Exploring challenges and facilitators to E-learning based Education of nursing students during Covid-19 pandemic: a qualitative study.

BACKGROUND: During the COVID-19 pandemic, there was a shift to e-learning and online education in educational and learning processes. Research has shown that nursing students who are satisfied with e-learning tend to have better learning outcomes. Therefore, this qualitative study aimed to explore the challenges and facilitators of e-learning for nursing students during the pandemic. METHODS: This qualitative study utilized a content analysis approach. Sixteen participants with nursing education experience were purposively selected and interviewed using a semi-structured format. The data collected were analyzed using the conventional qualitative content analysis approach. RESULTS: Through data analysis, two main categories were identified: e-learning challenges and facilitators. The e-learning challenges included subcategories such as inexperienced teachers, ineffective learning, academic cheating, system problems, and inappropriate evaluation. The facilitators included subcategories such as improving education, and promoting online exams. CONCLUSIONS: While e-learning was adopted as a substitute for in-person education during the COVID-19 pandemic, its implementation involves both challenges and facilitators. By addressing the challenges and optimizing the facilitators of e-learning, nursing schools can successfully adapt to this new mode of education in the post-pandemic era and provide high-quality education to their students.

Resilience training: Effects on occupational stress and resilience of critical care nurses.

AIM: Working as a nurse, by its nature, causes a high degree of stress. Nurses are exposed to the higher levels of occupational, physical, and mental stresses in critical care units than the nurses in other units of a hospital. The aim of this study was to determine the effect of training for resilience on the intensive care unit nurses' occupational stress and resilience level. METHODS: This study is a quasi-experimental intervention study that was done by recruiting 30 nurses who were selected from critical care units of an educational hospital in Sari City, Iran, through convenience sampling between April 2015 and February 2016. The resilience training was provided in 5 sessions of 90 to 120 minutes. The pretest-posttest approach was used in this study, and the nurses completed the Connor-Davidson Resilience Scale, and Expanded Nursing Stress Scale, before and 2 weeks after the training program. RESULTS: The mean score of the occupational stress of the participants decreased significantly after the intervention (P = .001), and the mean score of resilience increased significantly after the intervention (P = .001). CONCLUSION: The results confirm the effectiveness of resilience training on occupational stress and resilience level of nurses working in the intensive care units.

Family caregivers' experience of activities of daily living handling in older adult with stroke: a qualitative research in the Iranian context.

BACKGROUND: Patients with stroke require additional support from family to live independently in the area of activities of daily living. Family members are usually the main caregivers of stroke patients. Comprehensive explanation of ADL handling from family caregivers' view is lacking. AIM: This study explores and describes family caregivers' experiences about the strategies to handle activities of daily living (ADL) dependency of elderly patient with stroke in the Iranian context. METHOD: A qualitative content analysis approach was conducted to analyse data. Nineteen family caregivers participated in the study from multiple physiotherapy clinics of physiotherapy in Sari (Iran) between September 2013 and May 2014. Data were generated through in-depth interviews, and content analysis method was used to analyse the data and determine themes. FINDINGS: The findings show that family caregivers manage the ADL dependency of their elderly stroke patients through seven strategies including encouraging physical movements, providing personal hygiene, nutritional consideration, facilitating religious activities, filling leisure time, and facilitating transfer and assisting in financial issues. CONCLUSION: Family has an important role in handling of elderly stroke patients' ADL dependency. Health practitioners can take benefit from the findings to help the stroke families play more active role in the handling ADL dependency of their patients after stroke.

Family Adaptation to Stroke: A Metasynthesis of Qualitative Research based on Double ABCX Model.

