The Way of Implementing the New Accreditation Standards at Shahid Motahhari Educational Center in Marvdasht City: A Qualitative Study

Background: One of the ways through which the quality of the hospital services can be improved is the accreditation, and most of the countries have launched their own accreditation system as a strategy to improve services. The aim of this research was to investigate the way of implementing the accreditation programs at Shahid Motahhari educational center in Marvdasht city. Methods: The current study was qualitative with conventional content analysis which was conducted by using the semi-structured interviews with eight officials and employees of Marvdasht Shahid Motahhari Medical Education Center in 2017. Purposeful sampling was done in this study and the next stage; the snowball sampling method was used to select the desired samples. Data were gathered to reach the data saturation point, and conventional content analysis was done to analyze the research data. Results: Two main themes and nineteen sub-themes were obtained through the nine categories. Self-confidence in the team, sense of superiority and achievement, all units’ coordination, accurate and scientific coherent supervision and management, and considering the book of standards as a guiding factor are among the strengths of this research.Poor management of programs, lack of proper context while running the program, lack of proper training, lack of financial and human resources, lack of commitment and interest in implementing the program among different groups were main identified barriers of the program. Conclusion: The effective factors on the implementation of the accreditation standards in the healthcarecenters should be identified. Besides, planning effective education, continued monitoring and assessing, creating suitable contexts of financial and human resources,consolidating the strengths and using the available potentials can be effective factors in line with the implemetation of accreditation standards. Keywords: Accreditation, Hospital, Qualitative study, Evaluation

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Explaining the Challenges of Coping with Coronavirus Crisis in the Workplaces: A Qualitative Study

10.21203/rs.3.rs-1187068/v1 ◽

2021 ◽

Author(s):

Abdolhamid Tajvar ◽

Zahra Hosseini ◽

Mohammadreza Farahbakhsh ◽

Anahita Fakherpour ◽

atefeh homayuni

Keyword(s):

Content Analysis ◽

Qualitative Study ◽

Organizational Factors ◽

Structured Interviews ◽

Governmental Organizations ◽

Purposeful Sampling ◽

The Family ◽

Conventional Content Analysis ◽

Lack Of Commitment ◽

Valid Information

Abstract Background: Workplaces play a highly important role in controlling or spreading the prevalence of COVID-19. Therefore, the lack of proper implementation of hygienic protocols in theses environments might increase the risk of getting infected with the COVID-19 among the employees, following the increase of the COVID-19 in the family and community levels. This qualitative study was aimed to explain the challenges of coping with coronavirus crisis in the workplaces.Methods: The present qualitative study was conducted with a conventional content analysis approach. We used the purposeful sampling with maximum diversity in terms of working processes. Data were collected through semi-structured interviews. Interviews were performed to the point of information saturation. MAXQDA software version 10 was used for data management.Results: Through the content analysis of the interviews with the participants, we identified 2 main classes and 9 sub-classes. The main classes included problems and limitations related to the intra-organizational factors (job nature, budget allocation problems, individual factors, disorganization, manpower and equipment, and Lack of commitment and insufficient support of managers) and extra-organizational factors (lack of accessibility to valid information, black market, and inter-sectorial coordination problems). Conclusion: The study findings indicated that organizations and industries face numerous internal and external challenges in coping with the COVID-19 pandemic. Paying attention to the mentioned limitations and attempting to eliminate them; especially, by the governmental organizations, employers, and managers could help in effective confronting the COVID-19 pandemic.

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Ups and downs of drug rehab among women: a qualitative study

10.21203/rs.2.13817/v3 ◽

2020 ◽

Author(s):

zahra boroumandfar ◽

masoud kianpour ◽

maryam afshari

Keyword(s):

