Showing papers by "Mohammad Ali Cheraghi published in 2015"

Patients' lived experiences regarding maintaining dignity.

Abstract: Preservation of dignity is frequently emphasized as a basic patient's right in national and international nursing codes of ethics and is indeed the essence and core of nursing care. It is therefore essential to explore the concept based on patients' lived experiences in order to maintain and respect their dignity and consequently improve the quality of health services and patient satisfaction. The present study aimed to discover the lived experiences of Iranian patients regarding maintaining their dignity at the bedside. This qualitative study was conducted using an interpretive phenomenological approach. A total of 14 participants (9 women and 5 men) were purposefully selected, and data were collected through individual, semi-structured and deep interviews. The recorded interviews were transcribed and analyzed by the Diekelman, Allen and Tanner approach. The findings of this study revealed three main themes and related subthemes regarding the meaning of preserving patients' dignity. The first main theme was "exigency of preserving the innate human dignity" and comprised two subthemes: "respect for the intrinsic equality of all humans" and "treating the patient as a valued person, not an object". The second theme was "service based on love and kindness" and included two subthemes: 'being with the patient" and "inspiring the sense of being accepted and loved". The third main theme emerged as "dignifying and transcendental professional service" and consisted of two subthemes: "professional commitment to uphold patients' rights" and "enlightened practice". This study revealed that the concept of maintaining patients' dignity is related to health providers' duty to preserve patients' dignity and also their moral obligation to manifest the human love that is in their own as well as their patients' nature. In conclusion, if nurses reflect on the transcendental nature of nursing care, they will value and prize their everyday bedside nursing practice and will utilize their capacities to be more human as well.

Iranian Nurses’ Status in Policymaking for Nursing in Health System: A Qualitative Content Analysis

Abstract: Presence of nurses in policy making will result improvement of nursing practice, and increase qualification of patients' care, but still few nurses are involved in policy debates and health reforms and their status in policy making for nursing is not clear. The aim of this study was to elucidate Iranian nurses' status in policy making for nursing in health system. This is a qualitative study. Using purposive sampling 22 participants were interviewed to gain deep understanding from the phenomenon of status of nurses in policy making. Of these 2 were not nurses but the members of Iran's council for health policy making. Data were analyzed by employing conventional content analysis. Nurses' status in policy making declared base on the implications of three main themes including "the policy making framework", "perceived status of nurses in policy making", and "the manner of nurses' participation in policy making". The conclusion of the present study is that Policy making for nursing is a subcategory of Iran's macro health policies. What made the status of nurses more efficient in policy making for nursing was their practice and rate of participation in the appointed positions and the society. Results of this study represented major points of weakness in nursing policies and some recommendations for modifications.

Quality of Life and Related Factors Among People With Spinal Cord Injuries in Tehran, Iran.

Abstract: Background: Spinal Cord Injury (SCI) is one of the biggest health problems. Disabilities resulting from injuries such as spinal disability requires special attention because of their potential reduced to cause adverse effects in different systems of the body. Today, improving the Quality of Life (QOL) in patients with SCIs is an important goal of treatment. Objectives: The purpose of this study was to determine the QOL and related factors among people with SCIs. Patients and Methods: In this cross-sectional descriptive study, 106 patients with SCI were selected through sampling based on census. Data were collected using a demographic questionnaire and a Short-Form 36 (SF-36) health survey questionnaire for measuring the QOL among patients. Data were analyzed using SPSS 14 software and descriptive and inferential statistics. P < 0.05 was considered statistically significant. Results: The mean QOL in these patients was 37.1 ± 1.7 years (21 - 65 years) and mean disease duration was 7.3±6 years. The most common injury was paraplegia. Most of the patients have moderate QOL (54.7 %). The results showed a significant relationship between QOL and marital status and employment status (P < 0.05). Also, results showed a significant relationship between QOL and education levels (P = 0.002), age (P = 0.001), and duration of illness (P = 0.001).The highest and lowest scores were 64 ± 7.1 and 36 ± 5.3 for understanding General Health (GH) and role physical, respectively. Conclusions: The results show that patients with SCI have a moderate health-related QOL Determining the QOL is needed to focus on the strengths and weaknesses of patients with spinal cord injuries. Planning principles is recommended in order to reform the disability.

Iranian Clinical Nurses' Readiness for Self-Directed Learning.

