scholarly journals Compassion-based care for COVID-19 Patients: a qualitative analysis of nurses’ perceptions

Author(s):  
Leila Ghanbari-Afra ◽  
Akram Salamat ◽  
Hadi Hamidi ◽  
Marjan Mardani-Hamooleh ◽  
Zahra Abbasi

Compassion is a basic approach to medical practice and is the core component of health care. The purpose of the present study was to explore nurses' perceptions of compassion-based care (CBC) for COVID-19 patients. In this qualitative study, the participants were selected using purposeful sampling. Individual and semi-structured interviews were conducted with 25 nurses, and conventional content analysis was used to categorize the data. In the care of COVID-19 patients, CBC consisted of three categories including pro-social behaviors, paying attention to the beliefs and values ​​of patients, and concern for family members. The first category had three subcategories including empathy, altruism, and helping in critical situations. The second category included the subcategories of the spiritual approach to care and respect for cultural aspects. The third category, concern for family members, had one subcategory: the need to consider the patient's family. Our findings may help to develop a comprehensive model in COVID-19 care according to which, in addition to routine patient care, nurses will consider concepts such as empathy, altruism, helping in critical situations, spirituality, cultural values, ​​and the family’s needs at the end of the patient's life.  

2019 ◽  
Vol 7 (2) ◽  
pp. 97-103
Author(s):  
Ratna Lestari ◽  
Etty Rekawati ◽  
Wiwin Wiarsih

Background: Mobility impairment is a chronic disease that needs long-term care. This condition will change many aspects of elders’ life that are difficult to adapt. Family members who act as a caregiver are the essential part of elders’ life. Objective: This study aimed to explore the meaning of caregiving for elders with mobility impairment by family members. Methods: In-depth interviews were conducted with eight family caregivers who were taking care for mobility-impaired elders. In this phenomenological qualitative study, data were then analyzed with content analysis by Colaizzi method. Results: The essence of elderly caregiving for family was to grow both spiritual and cultural values in their lives. Looking for the Lord’s blessing; life’s tests; looking for the Lord’s fortune; and God’s training for patience were included in the spiritual value while the cultural values consisted of child obligation; responsibility; future expectation; role model for children; and filial piety.   Conclusion: Obstacles faced by family caregivers can be overcome by taking the essence of caregiving as part of spiritual and cultural values thus caring can be provided continuously and compassionately. The findings recommended the cultural aspects in caring elderly need to be investigated further using ethnography approach.  Keywords : Cultural Values, Elderly, Family Caregiver, Mobility Impairment, Spiritual Values


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hamid Jafaralilou ◽  
Arman Latifi ◽  
Mehdi Khezeli ◽  
Atefeh Afshari ◽  
Farahnaz Zare

Abstract Background Waterpipe is one of the oldest methods of tobacco smoking, which has become the public health challenge, especially in the Eastern Mediterranean countries such as Iran. This study aimed to investigate the waterpipe smoking (WPS) in the young people of Kermanshah in 2020, using a qualitative method. Methods This was a qualitative study conducted with the approach of content analysis. Participants were young waterpipe user aged 17 to 25 years selected by purposeful sampling method in Kermanshah city, located in the west of Iran. Data were collected through semi-structured interviews in face-to-face and audio-recorded methods based on an interview guideline during June to August 2020. Then researchers transcribed verbatim and analyzed the content of the interviews thematically. Results In this study, 23 young people who were waterpipe users at the time of the study participated. The results showed that social aspects in three sub-categories were involved in WPS including “socio-cultural aspects”, “socio-environmental aspects”, and “social relations”. Individual aspects of waterpipe use as second category also consisted of two sub-categories including “motivational aspects” and “lack of psycho-protective aspects”. Conclusions It seems that the implementation of the policy of reducing access to waterpipe in public environments is effective in reducing waterpipe consumption. It is suggested that educational and interventions, based on targeted models and theories be implemented in order to increase young people’s belief and perception on dangers of WPS, and to improve their self-efficacy to smoking cessation.


