Showing 7 results for Qualitative Research
Masoomeh Otaghi, Dr Parkhideh Hassani, Dr Mansooreh Zagharie Tafreshi, Dr Alireza Nikbakht Nasrabadi,
Volume 10, Issue 2 (10-2013)
Abstract
Background and objective: The rate of end-stage renal disorder (ESRD) in Iran, 12%, is more than the worldwide range. The people with Hemodialysis are greatly under physical, mental and social pressures that make the acceptance of Hemodialysis difficult. Since the acceptance can be the beginning point of adaptation, this study aimed to explore the challenge in acceptance of Hemodialysis.
Material and Methods: This grounded theory study was undertaken in the Hemodialysis wards of the hospitals affiliated with Shaheed Beheshti University of Medical Sciences in Tehran. The first samples were selected via purposive sampling and the later ones with theoretical sampling till data saturation (N=24). Semi-structured interview, field notes and memos were used for data collection. The data was analyzed by using Strauss and Corbin method. Data rigor was confirmed by Lincoln and Goba criteria, considering ethical points.
Results: The challenge in acceptance of Hemodialysis emerged the categories of acceptance (by force, experience, reasoning or social norms) and lack of acceptance (subjective or objective) of necessity of Hemodialysis as well as their related codes.
Conclusion: The people on Hemodialysis encounter a challenge for acceptance of Hemodialysis. Education as well as personal, familial and social supports can resolve this challenge by changing lack of acceptance (subjective or objective) or acceptance by force to acceptance (by experience, reasoning or social norms).
Shiva Pejmankhah, Sheyda Pezhmankhah ,
Volume 19, Issue 1 (1-2022)
Abstract
Abstract
Background: While institutional constraints make the teacher has not able to implement his moral decision, leading to a conflict between the right moral decision and his professional conduct, alternatively he will suffer from a negative feeling and psychological imbalance that emphasized moral distress. Moral distress occurs not only in clinical settings but also in academic area. The purpose of this study was to explain the experience of faculty member in the field of nursing in regards to the consequences of moral distress impact on their activities in the work environment.
Methods: This qualitative study was applied during a period of 11 months in in Nursing and Midwifery schools in Tehran, Iran in 2017. 13 faculty member in the field of nursing were selected through purposive sampling method. Data was gathered using in-depth semi-structured interviews with main question in term of the consequences of moral distress in working environment. Conventional qualitative content analysis was used for analyzing the data.
Results: The analysis of the data in this study led to emerge four main categories and eight subcategories based on the experience of faculty member in the field of nursing about the consequences of moral distress. The main categories included; the ineffective training, organizational silence, decreased sense of professional development and job burnout and the subcategories included decreased teaching quality, ineffective communication in the educational space, silent protest, damage to team performance, threat to professional identity, stagnation of professional growth, psychological reactions, and physical reactions.
Conclusion: The consequences of moral distress in faculty member in the field of nursing lead to make some barriers to desirable educational activities, such as a lack of a sense of accomplishment, a tendency toward negative moods in the workplace which causes damage of their performance or others professonal problems for provide learning. Therefore use of specific management and organizational strategies to control the consequences of moral distress in faculty member have been recommended.
Hadi Hassankhani, Hamidreza Haririan, Joanne E Porter, Abraham Oshni Alvandi,
Volume 20, Issue 1 (4-2023)
Abstract
Background: Patient handover in the emergency department (ED) is a 2-way communication process between the paramedics and in-hospital emergency personnel, which can result in miscommunication and delivery challenges. This study aimed to explore the lived experience of paramedics on patient handover to the ED.
Methods: Over a period of 5 months, an interpretative phenomenological analysis (IPA) was used to explore the lived experiences of 15 paramedics in Tabriz, Iran. Semi-structured interviews were conducted in the emergency medical stations using the Smith approach for data collection and analysis. The researcher used 4 criteria to ensure rigor, including credibility, dependability, confirmability, and transferability, according to Lincoln and Guba.
Results: Three main themes emerged from the data analysis, including “the hole of hope,” “the boring issues,” and “paramedics are only a driver.” A further 11 sub-themes emerged under the main themes.
Conclusion: The highlighted issues that need to be considered during the process are the presence of staff in front of the ED's door to welcome the patient, removal of structural defects and defective hospital equipment, the presence of medical supplies in emergency triage to prevent the paramedics from stumbling, and listening to paramedics by physicians and nurses to obtain the patients’ history.
Azzadin Kamal Mahmod ,
Volume 20, Issue 2 (10-2023)
Abstract
Background: Cancer patients can experience different conditions depending on the quality of the treatment they receive. Chemotherapy is one of the most widely used treatments for cancer patients, leading to a wide range of consequences and outcomes. The present study aimed to investigate the lived experiences of cancer patients undergoing chemotherapy.
Methods: Using a phenomenological method, this qualitative study was conducted on 13 cancer patients undergoing chemotherapy in Rizgary Teaching Hospital, Erbil, Iraq, from September 2021 to July 2022. The participants were chosen using a purposive sampling method. The required data were collected using in-depth semi-structured interviews. The interviews were started by asking general questions (such as “Could you tell me about your chemotherapy experience?) and then analyzed by the Van Manen method (1990).