Substance Use ◽

Content Analysis ◽

Qualitative Study ◽

Lived Experience ◽

Structured Interviews ◽

Vulnerable Group ◽

Addiction Prevention ◽

Theoretical Sampling ◽

Data Saturation ◽

Conventional Content Analysis

Abstract Background: due to the increasing importance of addicted women and the need to pay particular attention to this vulnerable group, and more awareness of women-specific addiction prevention and rehab programs among authorities. Objectives: In this content analysis of qualitative study we explored experiences of the women’s experience of the ups and downs of drug rehab Methods: 30 participants (addicted women) were selected through purposive and theoretical sampling until data saturation. Data collection was conducted through semi structured interviews. Conventional content analysis was utilized to analyze the transcribed interviews. Results: Based on analysis of the obtained results, the experience of women from the ups and downs of leaving the drug abuse yielded two themes and nine sub-themes. The themes were “the need for emancipation” and “Sinking factors”. Conclusions: It is concluded that addiction rehab strategies can only lead the addicted women to a brighter life when, along with open-hearted assistance by the families, women-specific rehab centers are established to help them meet their specific needs. Keywords: Substance Use, Lived Experience, Addiction disorders, Women's Health, qualitative study

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Women’s perception of continuity of team midwifery care in Iran: a qualitative content analysis

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03666-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Sholeh Shahinfar ◽

Parvin Abedi ◽

Mahin Najafian ◽

Zahra Abbaspoor ◽

Eesa Mohammadi ◽

...

Keyword(s):

Content Analysis ◽

Qualitative Study ◽

Sampling Method ◽

Qualitative Content Analysis ◽

Models Of Care ◽

Model Of Care ◽

Structured Interviews ◽

Midwifery Care ◽

Conventional Content Analysis ◽

Antenatal Education Classes

Abstract Background Understanding the pregnant women’s perception of continuity of team midwifery care is necessary for introducing and implementing this model of midwife-led care in the Iranian maternity services. This qualitative study aims to explore women’s perception of continuity of team midwifery care in Iran. Methods This research is a qualitative study conducted in Iran to explore women’s perception of continuity of team midwifery care during pregnancy, birth and postpartum from October 2019 to August 2020. Fifteen semi-structured interviews were conducted with women individually in private midwifery clinic through a purposive sampling method. Interviews were digitally recorded and transcribed verbatim in Persian and analyzed using conventional content analysis. Results From the data analysis, two themes, four main categories, and nine subcategories emerged. The themes were “Maternal empowerment” and “Mother’s satisfaction during the transition from pregnancy to motherhood”. The first theme included two categories of improving self-efficacy during antenatal education classes and the effective midwife-mother interaction. The second theme composed of two categories of satisfaction with the process of pregnancy, childbirth and postpartum as well as satisfaction with motherhood. Conclusion Findings of this qualitative study highlight the effectiveness of continuity of team midwifery model of care for promoting empowerment and satisfaction in women during pregnancy, birth and postpartum. The results of this study could pave the way for developing, introducing and implementing the midwife-led continuity models of care in Iran.

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Reflecting on the Challenges encountered by nurses at the great Kermanshah Earthquake: A qualitative study

10.21203/rs.3.rs-38281/v4 ◽

2020 ◽

Author(s):

Alireza Abdi ◽

Aliakbar Vaisi -Raygani ◽

Bahareh Najafi ◽

Hamid saidi ◽

khalil moradi

Keyword(s):

Content Analysis ◽

Data Analysis ◽

Qualitative Study ◽

Human Resources ◽

Healthcare Providers ◽

Educational Management ◽

National Team ◽

The Past ◽

Conventional Content Analysis ◽

Depth Interviews

Abstract Background: Iran has experienced an increasing number of earthquake disasters in the past three decades. Nurses are the largest group of healthcare providers that play an important role in responding to disasters. Therefore, this study aimed to explore the nursing challenges to provide care to the injured in the Kermanshah earthquake, Iran. Methods: The present study was conducted as a qualitative conventional content analysis, and data collection was carried out through 16 semi‑structured and in‑depth interviews with the nurses involved in providing care to the injured in the Kermanshah earthquake. The data were analyzed following Graneheim and Lundman’s approach.Results: Data analysis led to the emergence of 453 primary codes, 14 subcategories, and 5 categories. The five categories were as follows: (a) organizational and managerial challenges; (b) human resources; (c) infrastructure; (d) educational system; (e) and ethical.Conclusion: The results of this study showed that nurses faced several challenges in providing care to earthquake victims. Based on these findings, better educational management and planning, infrastructure reform, and establishment of a crisis nursing national team seem necessary.