PURPOSE: There is growing interest in synthesizing qualitative research. Stroke is a very common cause of disability often leaving stroke survivors dependent on their family. This study reports an interpretive review of research into subjective experience of families with stroke survivors based on the components of the Double ABCX Model including stressors, resources, perception, coping strategies, and adaptation of these families. METHODS: Metasynthesis was applied to review qualitative research looking at stroke family members' experiences and responses to having a stroke survivor as a family member. Electronic database from 1990 to 2013 were searched and 18 separate studies were identified. Each study was evaluated using methodological criteria to provide a context for interpretation of substantive findings. Principal findings were extracted and synthesized under the Double ABCX Model elements. RESULTS: Loss of independence and uncertainty (as stressors), struggling with new phase of life (as perception), refocusing time and energy on elements of recovery process (as coping strategy), combined resources including personal, internal and external family support (as resources), and striking a balance (as adaptation) were identified as main categories. Family members of stroke survivor respond cognitively and practically and attempt to keep a balance between survivor's and their own everyday lives. CONCLUSIONS: The results of the study are in conformity with the tenets of the Double ABCX Model. Family adaptation is a dynamic process and the present study findings provide rich information on proper assessment and intervention to the practitioners working with families of stroke survivors.

Meaning of well-being among Iranian women: A phenomenological descriptive approach.

BACKGROUND: Well-being is a subjective concept and means different things to various people. Most of the research investigating the experience has concentrated on its problematic and pathological aspects. The aim of this research was to enhance the understanding of the contextual meaning of well-being based on personal life experiences of the participants. This will be of help to experts in the field of health for monitoring, diagnosis, nursing, treatment, and rehabilitation. MATERIALS AND METHODS: This research was conducted by utilizing the Husserlian approach which involves direct exploration analysis and the description of a particular phenomenon. Data were collected by conducting unstructured, in-depth interviews of 20 Iranian young and middle-aged women. Analysis was conducted using the Colaizzi's methodology. RESULTS: The general meaning of the phenomenon, well-being, is understood as having the feeling of peace in life by the participants in this study. Well-being was identified by six major themes, including enjoying and being satisfied with life, the feeling of belonging together (or relating to others), the feeling of being healthy, the feeling of a relationship with God, to be able to afford what one needs to buy, and life as a whole (interconnection between different aspects of a person's life). CONCLUSIONS: Well-being as a feeling of peace in life can originate from both hedonic and eudemonic perspectives. A person's state of satisfaction in different aspects of her life can lead to the experience of well-being. All these aspects should be taken into account when health practitioners plan to promote the state of well-being among people.

Public and private hospital nurses' perceptions of the ethical climate in their work settings, sari city, 2011.

BACKGROUND: Nurses' perceptions of ethical climate patterns have certain undeniable effects on hospitals. There is little evidence of possible differences in this element between public and private hospitals and contributing factors. OBJECTIVES: This study investigated whether the perceptions of the ethical climate in nurses' working in public hospitals differ from that of nurses in private hospitals, and which factors may affect nurses' perceptions. MATERIALS AND METHODS: A cross-sectional study of randomly selected registered nurses (n = 235), working in four public hospitals affiliated to Mazandaran University of Medical Sciences, and three private hospitals, was conducted in Sari City, Iran. A self-administered questionnaire, containing demographic characteristics and the Hospital Ethical Climate Survey (HECS), were used to assess registered nurses' perceptions of public and private hospitals ethical climate. An independent t-test and one-way ANOVA were used to analyze the data. RESULTS: Across the five factors of HECS, the highest and lowest mean scores pertained to managers and physicians, respectively, in both public and private hospitals. Nurses who had a conditional employment situation and those working in pediatric intensive care units showed significantly more positive perceptions of the ethical work climate when compared to their peers (P < 0.05). Although the mean score of ethical work climate in private hospitals (3.82 ± 0.61) was higher than that in public hospitals (3.76 ± 0.54), no significant difference was found (P = 0.44). CONCLUSIONS: Hospital managers need to discover better ways to promote safety and health programs for their staff according to nurses' area of work and their type of units. They should also encourage greater levels of participation in safety-enhancing initiatives in the hospital's ethical climate, especially in the areas of nurses' perceptions of their physician colleagues, and for nurses with a conditional employment situation.