Iranian Journal of Nursing and Midwifery Research最新文献

{"title":"Exploring the Lived Experience of Women Receiving Antenatal, Intrapartum, and Immediate Postnatal Care: The Essence of Being with the Midwives.","authors":"Sibongile Marufu, John Paul Ben Tabar Silang, Varsha Hariharan, Oladayo Ajoke Ogunbanjo, Samia Ben Khalifa, Rana Aatif Salim Ibrahem, David Hali de Jesus","doi":"10.4103/ijnmr.ijnmr_204_25","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_204_25","url":null,"abstract":"<p><strong>Background: </strong>Midwives have essential roles in shaping policies, advancing practice, and ensuring women-centered education that leads to positive maternal and neonatal outcomes. In Qatar, healthcare systems integrated midwifery-led services to increase the workforce supporting women, but no studies have examined women's experiences with midwives. Thus, this study explores women's lived experiences of midwifery care in Qatar to identify its impact and areas for improvement.</p><p><strong>Materials and methods: </strong>A qualitative descriptive-phenomenological design was used. Twelve women who received perinatal care from midwives were purposively recruited from midwifery-led services at a tertiary maternity facility in Doha, Qatar. After discharge, interviews were conducted via Zoom from January to June 2022 using a semi-structured guide. Audio recordings were transcribed and analyzed using Colaizzi's method to identify key themes. The essence of the lived experience was derived through phenomenological reduction and theme integration.</p><p><strong>Results: </strong>Five themes and nine subthemes emerged: <i>midwives' presence and support</i>; <i>midwives' care and comfort</i>; <i>learning from midwives</i>; <i>developing authentic partnerships</i>; and <i>changing perspectives on perinatal care</i>. The essence of \"<i>being with midwives</i>\" transformed women's experiences toward perinatal care. This transformation empowered women, encouraged positive physiologic childbirth experiences, and reinforced the need to expand midwifery services in Qatar.</p><p><strong>Conclusions: </strong>Being with midwives shapes women's perinatal experiences and transforms perceptions about midwifery and obstetric care. Their compassionate approach builds trust and strong partnerships. Narratives suggested expanding services, increasing recruitment, and refining the midwifery care model in Qatar to enhance maternal healthcare.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 4","pages":"657-662"},"PeriodicalIF":1.4,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the Dialysis Adequacy Across Four Types of Dialysis Machines in Hemodialysis Patients.","authors":"Yaser Choopani, Mohammadali Rezaei, Neda Mohammadinia","doi":"10.4103/ijnmr.ijnmr_117_25","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_117_25","url":null,"abstract":"<p><strong>Background: </strong>Chronic renal failure causes a gradual loss of kidney function. This study compares four types of dialysis machines for blood purification in hemodialysis patients.</p><p><strong>Materials and methods: </strong>This descriptive-analytical cross-sectional study was conducted in 2024 at the Dialysis Department of Sepehr Dialysis Center and Pasteur Hospital in Kerman Province, Iran. It included 64 dialysis patients selected through convenience sampling. Four different dialysis machines, Fresenius 4008 S, Fresenius 4008 B, ATF1022, and B. Braun, and 102 blood samples were analyzed, with patients undergoing either one or two sessions of hemodialysis. Data were gathered using a questionnaire about demographic and clinical information before and after dialysis. Vital signs and biochemical tests were taken, and dialysis adequacy was measured using KT/V and urea reduction ratio (URR), where K = urea clearance, T = dialysis time, and V = urea distribution volume. Data were analyzed using chi-square, <i>t</i>-tests, and Pearson correlation tests.</p><p><strong>Results: </strong>The mean (SD) dialysis adequacy (KT/V) among patients was 1.21 (0.41), and the mean (SD) URR was 58.97 (7.65). Only 17.06% of patients achieved a URR greater than 65%, and 21.60% achieved a KT/V greater than 1.20, which are established indicators of hemodialysis adequacy. Although the performance of the four machines varied, with higher values observed for the Fresenius 4008 B (KT/V = 1.16 ± 0.299 and URR = 61.47 ± 8.48), there was no statistically significant difference between dialysis machine types and dialysis adequacy (<i>p</i> > 0.05).</p><p><strong>Conclusions: </strong>Healthcare officials and stakeholders should examine factors affecting dialysis adequacy and implement newer machines and better quality assurance programs.