scholarly journals Personal factors affecting medical professionalism: a qualitative study in Iran

2020 ◽  
Author(s):  
Fateme Alipour ◽  
Zahra Shahvari ◽  
Fariba Asghari ◽  
Shahram Samadi ◽  
Homayoun Amini
Keyword(s):  
Qualitative Study ◽  
Mental Health Problems ◽  
Medical Professionalism ◽  
Clinical Settings ◽  
Personal Factors ◽  
Physical And Mental Health ◽  
Medical Sciences ◽  
Group Discussions ◽  
Professional Behaviors ◽  
Factors Affecting

Professional behavior with patients and interactions with colleagues, the institution and professional bodies are influenced by many factors. The purpose of this manuscript is to clarify those personal factors affecting medical professionalism in clinical settings affiliated with Tehran University of Medical Sciences. For this purpose, a qualitative study was carried out. One hundred and eighty-two participants were recruited through purposive sampling of clinical staff, physicians, and medical students in Tehran. Data were collected through 22 focus group discussions, and conventional content analysis was used to analyze the data.  The results were reported in five categories to present the participants’ views. Categories were extracted from 103 codes and consisted of 1) people's belief in professionalism, 2) personality traits, 3) problems in family, 4) mental or physical health status, and 5) communication skills. The results showed that despite the facilitator roles of some personal factors, others act as barriers to professional behaviors. In order to control their impact, it is crucial to pay attention to them at the time of student/staff selection. Strengthening support systems in the organization is also essential for decreasing the effect of family problems or physical and mental health problems.

scholarly journals Marginalization of Professionalism in Clinical Settings; A qualitative study at Tehran University of Medical Sciences

2020 ◽  
Author(s):  
Fateme Alipour ◽  
Zahra Shahvari
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
Faculty Members ◽  
Professional Behavior ◽  
Clinical Settings ◽  
Medical Sciences ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Management Level ◽  
Management Issues

Background: Management-level challenges are among the factors that undermine the individuals' adherence to professional behavior in clinical settings. This study investigated glitches of the management system in clinical settings from the perspective of staff, faculty members, and medical students/residents in hospitals affiliated to Tehran University of Medical Sciences. Methods: This qualitative study was conducted in 2 parts by exploring the viewpoints of personnel and physicians. In this regard, 8 focus group discussions were performed with 85 faculty members, clinical residents, and interns. Furthermore, 15 focus group discussions were held with 165 staffs. Available sampling method was applied to collect the participants and the data were analyzed using the content analysis method. Results: A total of 22 focus-group discussions were conducted with 250 participants; Participants' age ranged from 24 to 65 years. Participants' education levels varied from diploma to postgraduate for the staff and from medical student to sub-specialist for the physicians. Finally, management-level barriers, which undermine the staffs' ability to adhere to professional behavior in clinical settings were explained with 315 codes, 12 subcategories, and 2 main categories of "macro management issues " and "hospital management issues". Conclusion: Managers are required to consider providing a proper context for enforcing the professional behavior law, selecting middle managers based on their empowerment in performing the professional behaviors, prioritizing the professional behavior in policy making, and promoting the professional behavior in an administrative system consistent with the health system. In selecting the hospital managers, authorities are recommended to consider the managers' professional behavior and power in implementing the professionalism leadership. Moreover, the possibility of conducting professional behavior should be considered in making the policies.

scholarly journals The Factors Affecting the Physical Activity of the Health Care Workers of Iran University of Medical Sciences: A Qualitative Study

2021 ◽  
Author(s):  
Soodabeh Hoveidamanesh ◽  
Batool Tayefi ◽  
Zahra Rampisheh ◽  
Narjes Khalili ◽  
Mozhdeh Ramezani
Keyword(s):  
Physical Activity ◽  
Qualitative Study ◽  
Policy Making ◽  
Qualitative Content Analysis ◽  
Medical Science ◽  
Organizational Factors ◽  
Structural Factors ◽  
Personal Factors ◽  
Medical Sciences ◽  
Factors Affecting

Abstract Background: The low physical activity is a challenge in adults. A majority of adults spend many hours each week at work, so the workplace is a suitable site for health promotion and implementation of physical activity programs. This qualitative study was implemented to identify worksite physical activity barriers and facilitators from the perspective of the employees of the Iran University of Medical Science. Methods: In the present qualitative content analysis, five focus group discussions were held with the participation of 68 personnel of Iran University of Medical Sciences. Purposive sampling with maximum diversity was carried out for the study. Results: The analysis of the data led to the identification of three general themes, including challenges and barriers, strategies, and incentives (facilitators). The four main categories of challenges and barriers included policy-making and legislation, organizational factors, structural factors, and personal factors. Most barriers identified by the participants were placed in the personal factors and organizational factors categories. The strategies for increasing physical activity were identified in the following three categories: Policy-making and legislation, organizational factors, and environmental factors. The majority of the strategies proposed were placed in the organizational factors and policy-making and legislation categories.Conclusions: Increasing physical activity in the workplace as a strategy for the general promotion of physical activity in people requires interventions in different areas, especially with regard to organizational factors and policy-making and legislation.

