Journal of Qualitative Research in Health Sciences最新文献

{"title":"Epidemiological Indices of Sports Injuries in Male Students of Physical Education High Schools in Kerman and Explanation of Causes of Sports Injuries in the Sports Injury","authors":"M. Erfani, M. Sahebozamani, A. Daneshjoo","doi":"10.22062/JQR.2021.193517.0","DOIUrl":"https://doi.org/10.22062/JQR.2021.193517.0","url":null,"abstract":"Introduction: Since school sports are the main cause of students’ injuries, awareness of the causes and factors underlying these injuries can pave the way for the development and planning of injury prevention strategies. The present study was conducted in two quantitative and qualitative phases using the data in the sports injury surveillance system and the interviews designed by the researchers to analyze the epidemiological indicators and causes of students’ injuries. \u0000Methods: This mixed-method study was conducted using qualitative and quantitative descriptive techniques. The injuries made to male students of physical education high schools in Kerman were recorded for 6 months in a sports injury surveillance system developed by the researchers. Then, the qualitative data were collected using in-depth and semi-structured interviews to explore the possible causes of sports injuries. The collected data were analyzed using a content analysis method via descriptive statistics and the chi-square test with SPSS software (version 21) at a significance level of P=0.05. Besides, the qualitative data were analyzed using a conventional content analysis technique. \u0000Results: The results of data analysis indicated that most of the injuries occurring in sports movements to the student-athletes were caused by collision. Moreover, muscle strain injuries were the most frequently found sports injuries. Improper techniques were also reported as the most important cause of sports injuries. Pain was found as the most significant indicator of the early post-injury symptoms. An analysis of the quantitative-descriptive data recorded in the sports injury surveillance system showed the injury incidence rate of 33.3 injuries per 100 student-athletes and 63.3 injuries per 100 hours of training and competition. Furthermore, the lower extremity with 51.6% and minor injuries with 45.3% showed the highest rate and improper techniques accounting for 25% of the injuries were the most important risk factor for injury. \u0000Conclusion: Given the high prevalence of muscle strains and the highest percentage of lower extremity injuries in students caused by using improper techniques, addressing sports injury indicators, as well as explaining their causes and underlying factors can significantly contribute to reducing students’ injuries. Moreover, regular systematic reviews of epidemiological studies can be effective in developing practical programs for injury prevention in students.","PeriodicalId":347126,"journal":{"name":"Journal of Qualitative Research in Health Sciences","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117268763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Explaining the Experiences of Social Workers in Utilizing Professional Capital to Deal with Client Violence","authors":"Nasrin Babaeian, G. Raheb, F. Borhani, Atieh Hashieh-Baf","doi":"10.22062/JQR.2021.193615.0","DOIUrl":"https://doi.org/10.22062/JQR.2021.193615.0","url":null,"abstract":"Introduction: Establishing an appropriate and effective professional relationship in social work practices is always emphasized, but sometimes this relationship is likely to be exposed to violence. The purpose of this study was to explain the experiences of social workers in utilizing professional capital to deal with clients’ violence. \u0000Methods: The present study was conducted using a conventional qualitative content analysis approach through 20 semi-structured interviews with 17 social workers selected via purposive sampling. The interviews continued until the data saturation and the identification of related themes and categories. \u0000Results: Based on the findings from the data analysis, four main themes (knowledge, experiences, techniques, and commitment to professional principles and values) and 14 subthemes related to the professional capital were identified. \u0000Conclusion: The results of this study showed that the social workers try to cope with the violence of clients by utilizing knowledge, experiences, professional techniques and their commitment to professional principles and values in such a way to cause the least possible harm to the clients and themselves. Promoting the education and learning of violence coping skills, especially during internship courses, is one of the issues that need to be addressed from a social, organizational, and academic perspective.","PeriodicalId":347126,"journal":{"name":"Journal of Qualitative Research in Health Sciences","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114651236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outsourcing in University Hospitals to Provide a Policy Formation Model: A Meta-Synthesis","authors":"H. Nazari, A. Vedadi, Mohammad Reza Rabieemondajin","doi":"10.22062/JQR.2021.91696","DOIUrl":"https://doi.org/10.22062/JQR.2021.91696","url":null,"abstract":"Introduction: Every organization needs to develop and use the opportunities and mechanisms to resolve its issues and problems, improve conditions, and take advantage of new opportunities and mechanisms. The health sector, particularly educational and health centers, is not an exception and is more important in terms of its role in enhancing people's health. Thus, the objective of this study was to provide a model for