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 4","pages":"618-622"},"PeriodicalIF":1.4,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Marital Life after Infertility Diagnosis: Sexual and Intimacy Issues Experienced by Iranian Infertile Couples.","authors":"Ali Asghar Firouzian, Vajiheh Hazari, Ahmad Nasiri","doi":"10.4103/ijnmr.ijnmr_130_25","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_130_25","url":null,"abstract":"<p><strong>Background: </strong>Infertility is a life-altering condition that not only affects reproductive capacity but also deeply disrupts emotional intimacy and marital stability in couples. Understanding couples' experiences of changes in marital relationships following infertility can be valuable for healthcare providers' care planning. This study aimed to explain the experiences of infertile couples regarding sexual issues and intimate relationships.</p><p><strong>Materials and methods: </strong>This study was conducted using a qualitative content analysis approach based on the method proposed by Graneheim and Lundman. Data were collected through semistructured interviews with 14 infertile couples using purposive sampling at the infertility treatment center of Birjand University of Medical Sciences, Birjand, Iran. Coding and classification of data were performed using MAXQDA 2020.</p><p><strong>Results: </strong>The results indicated the negative impact of infertility on marital life and intimate relationships between couples, which can be understood by the four categories that emerged from the data: shock to marital life, couple's intimacy downhill, diminished bed-life pleasure, and prescribed, instead of pleasurable sex.</p><p><strong>Conclusions: </strong>This study highlights the profound impact of infertility on couples' sexual and intimate relationships, emphasizing the need for holistic treatment approaches. Healthcare providers-especially nurses and infertility counselors-should incorporate psychosexual support into routine infertility care. By offering culturally sensitive counseling and facilitating open communication between partners, professionals can help couples preserve emotional intimacy and marital stability throughout the treatment process.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 4","pages":"630-637"},"PeriodicalIF":1.4,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rocky Paths: Family and Society as a Double-Edged Sword in the Strategies of Patients in Coping with Scleroderma: A Qualitative Descriptive Study.","authors":"Leila Mamashli, Simin Jahani, Marziyeh Asadizaker, Nasrin Elahi, Neda Sayadi, Elham Rajaei","doi":"10.4103/ijnmr.ijnmr_92_25","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_92_25","url":null,"abstract":"<p><strong>Background: </strong>Family and society, as key sources of support in the patient adaptation process, can play a substantial role. However, the contribution of family and society to patients' coping methods, encompassing both positive and negative effects, has not been sufficiently studied. This qualitative study explores the challenges of living with scleroderma, the related strategies, and the dual impact of family and society on patients' coping strategies.</p><p><strong>Materials and methods: </strong>This study was conducted using a qualitative approach with conventional content analysis in 2023-2024. Data were collected via semi-structured interviews with 22 patients and eight family caregivers who were selected through purposive sampling in Ahvaz, Iran. The interviews continued until data saturation was achieved. All interviews were analyzed using Graneheim and Lundman's approach.</p><p><strong>Results: </strong>The findings included eight categories and 22 subcategories. The categories include the following: disrupted cohesion and functional breakdown, psychological stressors, family support dynamics, disrupted support circles, dynamic social support, gaps in the society support network, comprehensive care management, and maladaptive coping mechanisms.</p><p><strong>Conclusions: </strong>This study highlights the absence of an independent scleroderma association in Iran and underscores the role of nurses, evidence-based platforms, and media advocacy in amplifying patients' voices. Addressing stigma, cultural misconceptions, social isolation, and financial hardship requires targeted interventions and policymaking. Particularly, nursing interventions, through educational workshops and innovative tools such as AI-based platforms, can enhance patients' social and informational support.