The Factors Affecting the Physical Activity of the Health Care Workers of Iran University of Medical Sciences: A Qualitative Study

2021 ◽  
Author(s):  
Soodabeh Hoveidamanesh ◽  
Batool Tayefi ◽  
Zahra Rampisheh ◽  
Narjes Khalili ◽  
Mozhdeh Ramezani
Keyword(s):  
Physical Activity ◽  
Qualitative Study ◽  
Policy Making ◽  
Qualitative Content Analysis ◽  
Medical Science ◽  
Organizational Factors ◽  
Structural Factors ◽  
Personal Factors ◽  
Medical Sciences ◽  
Factors Affecting

Abstract Background: The low physical activity is a challenge in adults. A majority of adults spend many hours each week at work, so the workplace is a suitable site for health promotion and implementation of physical activity programs. This qualitative study was implemented to identify worksite physical activity barriers and facilitators from the perspective of the employees of the Iran University of Medical Science. Methods: In the present qualitative content analysis, five focus group discussions were held with the participation of 68 personnel of Iran University of Medical Sciences. Purposive sampling with maximum diversity was carried out for the study. Results: The analysis of the data led to the identification of three general themes, including challenges and barriers, strategies, and incentives (facilitators). The four main categories of challenges and barriers included policy-making and legislation, organizational factors, structural factors, and personal factors. Most barriers identified by the participants were placed in the personal factors and organizational factors categories. The strategies for increasing physical activity were identified in the following three categories: Policy-making and legislation, organizational factors, and environmental factors. The majority of the strategies proposed were placed in the organizational factors and policy-making and legislation categories.Conclusions: Increasing physical activity in the workplace as a strategy for the general promotion of physical activity in people requires interventions in different areas, especially with regard to organizational factors and policy-making and legislation.

scholarly journals Factors affecting academic self-efficacy and learning experiences of pharmacy students: Insights from a qualitative study in Zambia

2021 ◽  
pp. 133-144
Author(s):  
Aubrey Chichonyi Kalungia ◽  
Micheal Chigunta ◽  
James Sichone ◽  
Bugewa Apampa ◽  
Sarah Marshall ◽  
...  
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
Self Efficacy ◽  
Learning Experiences ◽  
Educational Programme ◽  
Pharmacy Students ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Factors Affecting ◽  
Academic Self Efficacy

Background: Factors influencing how pharmacy students learn and experience pharmaceutical education have not been elucidated in Zambia. Aim: To elucidate contextual factors affecting academic self-efficacy and learning experiences among undergraduate pharmacy students at a public university in Zambia. Methods: A qualitative study utilising focus group discussions was conducted at the University of Zambia. Thirty-two undergraduate pharmacy students participated in four focus group discussions. Qualitative data were thematically analysed. Results: Four themes and eight sub-themes emerged from the data. Notional time management, learning style, and motivation; educational programme-related factors such as course load, the pace of teaching; the learning environment; and assessment practices affected undergraduate pharmacy students’ self-efficacy and learning experiences. Conclusion: Addressing the student-related, educational programme-related, and the learning environment factors identified in this study will contribute to the improvement of undergraduate pharmacy students’ learning experiences. This is premised to improve their educational outcomes and future practice of pharmaceutical care.

scholarly journals Characteristics of professional adaptation of correctional school teachers

2020 ◽  
Vol 11 (2) ◽  
pp. 101-108
Author(s):  
Nataliia V. Kosina ◽  
Anna V. Radkevich
Keyword(s):  
Mental Health Problems ◽  
Organizational Factors ◽  
Psychological Adaptation ◽  
Adaptive Strategy ◽  
Professional Activity ◽  
Physical And Mental Health ◽  
School Teachers ◽  
Factors Affecting ◽  
Psychological Techniques ◽  
High Level