Results: The results of data analysis showed that patients described their experience as “regaining hope in life,” which was drawn as the main theme that included 5 subthemes, namely, new lifestyle, new goals for life, optimism, value of life, and re-trust in God.
Conclusion: According to the results of the present study, since the recovery of patients and the effectiveness of treatments are greatly dependent on the patients’ psychological state, their lives improved, they took up new lifestyles and goals in their lives, became more optimistic, understood value of life, and regained their trust in God after they had received chemotherapy. Nurses working in chemotherapy wards are highly recommended to pay more attention to the psychological and spiritual state of cancer patients to promote hope in life among them and help them live normal lives with their families after undergoing chemotherapy
Naghme Razaghi, Zahra Kariznoei , Narges Yaghoobi Beglar, Nasir Zaidi ,
Volume 21, Issue 4 (12-2024)
Abstract
Background: The birth of a premature baby and the long treatment process lead to conflict and inconsistency between the hope, values, and beliefs of mothers and the occurrence of spiritual distress. This study aims to explore the needs and potential spiritual capacities of mothers of premature babies admitted to the NICU.
Methods: This qualitative content analysis study included 15 mothers of premature infants hospitalized in four neonatal intensive care units in Mashhad, Iran, in 2021. The participants were selected using purposeful sampling and engaged in deep, semi-structured interviews with the FICA (faith, importance, community, address) questionnaire. The study included mothers of premature babies born between 28 and 32 weeks who were hospitalized for at least three days, did not have mental disorders, and were identified as Iranian or Muslim. The data were analyzed using the content analysis method developed by Granheim and Lundman.
Results: The data analysis revealed four main themes. The first theme referred to "potential spiritual capacities," with subthemes including belief in a divine source, belief in religious rituals, and empathetic support. The other three themes refer to spiritual needs, including “challenges of faith,” encompassing subthemes of doubts in beliefs and guilt, “need for compassionate care,” which includes subthemes related to the necessity of a deep connection between the nurse and the mother, the need for dignity in care, and finally, ‘need for value and positive expectations,’ featuring subthemes addressing the challenges of meaning of life and the need for hope, highlights the spiritual needs of mothers.
Conclusion: Many parents of premature babies share similar spiritual needs. This research provides a new perspective for understanding the spiritual needs of premature baby mothers. Nurses should assess these needs and design appropriate interventions according to their potential spiritual capacities.
Leila Rafiee-Vardanjani , Farahnaz Mohammadi-Shahboulaghi , Hamidreza Khankeh, Kain Norouzi-Tabrizi,
Volume 21, Issue 4 (12-2024)
Abstract
Background: Treatment adherence (AT) can enhance hemodialysis patients' quality of life and life expectancy. Nurses in the healthcare system can benefit from understanding this concept, its attributes, antecedents, and consequences. This study aims to clarify the concept of AT in hemodialysis patients.
Methods: A three-phase concept analysis was conducted utilizing a hybrid model. In the theoretical phase (first phase), a literature review was conducted using PubMed, Web of Science, ProQuest, EBSCO, Scopus, Google Scholar, SID, and Magiran search engines. In the fieldwork phase (second phase), semi-structured interviews were conducted with eight patients and nurses. The final analysis (third phase) combined the results from the previous phases.
Results: The characteristics of treatment adherence include being process-oriented, actively participating in therapy, being patient-centered, accepting responsibility for treatment, and being committed to the treatment process. To understand this concept, antecedents related to the patient, society, and the health care system must be considered. As a result of the emergence of this concept, patients' quality of life has been improved, and healthcare costs have been reduced.
Conclusion: This study provides insight into the characteristics of adherence to treatment and the factors that influence its proper implementation. This program will assist healthcare providers in better understanding this concept and improving their clinical practices for hemodialysis patients.
Hamidreza Khankeh , Mohammad Saatchi , Mahdieh Motie , Shima Shirozhan , Ulrich Dirnagl ,
Volume 22, Issue 1 (3-2025)
Abstract
Background: The qualitative research paradigm is crucial for understanding complex human phenomena, making credibility essential for its findings. Challenges in applying quality assessment criteria and promoting responsible practices in biomedical research underscore the need to review strategies, practices, and challenges in evaluating the quality of qualitative research. This protocol aims to support a multi-method study that develops evidence-informed, comprehensive, and practical recommendations to enhance quality assurance in qualitative research within the biomedical field.
Methods: This multi-method study protocol consists of three phases: a systematic scoping review, qualitative content analysis, and a Delphi survey. The scoping review will follow Arksey and O’Malley’s five-step approach, using relevant keywords to guide a systematic search across databases such as PubMed, CINAHL, Web of Science, Scopus, and Embase, with no time restrictions. Qualitative content analysis will follow Graneheim and Lundman’s (2004) method. Purposeful sampling will be used to select experts in qualitative research. Semi-structured interviews will collect their experiences in evaluating qualitative research quality. Based on the review and interview findings, comprehensive, evidence-informed, and practical recommendations within the biomedical field will be developed and further refined using the Delphi method.
Conclusion: This study aims to critically examine quality achievement and evaluation in the qualitative paradigm and identify challenges, practices, and strategies through a review of existing evidence, focusing on related experiences and perceptions. The study also seeks to address gaps and controversies in the literature using qualitative content analysis. Ultimately, the goal is to develop comprehensive, evidence-informed, and practical recommendations to enhance quality assurance in qualitative research.