2021 ◽  
Author(s):  
Abdolhamid Tajvar ◽  
Zahra Hosseini ◽  
Mohammadreza Farahbakhsh ◽  
Anahita Fakherpour ◽  
atefeh homayuni

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.


2022 ◽  
Vol 30 (1) ◽  
pp. 30-40
Author(s):  
Malihe Ghiasvand ◽  
Fatemeh Nahidi ◽  
Sedigheh Sedigh Mobarakabadi ◽  
Hamid Sharif Nia ◽  
Hamid Alavi Majd

Background Around 70% of women who give birth vaginally experience perineal injury during childbirth, which may happen spontaneously or as a result of the incision made to facilitate childbirth. There are very few studies on the perceptions of episiotomy recipients about these services. Therefore, investigating these women's perception is crucial for providing appropriate care. Methods This qualitative study examined 20 women from hospitals and health centres who had undergone episiotomy using in-depth semi-structured interviews. Data were analysed using conventional content analysis and the accuracy and rigour of the data were assessed using the Lincoln and Guba criteria. Results The ‘change in perception and behaviour’ theme encompassed one category of negative experiences and views about episiotomy and a second category covering positive views. Conclusions Women's perceptions of episiotomy contained both positive and negative views. Since healthcare systems should support mothers' physical and mental health, it is recommended that health policymakers devise plans to boost factors that lead to positive views and eliminate those contributing to negative experiences and views.


2020 ◽  
pp. 003022282095993
Author(s):  
Reza Norouzadeh ◽  
Monireh Anoosheh ◽  
Fazlollah Ahmadi

Background Effective communication is important in providing quality care to families at the end-of-life. In the end-of-life situations, the nurses’ views on how to communicate with the family are not well understood. Aim This study was conducted to explore the nurses' experiences of their communication with families of patients at the end-of-life situations. Methods The authors used standards for reporting qualitative research. The data were analyzed by conventional content analysis. Semi-structured interviews were conducted with 24 Iranian nurses who had the experiences of dealing with patients’ families at the end-of-life. Results Nurses’ perceptions of communication with families emerged base on the main theme: “Disrupted communication” consisting of two categories: “restricted communication” and “abortive communication.” Conclusion The results of this study highlight the need to increase the professional and ethical sensitivity of nurses in dealing with patients' families at the end-of-life.


Author(s):  
Foroozan Atashzadeh-Shoorideh ◽  
Jamileh Mohtashami ◽  
Mohammadali Farhadzadeh ◽  
Neda Sanaie ◽  
Ensieh Fathollah Zadeh ◽  
...  

Background & Aim: Effective communication with the patients and engaging patients in decision-making and care planning are necessary to improve health outcomes and satisfaction with the treatment. Communicating effectively can help prevent and manage complications following the treatment of cancer. Therefore, this study aimed to describe and explain cancer patients’ communication facilitators' experiences between patients and nurses. Methods & Materials: This is a qualitative conventional content analysis study. The study was conducted on 22 cancer patients who were selected based on a purposeful sampling approach. Semi-structured interviews were performed to collect the data. The data were then analyzed using conventional content analysis. Also, the Lincoln and Guba criteria were used to measure the trustworthiness of the data. Results: The researchers have identified the main theme as “humanitarian care”. Besides, five categories of “good-naturedness”, “empathy”, “patience”, “confidentiality”, and “honesty” were also extracted from 18 subcategories. Conclusion: Effective nurse-patient communication facilitates patients’ healing, enhances clinical outcomes and improves patients’ response to treatment. Hence, these ethical features need to be reinforced among nurses.


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Alireza Abdi ◽  
Aliakbar Vaisi -Raygani ◽  
Bahareh Najafi ◽  
Hamid Saidi ◽  
Khalil Moradi

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.


