Explanation of Nursing Experiences of Hospital Accreditation Implementation

Author(s):  
Mahnaz Atapour ◽  
Nahid Dehghan Nayeri

Abstract Background: Hospital Accreditation is defined as the systematic evaluation of hospital against explicit standards. In the implementation of accreditation, nursing staff, due to their large population, and their direct and continuous performance in providing services, have a key role in the development of this program. However, nurses confront with some challenges in this regard. Considering that quantitative research cannot show the depth and richness of the implementation process and the effects of the accreditation program in hospitals; Therefore, this qualitative study and content analysis was conducted to explain the experiences of nurses regarding the implementation of the hospital accreditation programs. Methods: The present study is a qualitative study using conventional qualitative content analysis method that was conducted in two teaching hospitals in Tabriz. In this study, in-depth semi-structured individual interviews were conducted with eligible participants. Data analysis was performed through content analysis based on Granheim and Landman model.Results: In this study, data analysis resulted in the extraction of 4 categories of structure, execution, education and attitude, and 8 subcategories regarding the nurses' experiences of implementing the accreditation programs.Discussion: The results of this study showed that the implementation of the accreditation process is affected by many factors. Therefore, knowing more about these factors and using the experiences of staff involved in this process, have significant impacts on its better implementation.

2021 ◽  
Vol 18 (3) ◽  
Author(s):  
Mahdieh  Poodineh Moghadam ◽  
Ahmad Nasiri ◽  
Gholamhossein Mahmoudirad

Background: Establishing appropriate communication with cancer patients is necessary to make decisions for them and involve them in the care process to prevent the adverse consequences of cancer treatment. Thus, the qualitative study on the challenges experienced by oncology nurses can lead to a better understanding of these challenges and help these nurses acquire advanced communication skills. Objectives: This study was conducted to explain the communication challenges experienced by oncology nurses during providing care to cancer patients by applying a qualitative content analysis approach. Methods: This qualitative study was conducted with the participation of 18 nurses who were selected by the purposive sampling method, working in the oncology departments of Iran’s hospitals in 2021. Semi-structured interviews were held for data collection. After transcribing the interviews, data analysis was performed using the Granheim and Landman (2004) method. The MAXQDA software (2020) was used for data management. The criteria proposed by Lincoln and Guba were used to assure data accuracy and reliability. Results: Thirty subcategories, eight categories, and four themes were extracted following data analysis. The themes included the nurse’s close relationship with cancer patients as a double-edged sword, curvy and sinusoidal professional communication for oncology nurses, relationship with an opposite-gender patient as a missing factor in nursing care, and marginalization of relationships during the coronavirus pandemic. Conclusions: Nurses’ challenges in communicating with cancer patients can be reduced by improving their communication skills via various strategies, including empowering nurses by employing cognitive empathy and using communication models such as the Comfort model.


2021 ◽  
Author(s):  
kobra Mirzakhani ◽  
Nahid Jahani Shorab ◽  
Azam Akbari ◽  
Talaat Khadivzadeh

Abstract Background: As a global health threat, the COVID-19 pandemic has a significant impact on maternity care reception in mothers with high-risk pregnancies. Women with high-risk pregnancies are among the most vulnerable groups that require additional precautionary measures against the spread of Covid-19 plus receiving prenatal care. Due to limited information on the status of prenatal care in women with high-risk pregnancies, a qualitative study was conducted to explore the perceptions and experiences of women with high-risk pregnancy regarding receiving prenatal care reception during the COVID-19 pandemic.Methods: The present qualitative study was conducted on mothers with high-risk pregnancies from September 2020 to March 2021. Purposeful sampling continued until achieving data saturation. Ghaem, Ommolbanin, and Imam Reza (AS) government and educational hospitals in Mashhad served as the research environment. Face-to-face and semi-structured interviews were effective data collection methods. Each interview lasted between 20 to 45 minutes (on average 30). The total number of participants was 31. Data analysis was carried out simultaneously with data collection using the qualitative content analysis method developed by Granheim and Landman (2004).Results: Following data analysis and reduction, eight subcategories and three main categories were identified. These included “Negative psychological responses,” “Thinking-based behavior against double danger,” and” Adjustment of health services in the mutual protection”.Conclusion: Receiving prenatal care in women with high-risk pregnancies is associated with challenges in women in the context of the COVID-19 pandemic. This causes negative psychological responses and affects their health-seeking behaviors. Preventive and supportive care can lead to optimum prenatal care for women with high-risk pregnancies focusing on COVID-19 prevention and minimizing pregnancy risk and complications.


