scholarly journals Discrimination in Healthcare, Experiences of Nurses, Physicians and Patients: A Qualitative Content Analysis

2021 ◽  
Author(s):  
Mohammad javad Hosseinabadi-farahani ◽  
Masoud Fallahi-khoshknab ◽  
Narges Arsalani ◽  
Mohammadali Hosseini ◽  
Eesa Mohammadi
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Interpersonal Relationships ◽  
Qualitative Content Analysis ◽  
Nursing Assistants ◽  
Structured Interviews ◽  
Clinical Nurses ◽  
Medical Centers ◽  
Quantitative Studies ◽  
The City

Abstract Background: Justice in health is one of the main concerns of health organizations, and discrimination in health care is one of the negative outcomes to achieving this goal. Hence, a full understanding of the phenomenon of discrimination in health care and adopting strategies to eliminate it is necessary. The present study was conducted to determine the experiences of nurses, physicians, and patients of discrimination in health care. Methods: The present qualitative content analysis study was conducted between 2019 and 2020. Data were collected through semi-structured interviews with 18 participants (2 physicians, 3 nursing supervisors, 2 head nurses, 4 clinical nurses, 2 nursing assistants, and 3 hospitalized patients) in one public and one private hospital in the city of Tehran. The participants were selected by purposive sampling, which continued until saturation of data. Data obtained were analyzed using Graneheim and Lundman method.Results: Four main categories and 14 subcategories were extracted from data analysis: 1) Habitual discrimination (everyday discrimination in health centers, ignoring patient rights, low levels of trust in medical staff); 2) interpersonal relationships (expectations of associates, respect for colleagues and friends, the possibility of the occurrence of similar situations, reciprocating people’s favors); 3) shortage of health care resources (shortage of medical equipment, heavy workload, infrastructures of medical centers, lack of access to physicians); and 4) Favoritism (ethnicity, favoritism as a common method, and as the ultimate solution to problems).Conclusion: The present study revealed certain dimensions of discrimination in health care that remain hidden in many quantitative studies. Thus, it appears that health system managers will be able to move towards eliminating discrimination in health care and providing ethical care by considering these issues and adopting appropriate strategies.

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

scholarly journals City brand image formation by urban heritage initiatives

2020 ◽  
Vol 25 ◽  
pp. 29-42
Author(s):  
Miglė Černikovaitė ◽  
Žaneta Karazijienė
Keyword(s):  
Content Analysis ◽  
Brand Image ◽  
Qualitative Content Analysis ◽  
Business Development ◽  
Economic Factors ◽  
Structured Interviews ◽  
City Brand ◽  
Effective Strategies ◽  
Urban Heritage ◽  
The City

In today's world, as cities compete in the marketplace, strategies for creating a city brand image are often shaped solely to meet the aspirations of profit, business development, and awareness. The preservation of culture, historical, and urban heritage remains important only in urban development strategies and not in actual development actions. The truth is, the image of a city is shaped by different historical, political, demographic, sociological, and economic factors which make up what we perceive as the brand image of a city. However, one of the most noticeable elements of the brand image of a city is the urban heritage based on national traditions. The aim of this article is to evaluate the effects of urban heritage initiatives in the creation of the brand image of the city of Vilnius. Research methods used in this article are qualitative content analysis and expert semi-structured interviews. Main conclusions stimulate debate, hesitation and criticism from communities and city researchers for using new heritage object and culture initiatives in order to create the brand image of Vilnius. The influence of urban heritage is inevitable when modelling the brand image of Vilnius, but there are no effective strategies to deal with the new urban heritage initiatives by creating the brand image of Vilnius yet.