Abstract: INTRODUCTION: Clinical nurses are in need of being able to adapt to the ever-changing environment of clinical settings The prerequisite for their successful adaptation is to be lifelong learners An approach for making nurses lifelong learners is self-directed learning AIMS: This study was undertaken to evaluate a group of Iranian clinical nurses’ readiness for self-directed learning and its relationship with some of their personal characteristics METHODS: This cross-sectional descriptive study was conducted in 2014 A random sample of 314 nurses working in three hospitals affiliated to Isfahan Social Security Organization, Isfahan, Iran, was recruited to complete the Fisher’s Self-directed Learning Readiness Scale FINDINGS: In total, 279 nurses filled the scale completely The mean of their readiness for self-directed learning was 16250±1411 (120–196) The correlation of self-directed learning readiness with age, gender, marital status, and university degree was not statistically significant CONCLUSION: Most nurses had great readiness for self-directed learning Accordingly, nursing policy-makers need to develop strategies for promoting their self-directed learning Moreover, innovative teaching methods such as problem solving and problem-based learning should be employed to prepare nurses for effectively managing the complexities of their ever-changing work environment

Modification of nursing education for upgrading nurses' participation: a thematic analysis.

Abstract: BACKGROUND: The product of the educational nursing programs in Iran is training nurses who less have professional apprehension and commitment for participating in professional decisions. Whereas nurses especially those in high academic levels are expected to more involve in professional issues. OBJECTIVE: The aim of this study was to explore Iranian nurse leaders' experiences of making educational nursing policy with emphasizes on enhancement of nurses' participation in professional decisions. METHODS: We used a qualitative design with thematic analysis approach for data gathering and data analysis. Using purposive sampling we selected 17 experienced nurses in education and making educational nursing policies. Data gathered by open deep semi-structured face to face interviews. We followed six steps of Braun and Clarke for data analysis. RESULTS: In order to enhance nurses' participation in professional decisions they need to be well educated and trained to participate in community and meet community needs. The three main themes that evolved from analysis included opportunities available for training undergraduate students, challenges for PhD nurses and general deficiencies in nursing education. The second theme includes three sub-themes; namely, the PhD curriculum, PhD nurses’ attitudes and PhD nurses’ performance. CONCLUSIONS: We need for revising and directing nursing education toward service learning, community based need programs such as diabetes and driving accidents and also totally application of present educational opportunities. The specialization of nursing and the establishment of specialized nursing associations, the emphasis on teaching the science of care and reinforcing the sense of appreciation of pioneers of nursing in Iran are among the directions offered in the present study

Iranian Clinical Nurses’ Activities for Self-Directed Learning: A Qualitative Study

Abstract: BACKGROUND: Clinical nurses need lifelong learning skills for responding to the rapid changes of clinical settings. One of the best strategies for lifelong learning is self-directed learning. The aim of this study was to explore Iranian clinical nurses’ activities for self-directed learning. METHODS: In this qualitative study, 23 semi-structured personal interviews were conducted with nineteen clinical nurses working in all four hospitals affiliated to Isfahan Social Security Organization, Isfahan, Iran. Study data were analyzed by using the content analysis approach. The study was conducted from June 2013 to October 2014. FINDINGS: Study participants’ activities for self-directed learning fell into two main categories of striving for knowledge acquisition and striving for skill development. The main theme of the study was ‘Revising personal performance based on intellectual-experiential activities’. CONCLUSIONS: Study findings suggest that Iranian clinical nurses continually revise their personal performance by performing self-directed intellectual and experiential activities to acquire expertise. The process of acquiring expertise is a linear process which includes two key steps of knowledge acquisition and knowledge development. In order to acquire and advance their knowledge, nurses perform mental learning activities such as sensory perception, self-evaluation, and suspended judgment step-by-step. Moreover, they develop their skills through doing activities like apprenticeship, masterly performance, and self-regulation. The absolute prerequisite to expertise acquisition is that a nurse needs to follow these two steps in a sequential manner.

An exemplar university professor from students’ perspective in Tehran University of Medical Sciences: A qualitative study

Abstract: Background & Aim : Universities should play an important role in education commensurate with the expectations of stakeholders and of the community as well. The university professors and teachers have critical positions in education. This research aimed to explore the perspective of students in Tehran University of Medical Sciences (TUMS) about characteristics of a model teacher. Methods & Materials : Inductive qualitative content analysis was used to explore students’ perspective based on naturalistic philosophy. The participants in this study were 19 students who were enrolled in various courses at TUMS. To collect data, semi-structured in-depth individual interviews were used. Findings were analyzed using conventional content analysis approach. Results : The results of the study led to the identification of three main themes: teacher’s science, moral imperatives in education, and communication with students. The first and third theme had a subtheme called science and oration and flexibility of classroom atmosphere. Conclusion : Based on the findings of the present study, it can be concluded that students observe all characteristics of teachers. Hence, university professors and teachers not only are responsible for educating students through teaching skills, but also impact students’ thoughts and lifestyle through their moral characters and personality and play an important role in the educating future generations.