2021 ◽  
Vol 8 ◽  
pp. 2333794X2110155
Author(s):  
Hourieh Abbasiasl ◽  
Ashrafalsadat Hakim ◽  
Kourosh Zarea

Hirschsprung’s disease is a gastrointestinal anomalies that disrupts excretion. In this disease, like other chronic diseases; mothers undergo a lot of care. Considering the concept of nursing care, it is important to understand the care and its effects on the parents, the child, and care improvement. The purpose of this study is to understand the care experiences of parents of children with Hirschsprung’s disease. In this qualitative study which was performed by content analysis approach, 12 participants were selected from mothers of children with Hirschsprung’s disease who were referred to pediatric surgeries through purposeful sampling. The data collection method was a half-structured interview. All interviews were recorded and then were handwritten word by word and data were analyzed using Elo and Kyngas qualitative content analysis method. Data analysis began from the time of the first interview and in parallel to the next interviews (simultaneous analysis). At the beginning, the first-level coding was done. Data analysis led to the emergence of 3 main themes: “erosion care, socio-economic challenges, acceptance, and position-matching,” and each of the themes included several sub-themes. The results of this study showed that parents of children with Hirschsprung despaired of concern and suffering from care which these suffers included physical, psychological, social, and material dimensions, but was also associated with satisfaction and acceptance of the disease. These findings emphasize that one of the most important tasks of nurses in clinical institutions, especially in relation to these children, is to provide proper family-centered care.


2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Sibel Dal ◽  
◽  
Cemil Öztep ◽  

The purpose of this study is to examine how selected stories, which are written in Turkish by local or foreign authors for preschoolers, deal with honesty. In this basic interpretive qualitative study, data were collected through document analysis and analyzed through content analysis. Analyzed documents are twenty-one picture books, which written in Turkish for preschoolers published between 2004 and 2015, nine stories about honesty published online by four Turkish Provincial Directorates of National Education and one story about honesty published online by the Center for Values Education. The software NVivo 11 was used to conduct computer-assisted data analysis. The results of this study demonstrate that most of the analyzed texts use “dishonesty and its negative consequences” more than “honesty and its positive outcomes” to promote honesty.


2020 ◽  
Vol 10 (2) ◽  
pp. 117
Author(s):  
Indrawati Indrawati

The Form of Persuasion and Milennials Respon in Facebook Social Media inPresidential Election 2019. This research aims to reveal how the persuasion andresponse of millennials on social media Facebook in the 2019 presidentialelection. This research uses methods of qualitative content analysis. The data theauthor takes is data on Facebook social media from February to April 2019. Formof data in the form of sentences that have a persuasion message used by millennialson social media Facebook in the presidential election 2019. The source of thisresearch data observations directly on social media Facebook which thenresearchers Screenshoot. Data analysis is done in several ways, namely: (1)Observation of the sentence upload on Facebook social media, (2) reading andunderstanding sentences that have a persuasion meaning, (3) grouping,identifying, and analyzing existing data, (4) Conclude the results of researchanalysis. Data analysis is done during and after the data is collected. This researchimplements triangulation and data checking to obtain the validity of data. Basedon the research, there are several form of persuasion in uploading sentences ofmillennials in facebook social media in presidential election 2019. Thatpersuasion form are: (1) persuasion form and millennials respond with strongarguments, (2) persuasion form and respond with neutral arguments, (3)persuasion form and millennials respond with weak arguments, (4) persuasionform and millennials respond with peripheral.Key words: persuasion, milenialls, facebook social media AbstrakWujud Persuasi dan Respon Kaum Milenial di Media Sosial Facebook padaPilpres 2019. Penelitian ini bertujuan mengungkapkan bagaimana wujud persuasidan respon kaum milenial di media sosial facebook pada pilpres 2019. Penelitianini menggunakan metode analisis isi kualitatif. Data yang penulis ambil adalahdata yang terdapat di media sosial facebook dari bulan Februari sampai denganApril 2019. Wujud data berupa kalimat yang memiliki pesan persuasi yang dipakaikaum milenial di media sosial facebook pada pilpres 2019. Sumber data penelitianini pengamatan langsung di media sosial facebook yang kemudian penelitiscreenshoot. Analisis data dilakukan dengan beberapa cara, yaitu: (1)pengamatan terhadap unggahan kalimat di media sosial facebook, (2) membacadan memahami kalimat yang memiliki makna persuasi, (3) mengelompokkan,mengidentifikasi, dan menganalisis data yang ada, (4) menyimpulkan hasilanalisis penelitian. Analisis data dilakukan selama dan setelah data terkumpul.Penelitian ini menerapkan triangulasi dan pengecekan data untuk memperolehkeabsahan data. Berdasarkan hasil penelitian, ditemukan beberapa wujudpersuasi dalam kalimat unggahan kaum mileniual di media sosial facebook padapilpres 2019. Wujud persuasi tersebut meliputi: (1) Wujud persuasi dan responkaum milenial dengan argumen kuat (strong argumens); (2) Wujud persuasi danrespon kaum milenial dengan argumen netral (neutral argumens);(3) Wujudpersuasi dan respon kaum milenial dengan argumen lemah (weak argumens); dan(4) wujud persuasi dan respon kaum milenial dengan argumen sampingan(peripheral).Kata-kata kunci: persuasi, kaum milenial, media sosial facebook


2019 ◽  
Vol 18 (3) ◽  
pp. 127-147
Author(s):  
Iara Silva Da Silva ◽  
Liliane Antunes Rohde