Training and education of children with physical and mental health problems makes a number of requirements for teachers working in various correctional medical institutions. These specialists must have a high level of adaptive characteristics allowing combining up-to-date pedagogical methodology with individual approach, taking into account the current state of the child. As a result of applying complex experimental psychological techniques we managed to identify specific features of correctional teachers adaptive characteristics (when comparing with public school teachers), namely: low level of activity and optimism, insufficient adaptive strategy to cope with stress characterizing maladaptive personality types. There were also a lot of negative organizational factors affecting the process and result of professional activity: a lot of work, unauthorized persons at the lessons, interaction problems with parents, insufficiency of pupils independent work, need for individual explanation, lack of real results in teachers activity. Teachers working in correctional schools and having an average level of social and psychological adaptation give a lower evaluation of various aspects in professional activity. They have a pronounced value of psychological and physiological professional maladjustment shown in somatic, emotional and social spheres as well as motivation decrease in their professional activity. Correctional school teachers have a high degree of professional burnout and their emotional exhaustion and depersonalization are more pronounced.

A Qualitative Study of Intimate Partner Violence Among Young Gay and Bisexual Men

2020 ◽  
pp. 088626052093636
Author(s):  
Christopher B. Stults ◽  
Stephan A. Brandt ◽  
Jonathan F. Hale ◽  
Nicholas Rogers ◽  
Anna E. Kreienberg ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Qualitative Study ◽  
Partner Violence ◽  
Mental Health Problems ◽  
Gay And Bisexual Men ◽  
Intimate Partner ◽  
Bisexual Men ◽  
Physical And Mental Health ◽  
Psychosocial Conditions ◽  
And Bisexual

Intimate partner violence (IPV) is prevalent among young gay and bisexual men (YGBM) and is associated with physical and mental health problems, as well as deleterious psychosocial conditions. Most previous studies of IPV among YGBM have been quantitative in nature and have not examined the numerous subtypes of IPV, the chronicity of IPV experiences, and how is IPV manifested in the context of these same-sex relationships. Thus, a qualitative approach may be useful in exploring these multidimensional and understudied experiences. The present qualitative study sought to (a) explore dimensions of IPV victimization, perpetration, and bidirectional IPV among a sample of ( n = 26) YGBM living in New York City and (b) explore the chronicity of IPV experiences among these YGBM. Participants were recruited from an ongoing cohort study of YGBM. Participants completed semistructured interviews that included questions about IPV victimization, perpetration, and bidirectional IPV. A modified version of the consensual qualitative research method was used to analyze the data. The YGBM in this study reported numerous forms of physical, psychological, sexual, and financial IPV victimization and perpetration. Bidirectional experiences of IPV were common. The various subtypes of IPV victimization and perpetration are explored in detail in this manuscript. In addition, many participants reported multiple experiences of abuse within the same relationship, and some participants experienced a pattern of abusive relationships over time. This study corroborates findings from quantitative studies, which indicate that IPV is a prevalent and significant health problem among YGBM, and one that warrants additional attention from researchers, practitioners, and policy-makers. Furthermore, this study adds rich qualitative data to the existing literature—data that can be used to help develop and refine future measures of IPV that are tailored for use with YGBM.

Factors affecting nursing error communication in intensive care units: A qualitative study

2020 ◽  
pp. 096973302095210
Author(s):  
Tahereh Najafi Ghezeljeh ◽  
Mansoureh Ashghali Farahani ◽  
Fatemeh Kafami Ladani
Keyword(s):  
Intensive Care ◽  
Qualitative Study ◽  
Intensive Care Units ◽  
Organizational Factors ◽  
Public Hospitals ◽  
Ethical Challenges ◽  
Ethical Practice ◽  
Medical Sciences ◽  
Factors Affecting ◽  
Professional Characteristics

