ABSTRACT
Mothers of children with congenital heart disease used a variety of ways for caring. Mothers, caring approach is dependent on several factors: Culture, mentality and attitude, available resources. Aim: This study investigates how Iranian mothers of children with congenital heart disease manage care according to their context. Study Design: A qualitative content analysis was used to obtain rich data. Place and Duration of Study: The study was conducted in Kerman, Iran from 2014 till 2016, among mothers of children with CHD. Methodology: The purposive sampling technique was used to select the participants. Participants were 17 mothers and 3 fathers of children with CHD and 3 heart surgery nurses, from two hospitals affiliated with the Kerman University of Medical Sciences. Twenty five semi-structured interviews were constructed. Data were analyzed using qualitative content analysis. Constant comparative method was used for data analysis. Results: The analyzed data were made into four main themes and nine sub-themes. The main themes are Wise to wait (Patient care, enduring difficulties and sufferings), improving living conditions (Imposing situations’ pressure on self, gradually coping with child’s disease, Providing appropriate conditions for the child), acceptance of limitations of sick child (acceptance of the conditions of child by mother, acceptance of the limitations by the child), empowering (Empowerment of the child, self-empowerment) appeared by analyzing data. The results of this study may help health care professionals in understanding strategies of mother’s care of children with congenital heart disease in Iran.
ABSTRACT
Introduction: Technology plays a major role in caring for critically ill patients. Its’ use in patient care can improve patient safety, save patients’ lives, facilitate nurses’ work and save time for them and reduce hospital costs. However, along with these benefits, technology can lead to some risks for patient, if the nurse is unaware of the principles of proper technology use. The aim of the present study was to describe the experiences of intensive care nurses regarding beneficial and harmful effects of technology on nursing care. Method: In a qualitative descriptive study, semi-structured, in-depth interviews were conducted with 9 intensive care nurses in south east of Iran during 2015. Interviews were transcribed and analyzed using qualitative content analysis. Findings: Two themes emerged from analyzing data included: “support”, and “adversity”. These two themes had seven categories. The theme of “support” is composed of saving nurses’ time, improving decision making and saving patients’ lives, while “adversity” is consisted of 4 categories: patients’ hardship, nurses’ distress, dependency and emerging challenges. Conclusion: Although technology was facilitative and supportive, but effective application of technology in patient care needs some infrastructures such as proper education of newcomer nurses for working in a technological environment, organizing continuous education programs about working with new advanced machines for those who are working in such environments, and organizational and managerial supports for nurses working in technological environments.
ABSTRACT
Background: Myocardial infarction (MI), is a fatal cardiovascular condition which results in various outcomes, considering time of treatment form symptoms onset. Despite of high importance of first hour after MI onset, a considerable proportion of patients arrive at hospital with delay. To assessing determinants of hospital arrival time in MI patients in southeastern Iran. Methods: A cross-sectional study was conducted. A validated and reliable questionnaire was designed and used for data collection. Patients with a confirmed diagnosis of acute myocardial infarction were interviewed after informed consent. Results: A total of 175 patients participated in this study. The most of them were male (76.6%, n=134). Median time to hospital arrival was 130 minutes. Its min and max were 15 and 1500 minutes, respectively. The most common reasons for delayed hospital arrival, were waiting for spontaneous recovery 45.70%, and then the distance to the hospital 35.40%. Conclusion: Lack of MI patients’ awareness of importance of times to hospital arrival could be the best underling reason for the delayed hospital arrival. Mass education about the symptoms of MI and importance of prompt care seeking may be effective intervention to reduce MI deaths and complications.
ABSTRACT
Background: Nurses can play a fundamental role in organizational learning being the largest group providing healthcare services; however, factors affecting their organizational learning are yet to be identified. Aims: To explore factors hindering organizational learning from the perspective of Iranian nurses. Study Design: Qualitative content analysis on in depth semi-structured interview texts. Place and Duration of Study: Kerman University of medical sciences hospitals, between February and December 2014. Methodology: We recruited 16 nurses (5 men, 11 women; with a mean age of 36.4 years) working in clinical wards of hospitals affiliated to Kerman University of Medical Sciences. All interviews were transcribed verbatim immediately after they were conducted. Data were analyzed subsequently. Results: The data analysis from 16 nurses included in the study, revealed 5 main themes, including undirected training, role ambiguity, unfavorable work conditions, inadequate professional capabilities and feelings of subordination. Conclusion: Identifying factors hindering organizational learning from the perspective of nurses allows healthcare managers and policymakers to promote the quality of their nursing services and achieve patient and personnel satisfaction while facilitating organizational learning through designing need-based training courses for nurses, redefining nurses’ job description, revising nursing students' selection processes and trusting in nurses' capabilities.