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 4","pages":"595-606"},"PeriodicalIF":1.4,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critique of the Peaceful End-of-Life Theory Using Meleis' 2012 Approach.","authors":"Maryam Papi, Marziyeh Asadizaker, Shahram Molavynejad","doi":"10.4103/ijnmr.ijnmr_68_24","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_68_24","url":null,"abstract":"<p><strong>Background: </strong>Providing a peaceful end of life while preserving dignity is a fundamental goal of nursing care. The Peaceful End-of-Life Theory (PELT) offers a middle-range theoretical framework to guide holistic nursing care for terminally ill patients. Despite its broad application, this theory has not yet been systematically critiqued using Meleis' theory analysis framework.</p><p><strong>Materials and methods: </strong>This study presents a theoretical discussion employing a structured critique based on Afaf Meleis' (2012) theory analysis framework. The structural and functional components of PELT-including its concepts, assumptions, propositions, inner dimensions, clarity, consistency, practical, educational, and research utility, as well as empirical support-were systematically examined. The primary source of analysis was the original theory article by Ruland and Moore (1998), supported by relevant theoretical and empirical literature.</p><p><strong>Results: </strong>The analysis identified PELT as a coherent and internally consistent middle-range theory that effectively links nursing interventions to holistic patient outcomes such as pain relief, comfort, dignity, peace, and closeness to significant others. However, several limitations were noted, including insufficient operational guidance for prioritizing interventions, challenges in measuring culturally sensitive concepts such as peace and comfort, and systemic barriers to implementation such as nursing shortages and misalignment with diagnosis-focused reimbursement systems.</p><p><strong>Conclusions: </strong>Although PELT provides a valuable conceptual framework for guiding end-of-life nursing care, its effective application requires further development of context-specific clinical guidelines, culturally sensitive and validated assessment tools, and supportive health policies that acknowledge the interdisciplinary and resource-intensive nature of palliative care. Addressing these gaps may enhance the theory's practical applicability and contribute to more equitable and dignified end-of-life care across diverse settings.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 4","pages":"545-554"},"PeriodicalIF":1.4,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Palliative Care Needs in Multiple Sclerosis: Insights from a Qualitative Descriptive Study.","authors":"Sara Arianmehr, Mahin Gheibizadeh, Neda Sayadi, Maryam Rassouli, Mehrnaz Moradi Kalboland, Nastaran Majdinasab","doi":"10.4103/ijnmr.ijnmr_33_25","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_33_25","url":null,"abstract":"<p><strong>Background: </strong>Given the variability in the provision of palliative care for patients with multiple sclerosis (MS) across diverse communities and cultural contexts, and considering the paramount importance of a patient-centered approach in needs assessment, this study aimed to identify the palliative care needs of individuals with MS.</p><p><strong>Materials and methods: </strong>This qualitative descriptive study employed a directed content analysis approach on 2024. Data were collected through semistructured and in-depth 30-minute interviews with 14 patients diagnosed with MS in southern Iran. The interviews continued until data saturation was achieved. Concurrently with data collection, analysis was performed using the Elo-Kyngas method and MAXQDA 2022. The Guba and Lincoln criteria were utilized to ensure the validity and reliability of the data.</p><p><strong>Results: </strong>The analysis identified eight primary categories of needs that align with the National Consensus Project framework: structure and processes of care, physical, psychological and psychiatric, social, cultural, ethical and legal, spiritual, religious, and existential aspects, and end-of-life care.</p><p><strong>Conclusions: </strong>A thorough understanding of the palliative care needs of patients with MS can improve the responsiveness of the treatment team and empower caregivers to address these needs more effectively. Consequently, this leads to the delivery of more comprehensive palliative care services for these patients. While the palliative care needs of patients can be considered a multidimensional concept, determining the perceptions of family caregivers and healthcare providers regarding these needs is recommended to develop a more comprehensive approach in future research.