scholarly journals Explaining the experiences, challenges and adaptation strategies of nurses in caring for patients with COVID-19: A qualitative study in Iran

2020 ◽  
Author(s):  
Seyed Fahim Irandoost ◽  
Javad Yoosefi Lebni ◽  
Hossein Safari ◽  
Farhad Khoram ◽  
Sina Ahmadi ◽  
...  
Keyword(s):  
Content Analysis ◽  
Work Environment ◽  
Working Conditions ◽  
Qualitative Content Analysis ◽  
Sense Of Self ◽  
Adaptation Strategies ◽  
Protective Equipment ◽  
Snowball Sampling ◽  
Physical And Mental Health ◽  
Structured Interviews

Abstract Background: Nurses as the main human resource in coping with COVID-19 face many challenges and problems. Therefore, the present study aimed to explain the experiences, challenges, and adaptation strategies of nurses in taking care of patients with COVID-19 with a qualitative approach.Methods: The present study was conducted with a qualitative conventional content analysis approach among 30 nurses working in wards for COVID-19 patients, in Tehran hospitals. Access to participants and data collection was done through purposive sampling, snowball sampling and semi-structured interviews. Data were analyzed using qualitative content analysis (conventional) and MAXQDA-18 software. Guba and Lincoln criteria were observed to evaluate the quality of research results.Results: From data analysis, 2 main categories and 16 subcategories were obtained, including (1) experiences and challenges (lack of protective equipment, high work pressure, marginalized physical health, problems related to the use of protective equipment, getting excluded, lack of supportive work environment, problems related to patients, psychological problems, fear, marginalized personal and family life and the challenge of communication with patients' families) (2) Strategies for adapting to working conditions (performing religious-spiritual activities, creating an empathetic atmosphere in the workplace, spiritualizing their work , trying to convince the family and gain their support, strengthening sense of self-worth and responsibility).Conclusion: The working conditions for nurses can be improved through providing adequate protective equipment, providing a suitable work environment and more social and financial support, more attention to the physical and mental health of nurses and considering appropriate mechanisms for nurses to communicate with their families and patients' families.

scholarly journals Communication and role clarity inform TeleICU use: a qualitative analysis of opportunities and barriers in an established program using AACN framework

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anna Krupp ◽  
Michael Di Martino ◽  
Wesley Chung ◽  
Krisda Chaiyachati ◽  
Anish K. Agarwal ◽  
...  
Keyword(s):  
Content Analysis ◽  
Work Environment ◽  
Qualitative Content Analysis ◽  
Effective Communication ◽  
Daily Practice ◽  
Critical Care Nurses ◽  
Role Clarity ◽  
Structured Interviews ◽  
Convenience Sample ◽  
Future Work

Abstract Background Understanding the use of tele-intensive care unit (ICU) services is an essential component in evaluating current practice and informing future use as the adoption and application of teleICU services expands. We sought to explore if novel ways to utilize teleICU services can emerge within an established, consulting-style teleICU model considering the program’s flexible, provider-driven operation. Methods This was a qualitative study of one teleICU/hospital dyad using semi-structured interviews from a convenience sample of ICU (n = 19) and teleICU (n = 13) nurses. Interviews were analyzed using directed content analysis to identify themes that describe their experiences with teleICU using a deductive codebook developed from an expert consensus (American Association of Critical Care Nurses) AACN statement on teleICU nursing. Results Three themes were identified through the qualitative content analysis: [1] nurses described unique teleICU knowledge, including systems thinking and technological skills, [2] the teleICU partnership supported quality improvement initiatives, and [3] elements of the work environment influenced perceptions of teleICU and its use. When elements of the work environment, such as effective communication and role clarity, were not present, teleICU use was variable. Conclusions Flexible, provider-driven approaches for integrating teleICU services into daily practice may help define the future use of the teleICU model’s applicability. Future work should focus on the importance of effective communication and role clarity in integrating the emerging teleICU services into teleICU/ICU practice.

scholarly journals The nurse without a nurse: the antecedents of presenteeism in nursing

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Mohammad Mehdi Mohammadi ◽  
Nahid Dehghan Nayeri ◽  
Shokoh Varaei ◽  
Arezoo Rasti
Keyword(s):  
Content Analysis ◽  
Qualitative Content Analysis ◽  
Physical And Mental Health ◽  
Structured Interviews ◽  
Face To Face ◽  
Content Analysis Method ◽  
Study Population ◽  
Limited Power ◽  
Health Complications ◽  
Insufficient Knowledge