2020 ◽  
Vol 27 (4) ◽  
pp. 911-923
Author(s):  
Khalil Moradi ◽  
Alireza Abdi ◽  
Sina Valiee ◽  
Soheila Ahangarzadeh Rezaei

Background Ethical care provided by nurses to earthquake victims is one of the main subjects in nursing profession. Objectives Given the information gap in this field, the present study is an attempt to explore the nurses’ experience of ethical care provided to victims of an earthquake. Research design and method A hermeneutic phenomenological study was performed. The participants were 16 nurses involved in providing care to the injured in Kermanshah earthquake, Iran. They were selected using purposeful sampling, and in-depth and semi-structured interviews were carried out. The transcribed interviews were analyzed based on the hermeneutic approach using the analysis method proposed by Diekelmann et al. Ethical considerations The study was approved by the Research Council and Ethics Committee of Urmia University of Medical Sciences, Iran. Findings Data analyses revealed four themes and 10 sub-themes that illustrated nurses’ experience of ethical care during earthquake. The themes were (1) Respecting humanistic values (sacrifice, stepping beyond task description, and voluntary work), (2) Commitment to ethics (honesty, confidentiality, and trustworthiness), (3) Respecting dignity of victims (respecting cultural values, maintaining privacy, having humanistic perspective, and effective communication), and (4) Spiritual support (helping patients to do religious rituals Psychological support). Conclusion The results showed the nurses’ experience with providing care to earthquake victims. The findings underlined ethics and ethical values in providing nursing care during disasters. It is suggested that special courses on the importance of nursing ethics in critical situations be incorporated into nursing curriculums and in-service educations.


2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Jéssica Lima Soares ◽  
Ingrid Grangeiro Bringel Silva ◽  
Maria Regilânia Lopes Moreira ◽  
Álissan Karine Lima Martins ◽  
Vitória de Cássia Félix Rebouças ◽  
...  

ABSTRACT Objective: To analyze how nurses consider, in their practice of healthcare, the sociocultural context of women with sexually transmitted infections. Method: Qualitative research, carried out in October 2017, with ten nurses working in teams of the Estratégia de Saúde da Família (Family Health Strategy). The data were collected through semi-structured interviews, subsequently transcribed, and submitted to the organization supported by the Discourse of the Collective Subject method and analyzed according to Madeleine Leininger’s transcultural theory. Results: Nurses identified the sociocultural aspects of women with sexually transmitted infections and recognized the presence of influencing factors: technological, religious, economic, political, and legal, kinship and social, cultural values, and lifeways. Final Considerations: The study found that the provision of care by nurses in Primary Health Care is close to the sociocultural aspects of these women when considering the beliefs and values of each individual, especially regarding the life context and their care experiences.


2020 ◽  
pp. bmjspcare-2020-002648
Author(s):  
Andrea N Frolic ◽  
Marilyn Swinton ◽  
Leslie Murray ◽  
Allyson Oliphant

BackgroundIndividuals who accompany a loved one through medical assistance in dying (MAiD) have to live with the experience and the psychological, moral and social consequences of their involvement in the process long after the death occurs.AimTo explore the legacy of a MAiD death for individuals who accompanied a loved one through the process.DesignUsing a qualitative descriptive approach we conducted semi-structured interviews to collect data from family members who had accompanied a loved one through MAiD. Data were analysed using conventional content analysis.Setting/participants16 family members of 14 patients who received MAiD at a Canadian hospital with an interdisciplinary MAiD programme.ResultsThe main theme in the analysis is the opposing tensions experienced by individuals who accompany a loved one through a MAiD death, which we conceptualise as a double-edge experience. This double-edge experience is illustrated through four thematic opposing tensions: (1) support for patient autonomy and ambivalence about the MAiD choice, (2) gratitude for suffering relieved for loved one and grief for lost time with loved one, (3) time as a gift and time as a burden and (4) positive legacy and challenging bereavement experience.ConclusionThe nature of the MAiD experience for involved families is rooted in complexity, ambiguity and ambivalence and thus resists easy categorisation. Families would benefit from structured psychosocial and spiritual supports that acknowledge this complexity, along with MAiD-specific bereavement support following the death.


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