ABSTRACT
PURPOSE: This study identifies challenges to the first nurse training program for undergraduate nursing students at a nursing and midwifery school in Iran using a collaborative approach in order to improve the program. METHODS: Action research was used as a research strategy with qualitative content analysis and quantitative evaluation. The participants were 148 individuals from nursing academic and clinical settings, including administrators, faculty members, students, and staff nurses. We obtained approval from the research deputy and ethics committee of Shahid Beheshti University of Medical Sciences in Tehran, Iran for this study. RESULTS: Lack of coherence in the educational program and implementation of the program, inadequate communication between management inside and outside the organization, insufficient understanding of situations by students, and improper control of inhibitors and use of facilitators in teaching and in practice were among the major challenges in the first training process in the context of this study. After classification of problems, the educational decision-making authorities of the school developed an operational program with stakeholder cooperation to plan initial reforms, implementation of reforms, reflection about the actions, and evaluation. Comparison of student satisfaction with the collaborative learning process versus the traditional method showed that except for the atmosphere in the clinical learning environment (p > .05), the mean differences for all dimensions were statistically significant. CONCLUSIONS: The results confirm the overall success of the revised partnership program, but stressed the need for further modification of some details for its implementation in future rounds.
Subject(s)
Humans , Attitude of Health Personnel , Education, Nursing/organization & administration , Educational Measurement/methods , Health Services Research/organization & administration , Iran , Midwifery/education , Nurse's Role , Nursing Education Research/organization & administration , Personal Satisfaction , Reproducibility of Results , Students, Nursing/psychology , Teaching , TrustABSTRACT
Background: students' health and future health of the community are related to providing health care in schools and since in every society, different contextual factors affect this matter, the present study aims to recognize the factors influencing the health care elementary students are provided with
Methods: this qualitative content analysis was performed in 2014 in Isfahan. This study was conducted on school health instructors of elementary schools. Through targeted sampling, 15 health care providers, two mothers and 3 principals from 23 elementary schools were selected. Twenty-two semi-structured interviews were performed. Qualitative data analysis was done using qualitative content analysis
Results: in this study, 3 concepts were extracted: family umbrella over health [with two sub-categories of 'family's social status and its effect on health' and 'family and health'], functional resources [with two sub-categories of 'opportunity', 'availability of resources for diagnoses] and health components [with two sub-categories of 'culture', 'the value of school health']. These contextual factors must be considered in providing health care for schools
Conclusions: consideration of effective contextual factors on providing elementary students with health care can help improve health for this group
ABSTRACT
This study aimed to develop indicators for evaluating the implementation of The Framework Convention on Tobacco Control [FCTC] in Iran. We used the "grounded theory" framework. Totally, 265 policy-makers, stakeholders, and community members were recruited by purposeful sampling in 2008. After analyzing the gathered data, 251 indicators, including 82 indicators as "applied indicators", were derived from second-level codes for three groups. A suitable evaluation questionnaire can be designed based on the extracted indicators for policy makers, stakeholders, and the community to follow the implementation of the FCTC in Iran
ABSTRACT
Regarding the social and economic changes and developments, the increasing presence of working women in the present society and their important role in the family, paying more attentions to the importance of maternal role among working women who face multiple roles seems to be necessary. Hence, the process of maternal role among working women has been investigated in this study. The grounded theory approach is used in this qualitative research. In-depth and unstructured interviews were the main way in collecting the data. Initially, the targeted sampling was started and continued gradually to the data saturation, in the form of theoretical sampling based on the obtained classes. The data was analyzed using Strauss and Corbin analysis. Accuracy and validity by four criteria in this study included: Credibility, dependability, Confirmable potential, Transferability or Fittingness. Data analysis led to the identification of the core variable of role conflict. The main classes of occupied mothers' experiences included: different pregnancy experience, returning concerns, supportive umbrella, role assignation, role overlap, role strain, gradual acceptance, satisfaction and erosion. The acceptance of numerous roles such as maternal and marital roles by working women creates various role expectations of them from their children, spouses, family and the society which in turn forces them to meet both family and job requirements and expectations; This causes role conflict in working mothers and endure a lot of pressure and stress, that can influences of mental and physical health of the mothers
Subject(s)
Humans , Female , Anxiety , Occupational Health , MothersABSTRACT
Spiritual well-being [SWB] of patients with cardiovascular diseases particularly in those admitted in coronary care unit [CCU] is threatened due to disease crisis. Therefore, implementing spiritual care is necessary for them. This study aimed to determine the effect of spiritual care program on SWB of patients with cardiac ischemia admitted in CCU in Al-Zahra Hospital, Isfahan, Iran. In a single blind randomized clinical trial, 64 ischemic patients in CCU were randomly divided into test and control groups. Spiritual care program included supportive presence, rituals and using supportive systems for 3 days. Spiritual Well-being Questionnaire were completed before and after the intervention for the both groups. Mean scores of SWB had no significant difference between the two groups before the intervention [p = 0.84]. Mean score of existence dimension [p < 0.001] and mean total score of SWB [p < 0.001] in the test group showed a significant difference comparing before and after the intervention; however, it was not significant in the control group [p = 0.17]. Mean existence dimension [p = 0.01] and mean total score SWB [p = 0.01] had a significant difference between test and control groups after the intervention; however, there was no significant difference in mean score of religious dimension between the two groups after the intervention [p = 0.25]. The spiritual care program promoted the SWB of ischemic patients in existence dimension and overall score, and nurses can use these programs to promote patients' SWB.
