Summary Objectives This nation-wide project aimed to investigate the common perceptions and conce... more Summary Objectives This nation-wide project aimed to investigate the common perceptions and concerns regarding COVID-19 outbreak in Iran. Methods This qualitative study was conducted in Iran from February to March 2020 via an online open-ended questionnaire. The participants were also selected using convenience and snowball sampling methods. As well, the data collection process continued until data saturation was achieved. Thematic content analysis was utilized to analysis the transcribed texts. Results The statements retrieved also represented the most challenging psychological stress experienced by the participants. Four themes were accordingly recognized based on the content analysis including stressful conditions, health concerns, social and political concerns, and economic concerns. Throughout the study, a major proportion of the participants commented that psychological disorders such as fear, anxiety, stress, and ennui were their main challenges regarding this pandemic. Furth...
Journal of Medical Ethics and History of Medicine, 2016
The doctor-patient interaction (DPI) plays an important role in the way patients view physicians.... more The doctor-patient interaction (DPI) plays an important role in the way patients view physicians. Thus, response to the question of ''Who is a great physician?'' is related to DPI experiences of patients. The aim of this qualitative study was to explore patients' views regarding this subject. Based on critical ethnography in one educational hospital in Shiraz, Iran, the study was performed based on 156 clinical consultations, 920 hours of participant observations, and 6 focus groups with patients and their relatives. The results revealed that asymmetrical power relationships exist in this context. Based on the general views of participants and their recent DPI experiences, a great physician should be kind, empathetic, friendly, and a good listener. Considering the presence of an asymmetrical power relationships in this context, results showed that doctors do not participate in an active interaction. Based on sociological theories, it can be concluded that the con...
Background: The psychosocial risks and job stress have been considered as the most important fact... more Background: The psychosocial risks and job stress have been considered as the most important factors affecting the occupational health and safety and, therefore, exerting significant impact on the health conditions of individuals, organizations, and national economy. Objectives: The present study investigated the experiences of the nurses working in COVID-19 wards of specialty hospitals in Shiraz, Iran. Methods: Semi-structured interviews were carried out via telephone. A total of 15 participants (11 nurses and 4 active supervisors of COVID-19 wards) were included in the study. A conventional content analysis was applied. Results: COVID-19 ward nurses had a perception of differentiation because they had experienced difficult conditions and had higher social responsibilities. However, they managed to retain their social responsibilities despite suffering from anxiety and fear, physical and mental pressures, as well as various deficiencies. Four themes including fear and anxiety, burn...
Journal of Medical Education and Development, 2019
Introduction: Medical education is one of the most important issues in current changing condition... more Introduction: Medical education is one of the most important issues in current changing conditions which mainly addresses medical students. The purpose of this study was to extract the underlying theory of medical education in Iran based on the perspective and experiences of the medical students. Methods: This was a qualitative study. The data were collected by semi-structured interview and focused group with 43 medical students at Zone 5 of the country (Shiraz, Yasouj, Bandar Abbas, Bushehr, and Fasa). Stress and Corbin (2006) grounded theory method was used for data analysis. Result: The results of the research showed that the students are not satisfied with the current trend in medical education. The main points about the quality of medical education were: hospitalization, theory based method, authoritarianism, alienation, and structural problems. Ritualism in medical education was another finding of the present study, which means the educational system is more concentrated on e...
Journal of Medical Education and Development, 2021
Introduction: Medical humanities are one of the most important interdisciplinary needs. Since the... more Introduction: Medical humanities are one of the most important interdisciplinary needs. Since the most important discussion in this field is how to achieve it, the purpose of this study is to analyze it from the perspective of humanities experts in the Iran. Method: The present study is a national wide qualitative study that was conducted in 2019. Considering the saturation criterion, data were collected through 22 semi-structured interviews and two open questionnaires from the participants. Study analysis was performed by thematic analysis method. Results: The participants were critical of the current situation of medical humanities in the country because there is no effective and serious relationship between humanities and medical sciences. To achieve this, four themes of institutional knowledge development, neighborhood (non-institutional development), policies and sociability were extracted. Conclusion: The development of medical humanities requires macro-policies in the country...
Background: Liver transplant candidates are under stressconditions which affect their Quality of ... more Background: Liver transplant candidates are under stressconditions which affect their Quality of life (QOL), a subject which is not well-understood and is worthy of evaluation. The aim of this study is to determine the socio-demographic variables about QOL of liver transplant candidates.Materials and Methods: This cross-sectional study was evaluated QOL among 210 liver transplant candidates in Shiraz, Iran. The questionnaire includes demographic and socioeconomic conditions of the patients, in addition to another questionnaire on QOL which comprised 6 dimensions. The statistical analyses used included independent sample t-test and one-way analysis of variance (ANOVA). A two-tailed P-value of less than 0.05 was considered statistically significant. Results: The results obtained showed that the score off emotion was significantly less than males (P=0.05). Patients aged lower than 30 years and patients with lower BMI had a higher score of QOL (P=0.05). Single patients had lower worries...