the formation of outsourcing policies in educational centersMethods: This study used an integrative meta-synthesis approach based on the model presented by Sandelowski and Barroso. For data collection, national and international scientific databases were searched to find researches conducted from January 2010 to August 2019 using the following keywords: outsourcing, hospital outsourcing, outsourcing policy formation, outsourcing policy-making in hospitals of internal and external were used. Finally, 37 articles were selected.Results: A total of 10 main categories and 34 subcategories were identified by reviewing selected articles including outsourcing causes and objectives (five subcategories), outsourcing challenges (five subcategories), outsourcing disadvantages (five subcategories), outsourcing advantages (four subcategories), selection options (two subcategories), opportunities (three subcategories), risks (four subcategories), direct stakeholders (two subcategories), indirect stakeholders (two subcategories), and decision-makers (actors) (two subcategories). Finally, an outsourcing policy formation model was presented.Conclusion: The results of this study indicated the influence of different components and dimensions on the formation of outsourcing policy in the University Hospitals. Therefore, if the policy-makers have a comprehensive and realistic viewpoint, they can play a significant role in the success of the policies formulated.","PeriodicalId":347126,"journal":{"name":"Journal of Qualitative Research in Health Sciences","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129693491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Lived Experiences of Abused Mothers: A Phenomenological Study","authors":"Zabihollah Abbaspour, Golshan Vasel, R. Khojastehmehr","doi":"10.22062/JQR.2021.193653.0","DOIUrl":"https://doi.org/10.22062/JQR.2021.193653.0","url":null,"abstract":"Introduction: Domestic/family violence including child abuse, spousal abuse, elder abuse, and parental abuse is a common issue in the modern world. Adolescent-to-mother abuse is one of the phenomena that have been the focus of attention in recent decades due to its negative effects on the family system. The objective of the present study was to investigate the lived experiences of mothers abused by their adolescent children and to determine its final structure by surveying the research participants. Methods: This study employed a qualitative and phenomenological method. Nine participants were selected using the purposive sampling method and in-depth interviews were conducted until data saturation. The interviews were recorded and transcribed and then analyzed using a descriptive phenomenological psychological method. Results: Data analysis revealed 11 components of mothers abuse by their adolescent children including: 1) Physical injury, 2) Emotional abuse; 3) Financial pressure, 4) The sense of being emotionally harmed, 5) Perception of child’s behavior as an abusive interaction, 6) Spiritual harm, 7) Pathology, 8) Causality of abusive behavior; 9) Ambivalent perception of abusive behavior, 10) Cyclical nature of child-mother abusive interaction patterns, and 11) Intentionality of abusive behavior. Conclusion: The results of this study showed that the depth of harms to mothers abused by their adolescent children can be very extensive and severe. The insights from this study provide many contributions to counseling centers and family therapists.","PeriodicalId":347126,"journal":{"name":"Journal of Qualitative Research in Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129251941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Strategic Elements of Family-Centered Care in the Neonatal Intensive Care Unit: A Qualitative Study","authors":"Niloofar Hajiaraghi, N. Sadeghi, Minoo Motaghi, M. Mousavi","doi":"10.22062/JQR.2021.193611.0","DOIUrl":"https://doi.org/10.22062/JQR.2021.193611.0","url":null,"abstract":"Introduction: The family is an integral part of the health care team. Focusing on family-centered care in neonatal intensive care units (NICUs) involves using strategies to support families by supporting parental involvement in NICUs. Accordingly, the present study aimed to examine the strategic elements of family-centered care in NICUs. Methods: The present study was conducted using conventional qualitative content analysis based on Graneheim and Lundman’s approach and purposive sampling. This study was conducted in NICUs of Isfahan hospitals in 2018. The data were collected through unstructured face-to-face interviews with 15 participants including parents and NICU staff.  The collected data were encoded and analyzed through Microsoft Word Office and OneNote 2010. Results: The analysis of the data revealed 3 main themes and 7 subthemes related to the strategic elements of family-centered care. The extracted themes (and subthemes) were: (1) Family and care (family involvement in the care process, the interaction between the medical staff and the family), (2) Parental characteristics in care (the mother as the core element of care, the father’s role in care), (3) Family needs (the need of the family for information, the importance of family preparation, the family’s need for spiritual support). Conclusion: The present study revealed the key elements of the structure of family-centered care from the perspective of families and medical staff. The findings of this study also highlighted the role of the family in caring for patients and meeting their needs. Accordingly, measures should be taken to improve the quality of family-centered care by taking into account the strengths of this