Life Recovery After Disasters: A Qualitative Study in the Iranian Context

2013 ◽  
Vol 28 (6) ◽  
pp. 573-579 ◽  
Author(s):  
Hamidreza Khankeh ◽  
Maryam Nakhaei ◽  
Gholamreza Masoumi ◽  
Mohammadali Hosseini ◽  
Zohreh Parsa-Yekta ◽  
...  
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Qualitative Study ◽  
Psychological Health ◽  
Qualitative Content Analysis ◽  
Structured Interviews ◽  
Publication Type ◽  
Rehabilitation Process ◽  
Disaster Victims ◽  
Iranian Context

AbstractIntroductionPlanned and organized long-term rehabilitation services should be provided to victims of a disaster for social integration, economic self-sufficiency, and psychological health. There are few studies on recovery and rehabilitation issues in disaster situations. This study explores the disaster-related rehabilitation process.MethodThis study was based on qualitative analysis. Participants included 18 individuals (eight male and ten female) with experience providing or receiving disaster health care or services. Participants were selected using purposeful sampling. Data were collected through in-depth and semi-structured interviews. All interviews were transcribed and content analysis was performed based on qualitative content analysis.ResultsThe study explored three main concepts of recovery and rehabilitation after a disaster: 1) needs for health recovery; 2) intent to delegate responsibility; and 3) desire for a wide scope of social support. The participants of this study indicated that to provide comprehensive recovery services, important basic needs should be considered, including the need for physical rehabilitation, social rehabilitation, and livelihood health; the need for continuity of mental health care; and the need for family re-unification services. Providing social activation can help reintegrate affected people into the community.ConclusionEffective rehabilitation care for disaster victims requires a clear definition of the rehabilitation process at different levels of the community. Involving a wide set of those most likely to be affected by the process provides a comprehensive, continuous, culturally sensitive, and family-centered plan.KhankehH, NakhaeiM, MasoumiG, HosseiniM, Parsa-YektaZ, KurlandL, CastrenM. Life recovery after disasters: a qualitative study in the Iranian context. Prehosp Disaster Med. 2013;28(6):573-579.

scholarly journals Unsafe nursing documentation: A qualitative content analysis

2019 ◽  
Vol 27 (5) ◽  
pp. 1213-1224 ◽  
Author(s):  
Ali Tajabadi ◽  
Fazlollah Ahmadi ◽  
Afsaneh Sadooghi Asl ◽  
Mojtaba Vaismoradi
Keyword(s):  
Content Analysis ◽  
Interpersonal Relationships ◽  
Urban Areas ◽  
Qualitative Content Analysis ◽  
Healthcare Management ◽  
Main Theme ◽  
Structured Interviews ◽  
Nursing Documentation ◽  
Factors Influencing

Background Nursing documentation as a pivotal part of nursing care has many implications for patient care in terms of safety and ethics. Objectives To explore factors influencing nursing documentation from nurses’ perspectives in the Iranian nursing context. Methods This qualitative study was carried out using a qualitative content analysis of data collected from 2018 to 2019 in two urban areas of Iran. Semi-structured interviews (n = 15), observations, and reviews of patients’ medical files were used for data collection. Ethical considerations This study was conducted in accordance with the ethical principles of research and regulations in terms of confidentiality of data, anonymity, and provision of informed consent. Findings The main theme of this study was “unsafe documentation.” Two categories, “types of errors in reporting” and “reasons of errors in reporting,” and 12 subcategories were developed indicating factors influencing nursing documentation in the Iranian nursing context. Conclusion In general, individual, organizational, and national factors affected nursing documentation in Iran. In this respect, hiring more nurses, application of reforms in the healthcare management structure, devising appropriate regulations regarding division of labor, constant education of healthcare staff, establishment of clinical governance, improvement of interpersonal relationships, development of hardware and software techniques for documentation, and provision of support should be done to improve the quality of nursing documentation. The above-mentioned suggestions can help nurses with a safe, ethical, lawful, and reliable documentation in nursing practice.

scholarly journals A qualitative exploration of facilitators and inhibitors influencing nurses' intention to leave clinical nursing

2016 ◽  
Vol 50 (6) ◽  
pp. 982-989 ◽  
Author(s):  
Leyla Alilu ◽  
◽  
Leila Valizadeh ◽  
Vahid Zamanzadeh ◽  
Hosein Habibzadeh ◽  
...  
Keyword(s):  
Content Analysis ◽  
Work Experience ◽  
Intent To Leave ◽  
Qualitative Content Analysis ◽  
Intention To Leave ◽  
Structured Interviews ◽  
Clinical Nurses ◽  
Clinical Nursing ◽  
Spiritual Satisfaction ◽  
Qualitative Exploration