Goal: to analyze the influence of involvement with products focused on leisure and gastronomy - books, trips and wines - on the consumption practices of empty nest couples.Method: a triangulation of methods through exploratory (qualitative) and descriptive (quantitative) research, through in-depth interviewing techniques and questionnaires. For data analysis of the qualitative (content analysis) and the quantitative (descriptive statistics) research. At the time of analysis, the data is triangulated to arrive at the results.Originality / Relevance: is present in the application of the New Involvement Profile (NIP) scale, tested and adapted to the Brazilian reality by Fonseca (1999).Results: it is important to highlight that couples presented situational involvement with the investigated products; therefore, products have no relevant meaning and/or define couples’ lifestyle and self-concept. In addition, the consumer practices of empty nest couples reinforced their concern with keeping close bonds with their children.Theoretical and Methodological Implications: the application of the New Involvement Profile (NIP) scale is a contribution in this field, being adapted to the Brazilian context and to a specific segment - the empty nest couples.


2019 ◽  
Author(s):  
Veikko Pelto-Piri ◽  
Lars Kjellin ◽  
Ulrika Hylén ◽  
Emanuele Valenti ◽  
Stefan Priebe

Abstract Objectives The objective of the study was to investigate how mental health professionals describe and reflect upon different forms of informal coercion. Results In a deductive qualitative content analysis of focus group interviews, several examples of persuasion, interpersonal leverage, inducements, and threats were found. Persuasion was sometimes described as being more like a negotiation. Some participants worried about that the use of interpersonal leverage and inducements risked to pass into blackmail in some situations. In a following inductive analysis, three more categories of informal coercion was found: cheating, using a disciplinary style and referring to rules and routines. Participants also described situations of coercion from other stakeholders: relatives and other authorities than psychiatry. The results indicate that informal coercion includes forms that are not obviously arranged in a hierarchy, and that its use is complex with a variety of pathways between different forms before treatment is accepted by the patient or compulsion is imposed.


2020 ◽  
Author(s):  
Beate Andre ◽  
RN. Kjersti Grønning ◽  
Frode F. Jacobsen ◽  
Gørill Haugan

Abstract Background: Nursing homes are under strong pressure to provide good care to the residents. In Norway, municipalities have applied the ‘Joy-of-Life-Nursing-Home’ strategy to increase a health-promoting perception that focuses on the older persons` resources. Implementations represent introducing changes to the healthcare personnel; however, changing one’s working approaches, routines and working culture may be demanding. On this background, we explored how the ‘Joy-of-Life-Nursing-Home’ strategy is perceived by the employees in retrospective, over a period after the implementation and which challenges the employees experience with this implementation.Method: We used a qualitative approach and interviewed 14 healthcare personnel working in nursing homes in one Norwegian municipality, which had implemented the ‘Joy-of-Life-Nursing-Home’ strategy. The analysis was conducted following Kvale’s approach to qualitative content analysis.Results: The main categories were: (a) the characteristics of care activities before implementations of ‘Joy-of-Life-Nursing-Home’, (b) how ‘Joy-of-Life-Nursing-Home’ influenced the care activities, and (c) challenges with the implementation of ‘Joy-of-Life-Nursing-Home’. Some of the informants spoke well about the implementation concerning the care quality stating “to see the joy in the eyes of the resident then I feel we have succeeded”. For informants who experienced resistance toward the implementation, they felt it was too much to document, it was too complicated, and the requirements were too many. Conclusions: Quality of care seems to have increased after the implementation, as perceived by the informants. Nevertheless, the fact that the informants seemed to be divided into two different groups related to their main perspective of the implementation is concerning. One group has positive experiences with the implementations process and the benefits of it, while the other group focuses on lack of benefits and problems with the implementation process. In order to understand what facilitates and hinders the implementation, research on contextual factors like work environment and leadership is recommended.


2019 ◽  
Vol 18 (2) ◽  
pp. 303-311 ◽  
Author(s):  
Faribah Sepahvand ◽  
Foorozan Atashzadeh Shoorideh ◽  
Soroor Parvizy ◽  
Mansoureh Zagheri Tafreshi

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


2020 ◽  
Vol 19 ◽  
pp. 160940692095511
Author(s):  
David L. Morgan ◽  
Andreea Nica

Because themes play such a central role in the presentation of qualitative research results, we propose a new method, Iterative Thematic Inquiry (ITI), that is guided by the development of themes. We begin by describing how ITI uses pragmatism as a theoretical basis for linking beliefs, in the form of preconceptions, to actions, in the form of data collection and analysis. Next, we present the four basic phases that ITI relies on: assessing beliefs; building new beliefs through encounters with data; listing tentative themes; and, evaluating themes through coding. We also review several notable differences between ITI and existing methods for qualitative data analysis, such as thematic analysis, grounded theory, and qualitative content analysis. The use of ITI is then illustrated through its application in a study of exiters from fundamentalist religions. Overall, the two most notable features of ITI are that it begins the development of themes as early as possible, through an assessment of initial preconceptions, and that it relies on writing rather than coding, by using a continual revision of tentative results as the primary procedure for generating a final set of themes.


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