Background: Illness behavior refers to the ways of perceiving, assessing, and managing specific s... more Background: Illness behavior refers to the ways of perceiving, assessing, and managing specific symptoms by an individual. Objectives: The present study aims to investigate illness behavior during the COVID-19 outbreak among Afghan people. Methods: The study is a thematic analysis conducted between May and September 2020. Data were collected purposefully through semi-structured telephone interviews with 17 infected people from the cities of Kabul, Bamian, and Balkh in Afghanistan. Results: As the participants believed, the COVID-19 outbreak in their country was a socio-political rather than a medical phenomenon. In this situation, the health system is unable to meet medical needs, and patients creatively take care of themselves at home with exercise, local soups, and oxygen therapy if needed. There were four themes explored, including de-hospitalization, healthcare-seeking behavior, social stigma, and the role of media. Conclusions: The illness behavior regarding disease outbreaks i...
Background The government is the main body in charge of controlling epidemics; hence, expectation... more Background The government is the main body in charge of controlling epidemics; hence, expectations from the intention and capacities of the government would affect the flexibility and behaviors of citizens. Given the severity of COVID-19 pandemic and the urgent need for cooperation of people in the prevention and combat processes, understanding the public perspectives would be crucial and instructive. This study aimed to explore such perspectives towards the current pandemic among the Iranian. Indeed, we sought to provide a favorable platform for effective policies in the face of the COVID-19 pandemic through recognizing public expectations. Methods This cross-sectional survey used an open-ended online questionnaire to investigate the common perspectives of the Iranian towards the response of government to COVID-19 pandemic. The participants were selected using snowball and convenient sampling techniques across the country. The collected data were analyzed and described using a them...
ORIGINAL ARTICLE Background: Murder is a violent social behavior, which stems from various reason... more ORIGINAL ARTICLE Background: Murder is a violent social behavior, which stems from various reasons. The purpose of the present research is to evaluate the reasons for murder from the perspective of killers. Methods: The present research is a qualitative study which involves 23 male killers sampled purposefully from Adel Abad prison in Shiraz. After conducting a semi-structured interview, data was analysed through qualitative content analysis. Results: The results showed that three reasons including Honor (fear of prolongation of trial, recognition of the legitimacy of murder), unintentional (mental stress, consumption of alcohol and psychotropic substances, availability of weapons), and subcultural values (considering crime to be a normal event) are the major reasons for emergence of murder among these people. Results of the research indicate that murder occurs based on interpretive structures of actors; which form their values and behaviors and potentially can lead to murder. Concl...
Money Based Reform and Distorted Doctor-patient Interaction: A Critique of the Recent Health Sect... more Money Based Reform and Distorted Doctor-patient Interaction: A Critique of the Recent Health Sector Evolution Plan in Iran
Journal of medical ethics and history of medicine, 2017
Doctor-patient interaction (DPI) includes different voices, of which the educator voice is of con... more Doctor-patient interaction (DPI) includes different voices, of which the educator voice is of considerable importance. Physicians employ this voice to educate patients and their caregivers by providing them with information in order to change the patients' behavior and improve their health status. The subject has not yet been fully understood, and therefore the present study was conducted to explore the pattern of educator voice. For this purpose, conversation analysis (CA) of 33 recorded clinical consultations was performed in outpatient educational clinics in Shiraz, Iran between April 2014 and September 2014. In this qualitative study, all utterances, repetitions, lexical forms, chuckles and speech particles were considered and interpreted as social actions. Interpretations were based on inductive data-driven analysis with the aim to find recurring patterns of educator voice. The results showed educator voice to have two general features: descriptive and prescriptive. However...
Background: The function of healthcare workers, particularly nursing staff, in taking care of cor... more Background: The function of healthcare workers, particularly nursing staff, in taking care of coronavirus disease 2019 (COVID-19) patients, cannot be overemphasized. As the pandemic lasts, burnout among the nursing staff needs to be considered as an important challenge. This was aimed to assess the nurses’ burnout and factors affecting this variable. Materials and Methods: In this cross-sectional study, Maslach Burnout Inventory was completed by 261 nurses in Shiraz hospitals (Iran) in April 2020. This questionnaire addresses different aspects, including emotional exhaustion, personal achievement, and depersonalization, to determine the intensity of perceived burnout among nurses during the outbreak. Results: Our data demonstrated that the nurses’ burnout in Shiraz hospitals during the COVID-19 pandemic was high (64.6%). Emotional exhaustion and depersonalization were observed in 63.6 and 53.3 percent of the participants, respectively. Moreover, the rate of successful personal achie...