strategy.","PeriodicalId":347126,"journal":{"name":"Journal of Qualitative Research in Health Sciences","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115569228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family Stability Based on the Theory of Planned Behavior: A Qualitative Study","authors":"Jalal Iranizadeh, Hassan Zareei Mahmodabadi, S. Vaziri, S. Afshani","doi":"10.22062/JQR.2021.193644.0","DOIUrl":"https://doi.org/10.22062/JQR.2021.193644.0","url":null,"abstract":"Introduction: Family is the most appropriate place to meet human needs and the best place to support human security and psychological well-being. Accordingly, young people should be encouraged to get married as soon as they meet the requirements for marriage. They also should be trained on how to strengthen their family life. For this reason, the present qualitative study aimed to develop a family model based on the theory of planned behavior to explain family stability. Methods: The data analysis method was a rule-guided qualitative content analysis. The data were collected by conducting interviews with 19 family therapists and experts in Yazd Province in 2018. The participants were selected through purposive sampling. The questions asked in the semi-structured interviews were developed based on the theory of planned behavior dealing with issues including behavioral intention, attitudes, subjective norms, and behavioral control.  The interviews continued to the data saturation point when no new information or themes were observed in the data. Then the transcripts of the interviews were typed and the related themes were extracted and coded. After coding the data, qualitative research experts were asked to determine the content validity of the codes and their related categories. Then, based on the extracted categories, a local model was developed. Results: Based on the data analysis, 4 main themes (behavioral intention, attitudes, subjective norms, and behavioral control) and 8 sub-themes (self-control, patience, luxury-seeking, self-esteem, parenting, need satisfaction, positive attitudes toward marriage, and attainment of peace) were extracted. Conclusion: Since the family is the best emotional, social, and psychological shelter for its members, this study developed a model that can be valuable for educating families who have different problems. The developed model can also be used by family therapists and professionals dealing with family issues.","PeriodicalId":347126,"journal":{"name":"Journal of Qualitative Research in Health Sciences","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134131564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ICU Students’ Experiences of an Effective Clinical Instructor: A Phenomenological Study","authors":"L. Yekefallah, L. Dehghankar, Mahya Shafaee, S. Mohamadi, M. Moradi","doi":"10.22062/JQR.2021.193588.0","DOIUrl":"https://doi.org/10.22062/JQR.2021.193588.0","url":null,"abstract":"Introduction: Improving the quality of clinical education requires a continuous review of the status quo, recognition of strengths and weaknesses, as well as correction of these weaknesses. Besides, the experiences of ICU students can be useful in removing such weaknesses. The objective of the present study was to investigate the personal experiences of nursing students about the characteristics of an effective clinical instructor and to explain the concept of “effective instructor” in clinical education. \u0000Methods: This qualitative study was conducted based on van Manen’s phenomenology. Using purposive sampling, 12 nursing students working in the intensive care unit of Qazvin University of Medical Sciences were selected and studied. The data were collected by conducting in-depth semi-structured interviews. All interviews were recorded and then the related codes and themes were extracted using van Manen’s analysis method. The validity and robustness of the study were obtained through attention to the four axes of validity, trustworthiness, reliability, and generalizability. \u0000Results: The transcripts of the interviews were analyzed and conceptual codes were extracted. After analyzing the data, 12 categories, 51 subcategories, and 5 themes were extracted. The extracted themes included scientific and practical competence, communicator and clinical coordinator, professional behavior guide, theoretical-clinical mediator, and fair evaluator. \u0000Conclusion: Based on the findings, the participants in this study emphasized the key role of the instructor in creating a suitable context for professionalization. They acknowledged that an instructor with good personality traits, speaking skills, management, appropriate clinical competencies, effective professional communication, and a realistic evaluation can train qualified students to work in the country’s healthcare system.","PeriodicalId":347126,"journal":{"name":"Journal of Qualitative Research in Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130993307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identification of Effective Components in Hospital Performance Assessment: A Qualitative Study","authors":"Roya Malekzadeh, G. Abedi, Ghahraman Mahmoodi","doi":"10.22062/JQR.2021.193665.0","DOIUrl":"https://doi.org/10.22062/JQR.2021.193665.0","url":null,"abstract":"Introduction: An appropriate and applicable model of hospital performance assessment can potentially lead to accountability, quality of service, and patient satisfaction. The purpose of this study was to identify the effective factors on hospital performance assessment. Methods: In this qualitative study, in order to elucidate the experts’ experiences of hospital performance assessment, based on