Abstract Background Presenteeism describes the state in which staff who lack the conditions for being present at work and need rest and leave for various reasons (such as illness, low spirits, fatigue, etc.) are present at the workplace. Due to the lack of knowledge about the antecedents of presenteeism in nurses and the context-based nature of this concept, the present study was conducted to explain the reasons for presenteeism in nurses. Methods This qualitative study was performed using the qualitative content analysis method. The study population consisted of 17 nurses working in different wards of hospitals. In this regard, data were collected from February to June 2020 using individual, face-to-face, in-depth, semi-structured interviews and were analyzed using qualitative content analysis. Results The nurse without a nurse was a category introduced as an antecedent of presenteeism. In this respect, nurses experienced limited power, injustice, compulsory presence, inadequate structural facilities, damaged professional identity, manager-nurse disconnect, insufficient knowledge, physical and mental health complications, job stress, job burnout, multitasking, and impaired communication. Conclusion The nurse, who has been responsible for caring, supporting, advising, advocating, and educating the patient, has now been left without a nurse. In other words, not nursing the nurse has given rise to the emergence of presenteeism. It is recommended that the results of this study be used in making health policies. The results of this study can make nurses’ voices heard by health leaders and managers. A voice that has never been heard as it deserves.

scholarly journals Views about sensory modulation from people with schizophrenia and treating staff: A multisite qualitative study

2021 ◽  
pp. 030802262098847
Author(s):  
Tawanda Machingura ◽  
Chris Lloyd ◽  
Karen Murphy ◽  
Sarah Goulder ◽  
David Shum ◽  
...  
Keyword(s):  
Content Analysis ◽  
Treatment Option ◽  
Perceived Risk ◽  
Quantitative Methods ◽  
Qualitative Content Analysis ◽  
Treatment Options ◽  
Occupational Therapists ◽  
Sensory Modulation ◽  
Structured Interviews ◽  
Effective Training

Introduction Current non-pharmacological treatment options for people with schizophrenia are limited. There is, however, emerging evidence that sensory modulation can be beneficial for this population. This study aimed to gain insight into sensory modulation from the user’s and the treating staff’s perspectives. Method A qualitative content analysis design was used. Transcripts from occupational therapists ( n=11) and patients with schizophrenia ( n=13) derived from in-depth semi-structured interviews were analysed for themes using content analysis. Results Five themes emerged from this study: Service user education on the sensory approach is the key; A variety of tools should be tried; Sensory modulation provides a valued treatment option; There are challenges of managing perceived risk at an organisational level; and There is a shortage of accessible and effective training. Conclusion People with schizophrenia and treating staff had congruent perceptions regarding the use of sensory modulation as a treatment option. The findings suggest that sensory modulation can be a valued addition to treatment options for people with schizophrenia. We suggest further research on sensory modulation intervention effectiveness using quantitative methods so these results can be further explored.

scholarly journals Wrong Belief of Emergency Delay: A Qualitative Content Analysis in Iranian Context

2020 ◽  
Vol 5 (4) ◽  
pp. 199-206
Author(s):  
Elham Sepahvand ◽  
◽  
Hamidreza Khankeh ◽  
Mohammadali Hosseini ◽  
Behnam Akhbari ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Content Analysis ◽  
Qualitative Content Analysis ◽  
Cultural Beliefs ◽  
Professional Staff ◽  
Medical Emergency ◽  
Theory Approach ◽  
Structured Interviews ◽  
Cord Injury

Background: During traffic accidents, professional staff provide care to the patient at the scene of the accident and then transport the victim to the hospital by ambulance. But sometimes this transition is carried out by relatives and laypeople. The purpose of this study was to explore the factors affecting people’s involvement and transmission of the victims of the traffic accident. Materials and Methods: This study was done with a qualitative content analysis method in 2018. The study participants were 16 people. In this study, a purposeful sampling method with maximum diversity was used. Semi-structured interviews were used to collect data using guiding questions. To observe the research ethics, the researcher, after obtaining permission from the University Ethics Committee, conducted interviews (IR.USWR.REC.1395.399). Results: In total, 15 spinal cord injury victims and their relatives or laypeople and medical emergency technicians were interviewed. The class of wrong belief of delay was the main class in all interviews. Concepts such as past experiences, the pressure time, the lack of emergency time, cultural beliefs, and the tension explaining the wrong belief concept. Conclusion: Wrong belief of delay was a concept that was extracted from the present study. It is recommended that the scene of the accident be examined in-depth and how to create a spinal cord injury in the injured with a grounded theory approach.

scholarly journals Factors Affecting Nurses’ Perceived Organizational Commitment: A Qualitative Study