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 4","pages":"583-594"},"PeriodicalIF":1.4,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Group Reflection on Preventive Behaviors for Ventilator-Associated Pneumonia Among ICU Nurses.","authors":"Mohadese Habibollahi, Mahdi B Moghaddam, Farid Zand, Mehrsa Basiri Moghadam","doi":"10.4103/ijnmr.ijnmr_259_25","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_259_25","url":null,"abstract":"<p><strong>Background: </strong>Reflection is a fundamental component of nursing education and professional practice. This study aimed to evaluate the impact of structured group reflection sessions on ICU nurses' adherence to Ventilator-Associated Pneumonia (VAP) prevention practices.</p><p><strong>Materials and methods: </strong>This quasiexperimental study a total of 44 ICU nurses from Namazi Hospital in Shiraz, Iran, participated. Two ICUs were randomly selected. The intervention consisted of four group reflection sessions, each comprising 7-8 participants, conducted over 2 weeks and guided by VAP prevention protocols. Nurses' performance was assessed before the intervention and at 1, 4, and 8 weeks afterward using the Behesht Aeen checklist. Data were analyzed using SPSS v. 16.</p><p><strong>Results: </strong>The findings revealed that the intervention group demonstrated a significant improvement and an upward trajectory in all dimensions of nurses' performance across the postintervention follow-up periods (<i>p</i> < 0.001). In sharp contrast, the control group's performance remained stable across all time points (<i>p</i> > 0.05) for all dimensions, with the sole exception being endotracheal tube protection. One week after the intervention, the control group scored 18.13 (5.30), whereas the intervention group scored 28.59 (1.65) (t₄₂= -12.64, <i>p</i> < 0.001(. This divergence was maintained at 4 weeks, with scores of 17.22 (3.71) for the control group and 30.00 (1.77) for the intervention group (U₄₂ = 00.00, <i>p</i> < 0.001(. At eight weeks later, the scores were 15.86 (3.94) for the control group and 29.31 (1.49) for the intervention group (U₄₂ = 00.00, <i>p</i> < 0.01).</p><p><strong>Conclusions: </strong>The findings indicate that structured group reflection sessions are an effective educational strategy to enhance ICU nurses' preventive behaviors for VAP, thereby improving clinical performance and quality of care.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 4","pages":"685-690"},"PeriodicalIF":1.4,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hesitant Steps: An Exploratory Qualitative Study of the Influential Factors on Women's Attitudes Toward Elective Abortion.","authors":"Seyedeh Zahra Masoumi, Samereh Ghelichkhani, Farzaneh Soltani, Farideh Kazemi, Abbas Ebadi, Ali Reza Soltanian","doi":"10.4103/ijnmr.ijnmr_272_25","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_272_25","url":null,"abstract":"<p><strong>Background: </strong>Abortion is one of the most complex and controversial issues in ethics, legislation, and health. Strict abortion restrictions and population growth policies have increased the complexity of abortion in Iran. Thus, this study aimed to explore women's attitudes toward Elective Abortion (EA).</p><p><strong>Materials and methods: </strong>This exploratory qualitative study was conducted between January and September 2024. Participants included 20 women (aged 15-49 years) with no previous history of abortion, purposively selected from eight healthcare centers in Hamadan, Iran. Data were gathered through in-depth, semi-structured interviews, and analyzed through Graneheim and Lundman's conventional content analysis. Trustworthiness was ensured according to Guba and Lincoln's criteria.</p><p><strong>Results: </strong>The five main themes regarding factors influencing women's attitudes toward EA included moral and religious beliefs, violation of the right to live, sheer panic, modern rethinking, and an insecure future. The 10 categories of these themes were God's will, respectability of life, EA as antisocial behavior, EA as murder, heavy penalty, physical, and mental consequences, changes in values, ambiguities in maternal roles, socioeconomic insecurity, and familial insecurity.</p><p><strong>Conclusions: </strong>Moral and religious beliefs, fears, and personal, socioeconomic, and value changes can influence women's attitudes toward EA. Therefore, implementing multifaceted strategies in shaping reproductive health policies, emphasizing individual, economic, and social components, is essential for the assessment and management of EA.