran were selected through purposive sampling. Ethical consideration: This study was approved by the Ethics Committee of Shiraz University of Medical Sciences. Findings: Four main themes of professional identity challenges were extracted from the analysis of the data: neglect of professional status of nursing; distrust of nursing knowledge; unprofessional performance; and low professional attraction. Discussion and conclusion: Nurses stated that the neglect of the professional status of nursing and distrust of nursing knowledge have always been a hindrance in forming a positive professional identity. They also mentioned that unprofessional performance and low professional attraction are the other influencing factors in this regard. Thus, detecting these factors can guide nurses and their managers towards creating positive professional identity, and as a result, will improve their job satisfaction, professional advancement, and durability.


2019 ◽  
Vol 2 (8) ◽  
pp. 68
Author(s):  
Daiva Alifanovienė ◽  
Odeta Šapelytė ◽  
Darius Gerulaitis

<p>The article deals with the reconstruction of the context of coping with occupational stress experienced by social welfare specialists in different socio-cultural environments. It is aimed to reveal the contexts of the possibilities to cope with stress and of consequences of stress experienced by specialists of social welfare professions of Lithuania and <em>Great Britain</em> (N=10). The professionals’ experience was analysed using a qualitative data collection method (semi-structured <em>interview</em>), employing open-ended questions by the assessment areas foreseen by the researchers and formulated upon the analysis of scientific literature and the authors’ research, disclosing the peculiarities of experienced occupational stress and possibilities of coping with it. The research data were analysed employing the content analysis method, using the open coding procedure; validation of the research data was performed using an expert method. Reconstruction of the multilayered context of socio-cultural diversity of social welfare specialists of Lithuanian and Great Britain highlighted ambiguous semantics of stress coping possibilities: the success of coping with occupational stress possibly depends on the interaction between the variables of a personality (intrapersonal) and social environment (interpersonal). Stressful situations affect both personally and professionally, causing changes in specialists’ emotions, cognitive activity, behaviour, aggravating relationships with colleagues and reducing work efficiency.</p>


2121 ◽  
Vol 7 (1) ◽  
pp. 9-16
Author(s):  
Mansoureh Karimollahi ◽  
◽  
Zahra Tazakori ◽  
Roghiyeh Falahtabar ◽  
Mehdi Ajri-Khameslou ◽  
...  

Background: There are specific challenges regarding the perceptions of families of comatose patients in Intensive Care Units (ICUs). Identifying these perceptions may attract the cooperation of families with nurses and provide better care for patients. This study aimed to explore the perceptions of families of comatose patients in ICUs. Methods: This was a qualitative content-analysis study. Seventeen families with comatose patients were recruited by the purposive sampling technique. The necessary data were generated by semi-structured interviews, continued until data saturation, and concurrently analyzed by an inductive content analysis method. Results: Four main categories were manifested, including shock and disbelief, the effort for adaptation, exhaustion, and burnout, as well as hope and support. Conclusion: The obtained results signified the importance of nurses’ awareness concerning the family members’ perceptions of their comatose patient status in ICUs. The relevant findings reflected the need for nurses to pay attention to the feelings and emotions of the families of these patients.


Author(s):  
Emre Yildiz

This study aimed to examine science teachers’ opinions about online education during the pandemic period. In the research, phenomenological research, one of the qualitative research designs, was adopted. In the 2020–2021 academic year, 33 science teachers working in central and rural areas of Erzurum were studied. An online interview form was used as a data collection tool. The content analysis method was used in the analysis of the data. As a result, it can be said that, in addition to the disadvantages of online education, it provides convenience to teachers and students in various fields and has an advantage compared to face-to-face education. To facilitate the adaptation of teachers and students to online education, informative training can be provided, parents can be informed about the process and students can be supported in solving their problems.     Keywords: Views, online education, teacher, pandemic, science teachers.


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