Factors Hindering Organizational Learning: Perspectives of Iranian Nurses.

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.

Cambio terapéutico en el tratamiento de los trastornos alimentarios: Contenidos, factores facilitadores y obstaculizadores / Therapeutic change in the treatment of eating disorders: Contents, facilitating and hindering factors

Objetivo: Identificar factores facilitadores y obstaculizadores del cambio terapéutico en el tratamiento de pacientes con trastornos alimentarios (TA). Método: Estudio cualitativo-exploratorio, basado en la Grounded Theory. Se realizó un muestreo intencionado y entrevistas en profundidad a una muestra conformada en Chile por 20 pacientes de sexo femenino y 8 terapeutas y en Argentina por 4 pacientes y 6 terapeutas. Resultados: El cambio se presenta como punto de inflexión, en tanto las pacientes describen un momento en que logran reconocer la necesidad de cambiar. Posteriormente son capaces de verbalizar los contenidos de éste a diferentes niveles y en relación al TA. Conclusiones: Al conjugar aspectos facilitadores y obstaculizadores, y en la medida que los primeros sean preponderantes, irán surgiendo cambios que podrían articularse como componentes de la identidad.

Aim: To identify facilitating and hindering factors in the therapeutic change within the treatment of ED patients. Method: Qualitative-exploratory research, based on Grounded Theory. Purposive sampling and in-depth interviews were carried out in a sample of 20 patients and 8 therapists in Chile and 4 patients and 6 therapists in Argentina. Results: Therapeutic change occurred as a turning point in patients, which they described as a moment when they recognized the need for change. Subsequently, they were able to articulate the change as they experienced it in different areas of functioning. Conclusions: When combining facilitating and hindering aspects and the former overcome the latest, there will be changes that ultimately may be articulated in components of personal identity.

Return to Work after an Acute Coronary Syndrome: Patients' Perspective

OBJECTIVES: To describe the time perspective of return to work and the factors that facilitate and hinder return to work in a group of survivors of acute coronary syndrome (ACS). METHODS: Retrospective semi-structured telephone survey 2 to 3 years after hospitalization with 84 employed Dutch ACS-patients from one academic medical hospital. RESULTS: Fifty-eight percent of patients returned to work within 3 months, whereas at least 88% returned to work once within 2 years. Two years after hospitalization, 12% of ACS patients had not returned to work at all, and 24% were working, but not at pre-ACS levels. For all ACS-patients, the most mentioned categories of facilitating factors to return to work were having no complaints and not having signs or symptoms of heart disease. Physical incapacity, co-morbidity, and mental incapacity were the top 3 categories of hindering factors against returning to work. CONCLUSION: Within 2 years, 36% of the patients had not returned to work at their pre-ACS levels. Disease factors, functional capacity, environmental factors, and personal factors were listed as affecting subjects' work ability level.