Summary Objectives This nation-wide project aimed to investigate the common perceptions and conce... more Summary Objectives This nation-wide project aimed to investigate the common perceptions and concerns regarding COVID-19 outbreak in Iran. Methods This qualitative study was conducted in Iran from February to March 2020 via an online open-ended questionnaire. The participants were also selected using convenience and snowball sampling methods. As well, the data collection process continued until data saturation was achieved. Thematic content analysis was utilized to analysis the transcribed texts. Results The statements retrieved also represented the most challenging psychological stress experienced by the participants. Four themes were accordingly recognized based on the content analysis including stressful conditions, health concerns, social and political concerns, and economic concerns. Throughout the study, a major proportion of the participants commented that psychological disorders such as fear, anxiety, stress, and ennui were their main challenges regarding this pandemic. Furth...
Journal of Medical Ethics and History of Medicine, 2016
The doctor-patient interaction (DPI) plays an important role in the way patients view physicians.... more The doctor-patient interaction (DPI) plays an important role in the way patients view physicians. Thus, response to the question of ''Who is a great physician?'' is related to DPI experiences of patients. The aim of this qualitative study was to explore patients' views regarding this subject. Based on critical ethnography in one educational hospital in Shiraz, Iran, the study was performed based on 156 clinical consultations, 920 hours of participant observations, and 6 focus groups with patients and their relatives. The results revealed that asymmetrical power relationships exist in this context. Based on the general views of participants and their recent DPI experiences, a great physician should be kind, empathetic, friendly, and a good listener. Considering the presence of an asymmetrical power relationships in this context, results showed that doctors do not participate in an active interaction. Based on sociological theories, it can be concluded that the con...
Background: The psychosocial risks and job stress have been considered as the most important fact... more Background: The psychosocial risks and job stress have been considered as the most important factors affecting the occupational health and safety and, therefore, exerting significant impact on the health conditions of individuals, organizations, and national economy. Objectives: The present study investigated the experiences of the nurses working in COVID-19 wards of specialty hospitals in Shiraz, Iran. Methods: Semi-structured interviews were carried out via telephone. A total of 15 participants (11 nurses and 4 active supervisors of COVID-19 wards) were included in the study. A conventional content analysis was applied. Results: COVID-19 ward nurses had a perception of differentiation because they had experienced difficult conditions and had higher social responsibilities. However, they managed to retain their social responsibilities despite suffering from anxiety and fear, physical and mental pressures, as well as various deficiencies. Four themes including fear and anxiety, burn...
Journal of Medical Education and Development, 2019
Introduction: Medical education is one of the most important issues in current changing condition... more Introduction: Medical education is one of the most important issues in current changing conditions which mainly addresses medical students. The purpose of this study was to extract the underlying theory of medical education in Iran based on the perspective and experiences of the medical students. Methods: This was a qualitative study. The data were collected by semi-structured interview and focused group with 43 medical students at Zone 5 of the country (Shiraz, Yasouj, Bandar Abbas, Bushehr, and Fasa). Stress and Corbin (2006) grounded theory method was used for data analysis. Result: The results of the research showed that the students are not satisfied with the current trend in medical education. The main points about the quality of medical education were: hospitalization, theory based method, authoritarianism, alienation, and structural problems. Ritualism in medical education was another finding of the present study, which means the educational system is more concentrated on e...
Journal of Medical Education and Development, 2021
Introduction: Medical humanities are one of the most important interdisciplinary needs. Since the... more Introduction: Medical humanities are one of the most important interdisciplinary needs. Since the most important discussion in this field is how to achieve it, the purpose of this study is to analyze it from the perspective of humanities experts in the Iran. Method: The present study is a national wide qualitative study that was conducted in 2019. Considering the saturation criterion, data were collected through 22 semi-structured interviews and two open questionnaires from the participants. Study analysis was performed by thematic analysis method. Results: The participants were critical of the current situation of medical humanities in the country because there is no effective and serious relationship between humanities and medical sciences. To achieve this, four themes of institutional knowledge development, neighborhood (non-institutional development), policies and sociability were extracted. Conclusion: The development of medical humanities requires macro-policies in the country...
Background: Liver transplant candidates are under stressconditions which affect their Quality of ... more Background: Liver transplant candidates are under stressconditions which affect their Quality of life (QOL), a subject which is not well-understood and is worthy of evaluation. The aim of this study is to determine the socio-demographic variables about QOL of liver transplant candidates.Materials and Methods: This cross-sectional study was evaluated QOL among 210 liver transplant candidates in Shiraz, Iran. The questionnaire includes demographic and socioeconomic conditions of the patients, in addition to another questionnaire on QOL which comprised 6 dimensions. The statistical analyses used included independent sample t-test and one-way analysis of variance (ANOVA). A two-tailed P-value of less than 0.05 was considered statistically significant. Results: The results obtained showed that the score off emotion was significantly less than males (P=0.05). Patients aged lower than 30 years and patients with lower BMI had a higher score of QOL (P=0.05). Single patients had lower worries...