2019 ◽  
Vol 18 (2) ◽  
pp. 303-311 ◽  
Author(s):  
Faribah Sepahvand ◽  
Foorozan Atashzadeh Shoorideh ◽  
Soroor Parvizy ◽  
Mansoureh Zagheri Tafreshi
Keyword(s):  
Content Analysis ◽  
Organizational Commitment ◽  
Qualitative Study ◽  
Nurse Managers ◽  
Qualitative Content Analysis ◽  
Medical Science ◽  
Organizational Factors ◽  
Structured Interviews ◽  
Factors Affecting ◽  
Clinical Nurses

Objective: Nurses’ organizational commitment is one of the most important factors that facilitates their professional evolution and influences the method of care provision, quality of care, and patients’ satisfaction. The aim of this study was identified the factors that affect nurses’ perceived organizational commitment. Material and Methods: This qualitative study, conducted on 16 clinical nurses employed in Social Security Hospital of Khorramabad, Iran, during five months from May to September 2015, used deep semi-structured interviews. Purposive sampling method was used for the selection of nurses and the data were analyzed using conventional qualitative content analysis. Lincoln & Guba’s criteria were used to secure data accuracy and stability. Results: Sixteen subcategories, five categories, and three themes were distilled during content analysis process. The abstracted themes included “organizational factors”, “occupational challenges”, and “contributory management”. Conclusion: Our findings showed that numerous factors present in nurses’ profession and work environment may influence the rate of nurses’ interest and commitment in the hospital and the related organization. Hence, nurse managers can foster the promotion of nurses’ organizational commitment through creating the required suitable conditions. Bangladesh Journal of Medical Science Vol.18(2) 2019 p.303-311

Health care managers learning by listening to subordinates’ dialogue training

2014 ◽  
Vol 28 (3) ◽  
pp. 437-454 ◽  
Author(s):  
C. Grill ◽  
G. Ahlborg Jr ◽  
E. Wikström
Keyword(s):  
Health Care ◽  
Work Environment ◽  
Middle Managers ◽  
Qualitative Content Analysis ◽  
Strategic Communication ◽  
Care Quality ◽  
Structured Interviews ◽  
Health Care Managers ◽  
Content Type ◽  
Care Managers

Purpose – Middle managers in health care today are expected to continuously and efficiently decide and act in administration, finance, care quality, and work environment, and strategic communication has become paramount. Since dialogical communication is considered to promote a healthy work environment, the purpose of this paper is to investigate the ways in which health care managers experienced observing subordinates’ dialogue training. Design/methodology/approach – A qualitative study using semi-structured interviews and documents from eight middle managers in a dialogue programme intervention conducted by dialogue trainers. Focus was on fostering and assisting workplace dialogue. Conventional qualitative content analysis was used. Findings – Managers’ experiences were both enriching and demanding, and consisted of becoming aware of communication, meaning perceiving interaction between subordinates as well as own silent interaction with subordinates and trainer; Discovering communicative actions for leadership, by gaining self-knowledge and recognizing relational leadership models from trainers – such as acting democratically and pedagogically – and converting theory into practice, signifying practising dialogue-promoting conversation behaviour with subordinates, peers, and superiors. Research limitations/implications – Only eight managers participated in the intervention, but data afforded a basis for further research. Practical implications – Findings stressed the importance of listening, and of support from superiors, for well-functioning leadership communication at work. Originality/value – Studies focusing on health care managers’ communication and dialogue are few. This study contributes to knowledge about these activities in managerial leadership.

scholarly journals “This Isn’t Just about Things, It’s about People and Their Future”: A Qualitative Analysis of the Working Conditions and Strains of Social Workers in Refugee and Homeless Aid

2019 ◽  
Vol 16 (20) ◽  
pp. 3858 ◽  
Author(s):  
Tanja Wirth ◽  
Janika Mette ◽  
Albert Nienhaus ◽  
Zita Schillmöller ◽  
Volker Harth ◽  
...  
Keyword(s):  
Social Support ◽  
Social Workers ◽  
Working Conditions ◽  
Qualitative Content Analysis ◽  
Job Demands ◽  
Work Organisation ◽  
Structured Interviews ◽  
Psychological Strain ◽  
Job Content

Large parts of Europe have been affected by an influx of refugees and increasing homelessness in recent years. Social workers provide care services for refugees and homeless people, but little is known about their working conditions. The aim of this study was to examine their job demands, resources and health strains. 26 semi-structured interviews were conducted with social workers in refugee and homeless aid in Hamburg and Berlin between October and December 2017. The interviews were analysed following Mayring’s qualitative content analysis. Additionally, the job demands and resources of social workers with and without long-term psychological strain were compared. Respondents particularly experienced demands concerning their job content and work organisation, including emotional and quantitative demands. Appreciation expressed by clients and social support from the team served as key resources. Respondents had problems switching off from work, were exhausted and exhibited signs of long-term psychological strain, such as symptoms of burnout or depressive states. Workers reporting long-term psychological strain were more likely to consider themselves as being adversely constrained by legal requirements and to describe inadequate supervision offers and team conflicts. In conclusion, the results indicate the need for job-specific health promotion measures reducing particularly demands concerning social workers’ job content and work organisation and further strengthening their social support.