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Fair prioritization of casualties in disaster triage: a qualitative study

BMC Emergency Medicine ◽

10.1186/s12873-021-00515-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Vahid Ghanbari ◽

Ali Ardalan ◽

Armin Zareiyan ◽

Amir Nejati ◽

Dan Hanfling ◽

...

Keyword(s):

Decision Making ◽

Content Analysis ◽

Ethical Decision ◽

Ethical Decision Making ◽

Mass Casualties ◽

Snowball Sampling ◽

Structured Interviews ◽

Contributing Factors ◽

Conventional Content Analysis ◽

Care Demands

Abstract Background Disasters may result in mass casualties and an imbalance between health care demands and supplies. This imbalance necessitates the prioritization of the victims based on the severity of their condition. Contributing factors and their effect on decision-making is a challenging issue in disaster triage. The present study seeks to address criteria for ethical decision-making in the prioritization of patients in disaster triage. Methods This conventional content analysis study was conducted in 2017. Subjects were selected from among Iranian experts using purposeful and snowball sampling methods. Data were collected using semi-structured interviews and were analyzed by the content analysis. Results Efficient and effective triage and priority-oriented triage were the main categories. These categories summarized a number of medical and nonmedical factors that should be considered in the prioritization of the victims in disaster triage. Conclusion A combination of measures should be considered to maximize the benefits of the prioritization of causalities in disasters. None of these measures alone would suffice to explain all aspects of ethical decision-making in disaster triage. Further investigations are needed to elaborate on these criteria in decision-making.

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Perceived occupational stressors among emergency medical service providers: a qualitative study

BMC Emergency Medicine ◽

10.1186/s12873-021-00430-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ali Afshari ◽

Seyed Reza Borzou ◽

Farshid Shamsaei ◽

Eesa Mohammadi ◽

Leili Tapak

Keyword(s):

Content Analysis ◽

Qualitative Study ◽

Service Providers ◽

Care Quality ◽

Critical Conditions ◽

Continuous Exposure ◽

Occupational Stressors ◽

Structured Interviews ◽

Emergency Medical ◽

Conventional Content Analysis

Abstract Introduction Emergency medical services (EMS) providers are at continuous exposure to occupational stressors which negatively affect their health and professional practice. This study explored perceived occupational stressors among EMS providers. Methods This qualitative study was conducted from December 2019 to April 2020 using conventional content analysis. Sixteen EMS providers were purposively selected from EMS stations in Hamadan, Iran. Semi-structured interviews (with length of 45–60 min) were held for data collection. Data were analyzed through Graneheim and Lundman’s conventional content analysis approach. Findings Data analysis resulted in the development of two themes, namely critical conditions of EMS provision, and personal and professional conflicts. The six categories of these two themes were complexity of patients’ clinical conditions, interruption of EMS provision, health hazards, interpersonal problems, interprofessional interactions, and legal conflicts. Conclusion Besides the stress associated with emergency patient care, EMS providers face many different occupational stressors. EMS managers can use the findings of the present study to develop strategies for reducing occupational stress among EMS providers and thereby, improve their health and care quality.

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Women’s Perception of Continuity of Team Midwifery Care in Iran: A Qualitative Study

10.21203/rs.3.rs-141069/v1 ◽

2021 ◽

Author(s):

sholeh shahinfar ◽

parvin abedi ◽

mahin najafian ◽

zahra abbaspoor ◽

Eesa Mohammadi ◽

...

Keyword(s):