Background: Illness behavior refers to the ways of perceiving, assessing, and managing specific s... more Background: Illness behavior refers to the ways of perceiving, assessing, and managing specific symptoms by an individual. Objectives: The present study aims to investigate illness behavior during the COVID-19 outbreak among Afghan people. Methods: The study is a thematic analysis conducted between May and September 2020. Data were collected purposefully through semi-structured telephone interviews with 17 infected people from the cities of Kabul, Bamian, and Balkh in Afghanistan. Results: As the participants believed, the COVID-19 outbreak in their country was a socio-political rather than a medical phenomenon. In this situation, the health system is unable to meet medical needs, and patients creatively take care of themselves at home with exercise, local soups, and oxygen therapy if needed. There were four themes explored, including de-hospitalization, healthcare-seeking behavior, social stigma, and the role of media. Conclusions: The illness behavior regarding disease outbreaks i...
Background The government is the main body in charge of controlling epidemics; hence, expectation... more Background The government is the main body in charge of controlling epidemics; hence, expectations from the intention and capacities of the government would affect the flexibility and behaviors of citizens. Given the severity of COVID-19 pandemic and the urgent need for cooperation of people in the prevention and combat processes, understanding the public perspectives would be crucial and instructive. This study aimed to explore such perspectives towards the current pandemic among the Iranian. Indeed, we sought to provide a favorable platform for effective policies in the face of the COVID-19 pandemic through recognizing public expectations. Methods This cross-sectional survey used an open-ended online questionnaire to investigate the common perspectives of the Iranian towards the response of government to COVID-19 pandemic. The participants were selected using snowball and convenient sampling techniques across the country. The collected data were analyzed and described using a them...
ORIGINAL ARTICLE Background: Murder is a violent social behavior, which stems from various reason... more ORIGINAL ARTICLE Background: Murder is a violent social behavior, which stems from various reasons. The purpose of the present research is to evaluate the reasons for murder from the perspective of killers. Methods: The present research is a qualitative study which involves 23 male killers sampled purposefully from Adel Abad prison in Shiraz. After conducting a semi-structured interview, data was analysed through qualitative content analysis. Results: The results showed that three reasons including Honor (fear of prolongation of trial, recognition of the legitimacy of murder), unintentional (mental stress, consumption of alcohol and psychotropic substances, availability of weapons), and subcultural values (considering crime to be a normal event) are the major reasons for emergence of murder among these people. Results of the research indicate that murder occurs based on interpretive structures of actors; which form their values and behaviors and potentially can lead to murder. Concl...
Money Based Reform and Distorted Doctor-patient Interaction: A Critique of the Recent Health Sect... more Money Based Reform and Distorted Doctor-patient Interaction: A Critique of the Recent Health Sector Evolution Plan in Iran
Journal of medical ethics and history of medicine, 2017
Doctor-patient interaction (DPI) includes different voices, of which the educator voice is of con... more Doctor-patient interaction (DPI) includes different voices, of which the educator voice is of considerable importance. Physicians employ this voice to educate patients and their caregivers by providing them with information in order to change the patients' behavior and improve their health status. The subject has not yet been fully understood, and therefore the present study was conducted to explore the pattern of educator voice. For this purpose, conversation analysis (CA) of 33 recorded clinical consultations was performed in outpatient educational clinics in Shiraz, Iran between April 2014 and September 2014. In this qualitative study, all utterances, repetitions, lexical forms, chuckles and speech particles were considered and interpreted as social actions. Interpretations were based on inductive data-driven analysis with the aim to find recurring patterns of educator voice. The results showed educator voice to have two general features: descriptive and prescriptive. However...
Background: The function of healthcare workers, particularly nursing staff, in taking care of cor... more Background: The function of healthcare workers, particularly nursing staff, in taking care of coronavirus disease 2019 (COVID-19) patients, cannot be overemphasized. As the pandemic lasts, burnout among the nursing staff needs to be considered as an important challenge. This was aimed to assess the nurses’ burnout and factors affecting this variable. Materials and Methods: In this cross-sectional study, Maslach Burnout Inventory was completed by 261 nurses in Shiraz hospitals (Iran) in April 2020. This questionnaire addresses different aspects, including emotional exhaustion, personal achievement, and depersonalization, to determine the intensity of perceived burnout among nurses during the outbreak. Results: Our data demonstrated that the nurses’ burnout in Shiraz hospitals during the COVID-19 pandemic was high (64.6%). Emotional exhaustion and depersonalization were observed in 63.6 and 53.3 percent of the participants, respectively. Moreover, the rate of successful personal achie...
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