Abstract OBJECTIVE The aim of this study was to determine the barriers and facilitators shaping the development of an intent to leave the nursing profession, from the perspective of Iran's clinical nurses. METHOD The study was completed using qualitative content analysis And included 21 Participants who were clinical nurses with a variety of work experience across a range of clinical posts. Semi-structured interviews were used to collect data and data obtained from the interviews were analyzed and interpreted utilizing a content analysis method. RESULTS During data analysis, 2 main themes, 5 categories and 12 subcategories were extracted as follows. Facilitators include: (I) spoiled identity (weak social status and violation of dignity), (II) frustration (feeling subordinate including a lack of appreciation), and (III) experience of hard labor (job stress, hard work and shift work). Inhibitors include: (I) positive management behaviors (rewards and support systems), and (II) being valuable (spiritual satisfaction, the efficient presence and professional capabilities development). CONCLUSION Based on the findings, it can be concluded that managers can prevent nurses from leaving clinical nursing by providing appropriate activities for them and increasing their motivation and satisfaction.

scholarly journals Cyberincivility Experience of Korean Clinical Nurses in the Workplace: A Qualitative Content Analysis

2020 ◽  
Vol 17 (23) ◽  
pp. 9052
Author(s):  
Sang Suk Kim ◽  
Ho Jeong Song ◽  
Jung Jae Lee
Keyword(s):  
Content Analysis ◽  
Qualitative Content Analysis ◽  
Healthcare Providers ◽  
Online Communication ◽  
Public Hospitals ◽  
Structured Interviews ◽  
Clinical Nurses ◽  
Health Related ◽  
Private And Public ◽  
Hierarchical Communication

Although clinical nurses use online platforms to acquire health-related information and communicate with other healthcare providers, there are increasing reports on their incivility exposure in cyberspace. However, an in-depth understanding of their cyberincivility experience is lacking. This study aimed to identify Korean clinical nurses’ perception and experience of cyberincivility. A qualitative study was conducted. Twenty clinical nurses from seven private and public hospitals in the Seoul metropolitan area were recruited using purposive sampling. Individual semi-structured interviews were conducted with the nurses from June to September 2019. Conventional content analysis was applied for the interview data analysis. Clinical nurses perceived cyberincivility as disrespectful and condemning behavior as users hide under the shield of anonymity to persecute others without fear of retribution. Four themes regarding participants’ cyberincivility experience emerged: unprofessional behavior, hierarchical communication, lack of respect and morality, and forming an inefficient work environment. The results of this study provide an understanding regarding clinical nurses’ experience of cyberincivility that goes beyond that of previous studies, which mainly focused on students. These results could increase awareness of cyberincivility among clinical nurses, and provide key information for the design of cybercivility educational programs and guidelines to curb cyberincivility, nurture professional online communication, and consequently improve quality of care.

scholarly journals Threats to nurses’ dignity and intent to leave the profession

2016 ◽  
Vol 25 (4) ◽  
pp. 520-531 ◽  
Author(s):  
Leila Valizadeh ◽  
Vahid Zamanzadeh ◽  
Hosein Habibzadeh ◽  
Leyla Alilu ◽  
Mark Gillespie ◽  
...  
Keyword(s):  
Content Analysis ◽  
Work Experience ◽  
Intent To Leave ◽  
Qualitative Content Analysis ◽  
Negative Attitude ◽  
Clinical Work ◽  
Intention To Leave ◽  
Structured Interviews ◽  
Skilled Nursing ◽  
Clinical Nurses