Content Analysis ◽

Data Analysis ◽

Qualitative Study ◽

Sampling Method ◽

Models Of Care ◽

Model Of Care ◽

Structured Interviews ◽

Midwifery Care ◽

Conventional Content Analysis ◽

Antenatal Education Classes

Abstract Background: Understanding the pregnant women’s perception of continuity of team midwifery care is necessary for introducing and implementing this model of midwife-led care in the Iranian maternity services. This qualitative study aims to explore women’s perception of continuity of team midwifery care in Iran. Methods: This research is a qualitative study conducted in Iran to explore women's perception of continuity of team midwifery care during pregnancy, birth and postpartum from October 2019 to August 2020. 15 semi-structured interviews were conducted with women individually through a purposive sampling method. Interviews were digitally recorded and transcribed verbatim and analyzed using conventional content analysis. Results: From the data analysis, two themes, four main categories, and nine subcategories emerged. The themes were “Maternal empowerment” and “Mother’s satisfaction during the transition from pregnancy to motherhood”. The first theme included two categories of improving self-efficacy during antenatal education classes and the effective midwife-mother interaction. The second theme composed of two categories of satisfaction with the process of pregnancy, childbirth and postpartum as well as satisfaction with motherhood.Conclusion: Findings of this qualitative study highlight the effectiveness of continuity of team midwifery model of care for promoting empowerment and satisfaction in women during pregnancy, birth and postpartum. The results of this study could pave the way for developing, introducing and implementing the midwife-led continuity models of care in Iran.

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Reflecting on the challenges encountered by nurses at the great Kermanshah earthquake: a qualitative study

BMC Nursing ◽

10.1186/s12912-021-00605-3 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Alireza Abdi ◽

Aliakbar Vaisi -Raygani ◽

Bahareh Najafi ◽

Hamid Saidi ◽

Khalil Moradi

Keyword(s):

Qualitative Study ◽

Human Resources ◽

Sampling Method ◽

Healthcare Providers ◽

Structured Interviews ◽

Educational Management ◽

National Team ◽

The Past ◽

Purposeful Sampling ◽

Conventional Content Analysis

Abstract Background Iran has experienced an increasing number of earthquake in the past three decades. Nurses are the largest group of healthcare providers that play an important role in responding to disasters. Based on previous studies, they experienced challenges providing care in the previous disasters. Therefore, this study aimed to explore the nursing challenges to provide care to the injured in the Kermanshah earthquake, Iran. Methods This is a qualitative study with conventional content analysis using Granheim and Landman approach. In this study, 16 nurses involved in providing care to the injured in the Kermanshah earthquake were selected by purposeful sampling method. Data were collected using in-depth semi-structured interviews. The criteria proposed by Guba and Lincoln were used to ensure the validity of the study. Results Data analysis led to the emergence of 453 primary codes, 14 subcategories, and 5 categories. The five categories were as follows: (a) organizational and managerial challenges; (b) human resources; (c) infrastructure; (d) educational preparations; (e) and ethical. Conclusions The results of this study showed that nurses faced several challenges in providing care to earthquake victims. Based on these findings, better educational management and planning, infrastructure reform, and establishment of a crisis nursing national team seem necessary.

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Perceptions of type-II diabetes patients about the support sources for their disease: A qualitative study to access support sources in deprived regions

10.21203/rs.3.rs-110439/v1 ◽

2020 ◽

Author(s):

Arezoo Shahsavari ◽

Fatemeh Estebsari ◽

Foroozan Atashzadeh-Shoorideh ◽

Mahnaz Ilkhani

Keyword(s):

Content Analysis ◽

Qualitative Study ◽

Type Ii Diabetes ◽

Type Ii ◽

Structured Interviews ◽

Economic Support ◽

Number Of Patients ◽

Patients With Diabetes ◽

Conventional Content Analysis ◽

Diabetes Patients

Abstract Background: The number of patients with diabetes is increasing in all countries and different societal strata. This chronic disease requires extensive behavioral changes and adherence to a complex treatment program. Various factors affect the process of diabetes care and treatment; among them, support sources have been proposed as highly involved in controlling this disease. The present study was conducted to explain the perceptions of type-II diabetes patients about the support sources for their disease.Methods: The present qualitative study was conducted using conventional content analysis in 2020 in Lorestan Province as one of Iran’s deprived provinces on 19 participants, including 14 patients with diabetes type-II and five of their family caregivers. The participants were selected through purposive sampling, which continued until the saturation of the data. Data were collected using semi-structured interviews, and analyzed using conventional content analysis.Results: The process of content analysis resulted in the extraction of two themes: Care incentives, consisting of the ‘influential supporters’ and ‘efficient organizations’ categories, and support strategies, consisting of the ‘technological scope’ and ‘economic support’ categories. These themes reveal the nature and dimensions of participants’ perceptions of support sources.Conclusions: By revealing the different dimensions of support sources in type-II diabetes patients, the results stressed that care programs for type-II diabetes patients should be designed considering the support sources available and with the goal of improving the capacity of the personal, social, and professional networks associated with these patients.

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