purposive sampling, individual semi-structured interviews were conducted with 27 health services management professors, university and hospital managers, national accreditors, and the authorities in charge of quality improvement of hospitals in Mazandaran Province. Interviews were recorded, transcribed, codified, classified, and analyzed based on the conventional content analysis approach. Results: The participants’ experiences indicated the need to take into account all dimensions influencing performance assessment as well as a balanced measurement of the structure, process, outcome, control, and context of the hospital that provides services. Totally, 5 main themes and 18 sub-themes were extracted from the data analysis. Conclusion: The results of this study indicated that a comprehensive performance assessment system needs to measure all dimensions of hospital performance. It is therefore recommended that in hospital performance assessment, in addition to traditional attention paid to resources and facilities, hospital processes, the outcomes of proper implementation of processes, control, and the context in which the hospital provides services also be taken into account.","PeriodicalId":347126,"journal":{"name":"Journal of Qualitative Research in Health Sciences","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134342814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Back on the Road to Life: Iranian Patients’ Experience of Heart Transplantation","authors":"Shahzad Pashaeypoor, M. Cheraghi, F. Bahramnezhad, P. Asgari","doi":"10.22062/JQR.2021.91597","DOIUrl":"https://doi.org/10.22062/JQR.2021.91597","url":null,"abstract":"Introduction: Heart transplantation is a standard treatment for end-stage cardiac disease. In addition to inducing physical changes and improving the quality of life, it causes unique mental and psychological changes in transplant recipients. Therefore, this study sought to explain and interpret the experience of heart transplant recipients in Iran. Methods: Using a qualitative content analysis approach, this study was performed on 13 heart transplant recipients in Tehran. The data were collected through observation and semi-structured interviews. The participants were selected using purposive sampling, and the interviews continued until data saturation. After obtaining informed consent, interviews were recorded, transcribed, and analyzed using conventional and concurrent content analysis. Results: The analysis of the data revealed two stages experienced by heart transplant recipients. The transition stage was categorized into two concepts of \"emotional turmoil\" and \"feeling of duality\". The emotional turmoil was subcategorized into feeling guilty, alienation with the new heart, and gratitude. Besides, the \"feeling of duality\" was subdivided into personality change and lifestyle changes. The stabilization stage was conceptualized into “self-acceptance” which was subcategorized into three concepts of the acceptance of the new heart, feeling of unity with the donor, and normalization. Conclusion: Adaptation to the new heart is a multistage process in heart transplant recipients. Based on the insights from this study, it can be concluded that healthcare professionals need to improve their knowledge of post-transplant changes, recipients’ feelings, and their adaptation strategies. They are also advised to address the physical needs and mental concerns of transplant recipients.","PeriodicalId":347126,"journal":{"name":"Journal of Qualitative Research in Health Sciences","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128678605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Specialists' Perception of the Harmful Consequences of Child-Abuse: A Phenomenological Study","authors":"Mousa Choupani, Faezeh Atefi","doi":"10.22062/JQR.2021.91594","DOIUrl":"https://doi.org/10.22062/JQR.2021.91594","url":null,"abstract":"Introduction: Child-abuse is one of the most common socio-psychological problems, and can contribute to the development of a set of intrapersonal, interpersonal, and peripheral harms in child and adolescent victims. This study aims at identifying the harmful consequences and harms of childabuse (child maltreatment) in child and adolescent victims from the perspective of specialists (counselors, psychologists, and social workers). Methods: This study was carried out using a qualitative and interpretive phenomenological approach. The research population included all specialists in the field of psychological and social health (counselors, psychologists, and social workers) in Isfahan and Tabriz Universities in 2018, who were experienced in research and treatment in child abuse. The participants were 9 specialists who were selected using purposive sampling. The data were collected through interviews with the participants. All the interviews were recorded and then transcribed line by line. The data extracted from the interviews were analyzed using the interpretive analysis approach proposed by Diekelmann, Allen, and Tanner. Results: The analysis of the data extracted from the interviews revealed five main themes (psychological, behavioral, interpersonal, family, and social harms) and 31 subthemes related to child-abuse harms and consequences from the perspective of the specialists. Conclusion: The insights from this study can be used to develop educational, preventive, and therapeutic programs aimed at reducing child abuse and its harmful effects.","PeriodicalId":347126,"journal":{"name":"Journal of Qualitative Research in Health Sciences","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132566377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}