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 4","pages":"715-724"},"PeriodicalIF":1.4,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating Factors Affecting the Nursing Shortage During the First and Acute Phase of COVID-19: A Systematic Review.","authors":"Sara Dorri, Shabnam Shariatpanahi, Lida Hosseini, Seyedeh N Seyedhasani, Ahmad Mahdizadeh, Mansoureh A Farahani","doi":"10.4103/ijnmr.ijnmr_294_24","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_294_24","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has resulted in a severe shortage of nurses in health care systems worldwide. The first and acute phase of COVID-19 was challenging for health systems due to the unknown nature and complexity of the disease. This study aimed to extract the factors that influenced the shortage of nurses during the first and the acute phase of COVID-19.</p><p><strong>Materials and methods: </strong>Based on the PRISMA guidelines, a systematic search was conducted in PubMed, ScienceDirect, Cochrane, Scopus, and Web of Science databases from the start of the COVID-19 outbreak to 2021. Studies were screened separately; the inclusion criteria were applied. The risk of bias was assessed with the Hoy tool, and data extraction was conducted. Factors were extracted and categorized by thematic analysis.</p><p><strong>Results: </strong>In total, 1035 studies were found. Finally, 11 original papers met the eligibility criteria. Most studies (seven) were cross-sectional. After thematic analysis, the results showed that the nursing shortage during the COVID-19 outbreak can be attributed to three main categories: 1) <i>The pandemic perceived threat</i>, 2) <i>Internal and External Factors</i>, and 3) <i>Professional and Psychosocial Support</i>.</p><p><strong>Conclusions: </strong>This study highlighted the need for the healthcare system to switch from reactive crisis management to proactive and resilient strategies. To prevent nurse burnout and attrition and guarantee the continuity of care in future emergencies, it is essential to plan to address perceived threats and strengthen support systems in addition to implementing multilevel interventions in organizational and psychological domains. This integrated strategy will convert vulnerability into readiness and resilience.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 4","pages":"555-568"},"PeriodicalIF":1.4,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Antecedents of Horizontal Violence Among Nurses: A Qualitative Content Analysis Study.","authors":"Parisa Rasouli, Masoud Fallahi-Khoshknab, Narges Arsalani, Mohammadali Hosseini, Kian Norouzi Tabrizi","doi":"10.4103/ijnmr.ijnmr_271_25","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_271_25","url":null,"abstract":"<p><strong>Background: </strong>Horizontal violence (HV) in healthcare settings refers to any type of violence among healthcare providers and is a serious challenge in nursing. Many different factors may put nurses at risk for HV. This study aimed to explore the antecedents of HV among nurses.</p><p><strong>Materials and methods: </strong>This qualitative content analysis was conducted in 2022-2023. Participants were 15 nurses purposefully selected from five hospitals affiliated to Hamadan University of Medical Sciences, Hamadan, Iran. In-depth semistructured interviews were conducted for data collection. The main interview question was, \"Have you ever experienced HV in your relationships with your colleagues?\" Graneheim and Lundman's conventional content analysis was used for data analysis.</p><p><strong>Results: </strong>The antecedents of HV among nurses were grouped into two main categories, namely, nurses' personality traits and the violence-laden culture of nursing. The subcategories of specific personality traits were bullying personality and oppressed personality, and the subcategories of the violence-laden culture of nursing were managers' discriminatory and unjust behaviors and the tense work atmosphere of nursing.</p><p><strong>Conclusions: </strong>Nurses' personality traits, managers' discriminatory and unjust behaviors, and the tense work atmosphere of nursing are among the most important antecedents of HV among nurses. These factors can negatively affect nurses' physical, mental, emotional, and social health, reduce their job motivation, lead to their intention to quit nursing, and undermine care quality.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 4","pages":"708-714"},"PeriodicalIF":1.4,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}