Background: Error communication includes both reporting errors to superiors and disclosing their consequences to patients and their families. It significantly contributes to error prevention and safety improvement. Yet, some errors in intensive care units are not communicated. Objectives: The aim of the present study was to explore factors affecting error communication in intensive care units. Design and participants: This qualitative study was conducted in 2019. Participants were 17 critical care nurses purposively recruited from the intensive care units of 2 public hospitals affiliated to Iran University of Medical Sciences, Tehran, Iran. Data were collected through in-depth semi-structured interviews and were analyzed through the conventional content analysis method proposed by Graneheim and Lundman. Ethical considerations: The Ethics Committee of Iran University of Medical Sciences, Tehran, Iran approved the study (code: IR.IUMS. REC.1397.792). Participants were informed about the study aim and methods and were ensured of data confidentiality. They were free to withdraw from the study at will. Written informed consent was obtained from all of them. Findings: Factors affecting error communication in intensive care units fell into four main categories, namely the culture of error communication (subcategories were error communication organizational atmosphere, clarity of processes and guidelines, managerial support for nurses, and learning organization), the consequences of errors for nurses and nursing (subcategories were fear over being stigmatized as incompetent, fear over punishment, and fear over negative judgments about nursing), the consequences of errors for patients (subcategories were monitoring the effects of errors on patients and predicting the effects of errors on patients), and ethical and professional characteristics (subcategories were ethical characteristics and inter-professional relationships). Discussion: The results of this study show many factors affect error communication, some facilitate and some prohibit it. Organizational factors such as the culture of error communication and the consequences of error communication for the nurse and the patient, as well as individual and professional characteristics, including ethical characteristics and interprofessional relationship, influence this process. Conclusion: Errors confront nurses with ethical challenges and make them assess error consequences and then, communicate or hide them based on the results of their assessments. Health authorities can promote nurses’ error communication through creating a supportive environment for them, developing clear error communication processes and guidelines, and providing them with education about the principles of ethical practice.

scholarly journals Affecting Factors of Parturient Women’s Privacy Preservation in The Maternity Ward: A Qualitative Study

2021 ◽  
Author(s):  
Farzaneh Valizadeh ◽  
Farahnaz Heshmat ◽  
Solmaz Mohammadi ◽  
Zahra Motaghi
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Privacy Preservation ◽  
Qualitative Content Analysis ◽  
Sampling Procedure ◽  
Personal Factors ◽  
Affecting Factors ◽  
Maternity Ward ◽  
Natural Childbirth ◽  
Factors Affecting

Objective: Different factors have an important role in the positive and negative childbirth experiences of the mothers. The parturient mother’s privacy preservation is one of the factors for increasing the mothers’ satisfaction consistent with natural childbirth. Hence, this study aimed to investigate the factors affecting the parturient mother’s privacy preservation. Materials and methods: Content analysis was used in this qualitative study that is based on the semi structured individual interviews with women who had experienced natural vaginal delivery, midwives, and the specialist in a maternity ward from 2018 to 2021 in Shahroud, Iran. The collected data were analyzed simultaneously with the sampling procedure using a five-step qualitative content analysis method. To ensure the robustness of the data, Lincoln and Guba's four criteria (credibility, dependability, confirmability, and transferability) were used. Results: The findings of the study with 40 participants resulted in the extraction of 28 codes, 9 subcategories, and 2 main categories entitled extra-and intra personal factors affecting the mother’s privacy. Conclusion: To foster the mother’s awareness of her rights and privacy during pregnancy and delivery, continuous education, monitoring, and evaluating both the students and the staff to respect preserving the mother’s privacy is necessary to develop an instrument to measure the preservation of the mother’s privacy in the maternity ward.

scholarly journals Decisions to Appeal, Decisions to Approve: Requalification for SSI by Former DA&A Beneficiaries

2003 ◽  
Vol 30 (1-2) ◽  
pp. 147-168 ◽  
Author(s):  
Richard Scott ◽  
Jim Baumohl
Keyword(s):  
Mental Health Problems ◽  
Economic Status ◽  
Physical And Mental Health ◽  
Institutional Integration ◽  
Multivariate Statistical ◽  
Factors Affecting ◽  
Disability Determination ◽  
The Social ◽  
Using Data ◽  
Status Level

Recipients of Supplemental Security Income (SSI) Drug Addiction and Alcoholism (DA&A) benefits had the opportunity to appeal their termination during the six months prior to the end of the DA&A program in January 1997. In this study, we examined factors that affected transition from the DA&A program to continuing SSI benefits based on other qualifying impairments. We treated requalification for SSI as the outcome of two processes: a beneficiary's submission of a request for reconsideration and the Social Security Administration's (SSA) Disability Determination Senvices’ efforts to document a qualifying impairment, culminating in a decision to approve or to deny the appeal. We developed two multivariate statistical models. The first specified factors that predict beneficiaries’ submission of appeals and the second articulated factors affecting the SSA's disposition. We tested the models using data from nine metropolitan areas in the states of Washington, Oregon, California, Illinois and Michigan. We found that the likelihood of appeal submission increased with the severity of physical and mental health problems, social support, institutional integration and employment status. The SSA's disposition was predicted by a beneficiary's frequency of alcohol consumption, economic status, level of institutional integration, functional capacity for daily living, and the metropolitan area in which he or she resided.

Sign in / Sign up

Export Citation Format

Share Document