ABSTRACT
Considering the school nursing standards, which is the most important and vital element of the school health team, can be a fundamental step toward solving the current and future problems of the school and society health. The present research was done with the goal of determining the current situation of the standard of the school health nursing process in elementary schools of Kerman, Iran. The present research is a quantitative, descriptive study and was done between the years 2009 and 2010 through conducting an opinion poll. In this study, first the international standards of school nursing were searched and extracted from informational sources. Then, a questionnaire was designed based on the standards of the school nursing process and its related indicators in 6 areas. This questionnaire had two parts. The first part had the respondents' demographic information, answering was optional, and the second part of the poll was about each of the indicators. After preparing the questionnaire and determining its validity and reliability, it was distributed among the 120 samples [60 health trainers and 60 of Kerman's elementary school staff], and their opinions were gathered and analyzed through statistical-descriptive analysis. The results of this research demonstrate that approximately all the above mentioned standard areas in the country were applied [98%]. The rate of acquiring the standard of nursing process was high [90%] in some areas [Investigative area] and low [30%] in some other areas [diagnosis area]. In total, the rate of acquiring the majority of indicators of nursing process standards has an average percentage. It is suggested to use schools health professionals to raise the indicators of the standard of the school nursing process [the indicators which had low or average acquiring rate], and to raise the performance quality.
ABSTRACT
Iran is one of the countries that has ratified the World Health Organization Framework Convention of Tobacco Control [WHO-FCTC], and has implemented a series of tobacco control interventions including the Comprehensive Tobacco Control Law. Enforcement of this legislation and assessment of its outcome requires a dedicated evaluation system. This study aimed to develop a generic model to evaluate the implementation of the Comprehensive Tobacco Control Law in Iran that was provided based on WHO-FCTC articles. Using a grounded theory approach, qualitative data were collected from 265 subjects in individual interviews and focus group discussions with policymakers who designed the legislation, key stakeholders, and members of the target community. In addition, field observations data in supermarkets/shops, restaurants, teahouses and coffee shops were collected. Data were analyzed in two stages through conceptual theoretical coding. Overall, 617 open codes were extracted from the data into tables; 72 level-3 codes were retained from the level-2 code series. Using a Model Met paradigm, the relationships between the components of each paradigm were depicted graphically. The evaluation model entailed three levels, namely: short-term results, process evaluation and long-term results. Central concept of the process of evaluation is that enforcing the law influences a variety of internal and environmental factors including legislative changes. These factors will be examined during the process evaluation and context evaluation. The current model can be applicable for providing FCTC evaluation tools across other jurisdictions.
ABSTRACT
Evaluation of interventional community-based initiatives is a basic issue for improvement and management of programs toward the goals of the health system. This paper presents the qualitative part of the process evaluation [PE] of a community-based educational program entitled Isfahan Healthy Heart Program [IHHP] conducted for prevention and control of non-communicable diseases. PE of IHHP aimed to shed insight about implementing interventions; guiding program management and corrective decision makings have been done respectively. In this qualitative survey, the study population consisted of policy-makers, managers, principal practitioners and their coworkers as well as stakeholders of IHHP. The study was directed in the same place as practicing interventional projects located in Isfahan province. It was begun in 2005 and data analysis phase was completed in 2008. The data were collected through conducting interview with a purposive sample of 60 participants and were analyzed using qualitative content analysis method. Qualitative data were categorized in several headings. Four of the most important headings were as experiences of resources, attitude towards interventions, motivating factors and consistent partnership. Emphasizing on usefulness of qualitative data in process evaluation of IHHP, findings of the present study disclosed some of the effective underpinning factors that the most important of them was described as [executive level human factors]. The study findings emphasized on the vital role of the resources, nevertheless [accepting] the used resources as well interventions specifically on behalf of managers and executive agents were primarily affected by their humanistic qualities such as attitude and willingness to moving towards aimed change. Accepting the program in behalf of users, specifically executive agents, must be considered in such a vast community-based educational program