Background: It is essential to pay attention to and respect the dignity of nurses to maintain them in their profession while they deliver skilled nursing care. Little is known, however, about how a sense of dignity influences the practitioner. Objectives: The purpose of this study is to describe nurses’ experiences of threats to their dignity occurring within clinical settings, which generates an intention to leave clinical practice. Research design and method: The study was performed using qualitative content analysis. The participants were 21 clinical nurses with work experience who were employed across a range of clinical posts. Data obtained from the semi-structured interviews were analyzed and interpreted using a content analysis approach. Ethical considerations: The study was approved by the Ethics Committee of Tabriz University of Medical Sciences and was guided by the ethical principles of voluntary enrolment, anonymity, privacy, and confidentiality. Findings: Within data analysis, three main themes and nine categories were extracted as follows: (1) lack of professional pride (physician’s dominance, intangible nature of nursing, and negative attitude toward clinical nurses); (2) oppressive work environment (high workload, disrespect, discrimination, and lack of support); and (3) suppression of progressivism (lack of appreciation and attention to meritocracy). Discussion: Almost all of the participants have experienced some degree of disrespect and violation of dignity. In general, attempts made by the participants to show their objection to the threats and to support and protect their dignity have not been effective and in fact made them more inclined to leave the clinical work. Conclusion: According to the views of nurses themselves, identification of the factors threatening nurses’ dignity can be one of the appropriate solutions for the broader and deeper investigation of this phenomenon and can help promote and support nurses’ dignity and their retention within the profession.

scholarly journals Barriers to Provision of Spiritual Care in Mental Health Care Centers: A Qualitative Content Analysis

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Siamak Amiri ◽  
Parvaneh Vasli ◽  
Jamileh Mohtashami ◽  
Nadereh Memaryan
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Content Analysis ◽  
Mental Health Care ◽  
Spiritual Care ◽  
Qualitative Content Analysis ◽  
Structured Interviews ◽  
Data Saturation ◽  
Health Care Centers

Background: Spiritual care (SC) is an appropriate source for adaptation and coping with disease and life stressors. Although SC contributes to the quality of life and mental health of clients, there are barriers to the provision of such care. Objectives: This study aimed to explore barriers to the provision of SC in mental health care centers from the viewpoints of mental health care provider (MHCP) experts. Methods: This qualitative study was conducted based on conventional content analysis on 19 participants who were selected from different groups of MHCPs. The participants were selected by purposive sampling method from December 2019 to December 2020 in Karaj and Tehran, Iran, by considering the maximum diversity. Data were collected through semi-structured interviews with participants during an average time of 60 min per interview until data saturation. The transcripts of the interviews were analyzed by qualitative content analysis. Results: Barriers to SC were obtained in four categories and 10 subcategories. The categories included “SC concept-related barriers”, “barriers related to MHCPs”, “organizational barriers”, and “barriers related to SC recipients.” Conclusions: This study demonstrated various barriers to the provision of SC to the clients of health care centers that should be removed to promote the level and quality of SC.

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.

Maslow’s theory for preventive healthcare in India – a content analysis approach

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Komal Chopra
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Role Model ◽  
Preventive Health Care ◽  
Preventive Health ◽  
Public Health Care ◽  
Analysis Approach ◽  
Structured Interviews ◽  
Content Type ◽  
Peace Of Mind

Purpose The purpose of the study was to apply Maslow’s hierarchy of needs to understand consumer motivation for preventive health care in India using content analysis. Design/methodology/approach Content analysis approach which is a qualitative-based approach was adopted. The responses were collected through semi-structured interviews using purposeful sampling method, and the responses were analyzed using content analysis approach. Sub themes and main themes were derived from the data which related to concepts in Maslow’s theory. Findings The results indicate the following: healthy food, healthy diet and health supplements are the basic need; sustainability of health and fitness and health security relate to safety and security need; feeling of pride in being fit, being a role model of fitness for others and influence of electronic media relate to social and self-esteem need; freedom from disease and peace of mind fulfill the need for self-actualization. Research limitations/implications To strengthen the external validity, a mix of alternate research methodologies adopting qualitative and quantitative approach need to be adopted. Practical implications This study will help to better understand motivation for preventive health care. It will enable health-care companies to design health-care marketing programs based on Maslow’s theory to motivate individuals to purchase health products. The public health-care departments can issue guidelines based on Maslow’s theory to motivate citizens toward preventive health care. Originality/value Maslow’s theory was applied in the context of preventive health care.

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