ABSTRACT
<p><b>PURPOSE</b>Nurses played a critical role in performing triage during the Iran-Iraq War. However, their experiences in triage have not been discussed. Therefore, the current study aimed to investigate the triage experiences of civilian nurses during the Iran-Iraq War.</p><p><b>METHODS</b>Oral history method and in-depth interviews were used to collect data to gain the nurses' experiences in triage.</p><p><b>RESULTS</b>Four themes were extracted from the data, which were the development of triage, challenging environment to perform triage, development of mobile triage teams, and challenges of triage chemical victims for nurses.</p><p><b>CONCLUSION</b>Triage is an important skill for nurses to manage critical situations such as disasters and wars. Nurses have to be competent in performing triage. Involvement in critical situations helps the nurses learn and gain more experience on how to manage unexpected events.</p>
ABSTRACT
Due to high prevalence of infertility, increasing demand for infertility treatment, and provision of high quality of fertility care, it is necessary for healthcare professionals to explore infertile couples' expectations and needs. Identification of these needs can be a prerequisite to plan the effective supportive interventions. The current study was, therefore, conducted in an attempt to explore and to understand infertile couples' experiences and needs. This is a qualitative study based on a content analysis approach. The participants included 26 infertile couples [17 men and 26 women] and 7 members of medical personnel [3 gynecologists and 4 midwives] as the key informants. The infertile couples were selected from patients attending public and private infertility treatment centers and private offices of infertility specialists in Isfahan and Rasht, Iran, during 2012-2013. They were selected through purposive sampling method with maximum variation. In-depth unstructured interviews and field notes were used for data gathering among infertile couples. The data from medical personnel was collected through semi-structured interviews. The interview data were analyzed using conventional content analysis method. Data analysis revealed four main categories of infertile couples' needs, including: i. Infertility and social support, ii. Infertility and financial support, iii. Infertility and spiritual support and iv. Infertility and informational support. The main theme of all these categories was assistance and support. The study showed that in addition to treatment and medical needs, infertile couples encounter various challenges in different emotional, psychosocial, communicative, cognitive, spiritual, and economic aspects that can affect various areas of their life and lead to new concerns, problems, and demands. Thus, addressing infertile couples' needs and expectations alongside their medical treatments as well as provision of psychosocial services by development of patient-centered approaches and couple-based interventions can improve their quality of life and treatment results and also relieve their negative psychosocial consequences
Subject(s)
Humans , Male , Female , Family Characteristics , Social Support , Financial Support , Needs Assessment , Qualitative ResearchABSTRACT
Ischemic heart disease [IHD] is one of the leading causes of death and disability among young and older women, respectively. Researches in this area mostly focused on manifestations, risk factors, and treatment of the patients with IHD. Therefore, there is a lack of information on the aspects of affects and feelings of such patients. This study aimed to describe lived experience of women with IHD to provide a suitable guide for nursing practice. This was a descriptive phenomenological study. Participants were 8 women with IHD who were hospitalized in critical care units [CCUs] and ambulatory cardiac care centers of Isfahan University of Medical Sciences in Iran. They voluntarily responded to open-ended questions of semi-structured interviews. Data was analyzed using Colaizzi's method to extract meanings and concepts. After analyzing the statements of the participants, 14 subthemes forming 5 main concepts of pain and relief, resistance, introversion, loss of control, and mutual communication were emerged. Ischemic heart event is an experience with multidimensional impact on various aspects of the patient's life. This study demonstrated this experience as having 5 fundamental elements. Women with IHD expressed their suffering from frequent cycles of pain that drove their feelings and thoughts toward themselves and provoked their sense of resistance. They also faced loss of control on various aspects of their lives and changes in their relationships with others, too. This image would help nurses design their care plan based on a better understanding of these patients.
ABSTRACT
Clinical education is a critical and complex component of nursing education that is influenced by many variables. One of them is stress, which may disturb students' learning, too. Stressors may differ according to the learning situation and environment, and recognizing them, seems to be essential for corrective interventions. The present work was performed to identify stressors in clinical nursing education in Iran, according to the published research reports. In this systematic review, all published research reports available in Iranian and International web-based data bases and search engines were searched. Also, the archives of peer reviewed Iranian nursing and medical education journals [published between 1989 and 2009] were hand searched. Out of 1104 retrieved records [by a more general terms of "clinical education" AND "Nursing"], after stepwise screening, 15 original research articles were selected for content analysis. Coded data were classified and their frequency was represented in Tables. The following themes were obtained to classify main areas of importance for factors related to stress in clinical nursing education: a] clinical competence and ability to play one's roles, b] care load, or stress due to care, c] main area of education, d] interpersonal relationships and interactions, e] clinical environment [facilities and equipments, space, learning opportunities, etc, ]. Subthemes were also identified in each theme. Published studies in Iran provide appropriate background evidences for planning and evaluating interventional programs to reduce stress among nursing students and instructors. Each identified theme in this study could be considered as a subject for planned interventions. Among them, it seems that "interpersonal relationships and interactions" is of the highest priority.