Sense of Self in Alzheimer’s Research Participants

2016 ◽  
Vol 27 (2) ◽  
pp. 191-212 ◽  
Author(s):  
Ragnhild Hedman ◽  
Ingrid Hellström ◽  
Britt-Marie Ternestedt ◽  
Görel Hansebo ◽  
Astrid Norberg
Keyword(s):  
Alzheimer’S Disease ◽  
Content Analysis ◽  
Support Group ◽  
Qualitative Content Analysis ◽  
Sense Of Self ◽  
Research Participation ◽  
Research Participant ◽  
Positive Relationships ◽  
Research Participants ◽  
Meaningful Activity

The sense of self is vulnerable in people with Alzheimer’s disease (AD), and might be positively and negatively influenced by research participation. The purpose of this study was to describe how people with AD express their experience of being a research participant with respect to their sense of self. Interviews and support group conversations involving 13 people with mild and moderate AD were analyzed using qualitative content analysis. Three themes were constructed: contributing to an important cause, gaining from participating, and experiencing risks and drawbacks. Participants described contributing to research as being in line with their lifelong values and lifestyles. They expressed contentment and pride about being research participants, emphasized their positive relationships with the researchers, and described participation as a meaningful activity. When research procedures threatened their sense of self, they were able to reason about risks and decline participation.

How Do Coaches Experience Psychological Momentum? A Qualitative Study of Female Elite Handball Teams

2012 ◽  
Vol 26 (3) ◽  
pp. 435-453 ◽  
Author(s):  
Karin Moesch ◽  
Erwin Apitzsch
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Qualitative Content Analysis ◽  
External Factors ◽  
Individual Factors ◽  
Competitive Sports ◽  
Structured Interviews ◽  
Psychological Momentum ◽  
Behavioral Aspects

Psychological Momentum (PM) is commonly referred to in competitive sports, but still has to be considered elusive from a scientific perspective. This study explores coaches’ perception of triggers, strategies and characteristics of PM in female elite handball teams. Semi-structured interviews with nine coaches were evaluated using a qualitative content analysis. The results revealed that positive and negative PM were characterized by factors regarding behavior, cognition, confidence, emotions, and the team. Triggers for positive PM were categorized into confidence, players’ individual factors, team factors, and team-opponent-factors, whereas triggers for negative PM related to coach factors, confidence, external factors, players’ individual factors, and team factors. Moreover, strategies emerged that are considered beneficial for controlling PM. The results are discussed with emphasis on behavioral aspects, confidence, emotions, team factors, and application. Foundations based on this study and recent research lead to the assumption that PM is probably best portrayed in a circular approach.

scholarly journals Analysis of the Reasons for Infidelity in Women with Extra-marital Relationships: A Qualitative Study

2016 ◽  
Vol 10 (5) ◽  
pp. 151 ◽  
Author(s):  
Shima Messripour ◽  
Ozra Etemadi ◽  
Seyed Ahmad Ahmadi ◽  
Rezvanosadat Jazayeri
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Qualitative Content Analysis ◽  
Marital Relationships ◽  
Three Dimensions ◽  
Research Approach ◽  
Structured Interviews ◽  
Factors Affecting ◽  
Marital Conflicts ◽  
Intrapersonal Factors

<p>Due to the higher statistics of male infidelity, the focus of previous studies has been on investigating the reasons for infidelity in this gender group. On the other hand; since marital infidelity is a phenomenon that affects every country’s culture, people, and even families, the results of research studies conducted overseas cannot be fully implicated to Iranian families. To this end, this study aimed at analyzing the reasons behind infidelity in women with extra-marital relationships in the form of a qualitative study. This study was conducted through a qualitative research approach and by using the content analysis method. Participants included 11 women referred to the counseling centers in the city of Isfahan. Purposive sampling was used and continued until data saturation. Semi-structured interviews were employed as the primary method of data collection. The data were analyzed via qualitative content analysis and constant comparative analysis methods. After the examination and division of the basic concepts, 800 initial codes were extracted from interviews. The categories were created based on the codes following several reviews and summarizations on the basis of similarities. By the nature, these conceptual and abstract themes were named in three categories of intrapersonal factors, marital conflicts, and sexual reasons. The factors affecting female infidelity in this study had three dimensions. These factors included intrapersonal factors, marital conflicts, and sexual reasons. These findings can help psychologists, family counselors, and planners in the field of the social sciences identify the efficient scopes and purposes.</p>

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