Roohollah Askari; Nahid Hosseini Dargani; Najmeh Baghian; Hojjat Ghaffari; Zahra Rezaeian; Ommol-Banin Sarkari; Majid Hajimaghsoudi; Adel Eftekhari
Volume 25, Issue 6 , 2023
Abstract
Background: The COVID-19 pandemic created an unprecedented challenge for intensive care units (ICUs) compared to other clinical wards. In addition, it caused stressful conditions due to the increased mortality rates in these wards.
Objectives: Since the identification of these challenges can serve as ...
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Background: The COVID-19 pandemic created an unprecedented challenge for intensive care units (ICUs) compared to other clinical wards. In addition, it caused stressful conditions due to the increased mortality rates in these wards.
Objectives: Since the identification of these challenges can serve as a road map for managers in future planning against crises, the present study aimed to identify the challenges of ICU caregiving during the COVID-19 pandemic.
Methods: This qualitative study used conventional content analysis and was conducted using unstructured deep interviews with an open question and several co-constructive questions in 2023. A total of 23 ward heads, head nurses, nurses of ICU wards, nursing managers, and supervisors of six teaching hospitals affiliated with Isfahan University of Medical Sciences and Yazd Universities of Medical Sciences were included in the study through a purposive sampling method. Data analysis was performed with MAXQDA10 using qualitative content analysis with a conventional approach.
Results: The challenges of ICUs in the COVID-19 pandemic were identified and categorized into six main categories and 14 sub-categories. The main categories included: inefficient management of resources, weaknesses in organization, challenges to laws and regulations/policies, structural challenges, weaknesses in educational processes, and mental challenges.
Conclusion: The findings of this study showed that it is possible to provide quality services to patients by identifying the challenges affecting the management and provision of nursing services and taking appropriate measures to improve the quality of nursing services in the intended wards.
Ommol-Banin Sarkari; Najmeh Baghian; Akram Yazdani; Fahimeh Kargar Shouroki; Hojjat Ghaffari; Nahid Hosseini Dargani; Roohollah Askari
Volume 25, Issue 4 , 2023
Abstract
Background: Vaccination and observing hygienic measures were rendered necessary due to the spread of the Covid-19. Yet, in spite of the effective and immunizing role of vaccines in the past, hesitancy about undergoing vaccination against Covid-19 has become a global issue.
Objectives: The present study ...
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Background: Vaccination and observing hygienic measures were rendered necessary due to the spread of the Covid-19. Yet, in spite of the effective and immunizing role of vaccines in the past, hesitancy about undergoing vaccination against Covid-19 has become a global issue.
Objectives: The present study aimed to investigate the barriers and facilitators of Covid-19 vaccine injections from the perspective of people in Yazd in 2022.
Methods: The present study was a population-based cross-sectional study conducted on 572 people over 12 years of age in Yazd, Iran, using cluster sampling (46 head clusters of health centers). To collect data, a researcher-made questionnaire was applied, which measured barriers and facilitators of Covid-19 vaccine injection. The mean score of the questionnaire was above 70, indicating more attitude, trust, and willingness.
Results: Based on the findings, 406 (70.7%) participants were female, 457 (79.6%) were married, and 232 (40.4%) were housewives. The mean age of the subjects was 39.1±14.7 years. In total, 277 (48.4%) participants had a positive attitude toward Covid-19 vaccination, 224 (39.2%) had trust in the vaccine, and 21(3.8%) showed willingness to injection, indicating an overall low attitude, trust, and willingness toward the injection of Covid-19 vaccine. There was a significant relationship between willingness to inject the vaccine and education (P=0.048). A strong correlation was also found between attitude and trust in vaccination, with a coefficient of 0.811 (P<0.001).
Conclusion: A positive attitude and trust in Covid-19 vaccination were observed at an average level, and willingness to be vaccinated was at a low level. Considering the role of the three variables of education, gender, and the type of a persons occupation, planning should be done to improve peoples attitude, trust, and willingness to inject the vaccine by focusing on the above variables.
Rohoollah Askari; Mohsen Pakdaman; Mohammad Zarezadeh; Ebrahim Salmani; Payman Asadi; Ahmad Dehghan; Hossein Fallahzade; Alireza Jahandideh Zamidani
Volume 24, Issue 12 , 2022
Abstract
Background: Hazards have always been considered a threat to human life and preparedness to deal with risks for pre-hospital emergency as the first line of care and treatment is highly significant. Pre-hospital emergency (clinical) deals with different natural and man-made hazards which cause various ...
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Background: Hazards have always been considered a threat to human life and preparedness to deal with risks for pre-hospital emergency as the first line of care and treatment is highly significant. Pre-hospital emergency (clinical) deals with different natural and man-made hazards which cause various harms. Preservation of disaster preparedness is one of the pre-hospital emergency concerns.
Objectives: In this regard, the present study aimed to determine the priority of hazards and design preparedness programs based on health response.
Methods: The present study was based on a descriptive-analytical study that was conducted in Rasht, Iran in 2019. The method used in this study was a combination of quantitative and qualitative methods. In a qualitative method, the major threats and potential hazards of pre-hospital emergency were identified by reviewing the texts and searching for relevant articles. Afterward, its effectiveness and the significance of its risk or threat were evaluated using a researcher-made checklist. In total, 19 crisis liaisons from the organizations involved in crisis management in Rasht were questioned, 18 of whom responded to the checklist.
Results: The results obtained from the opinions of the experts showed that the risk of earthquakes (88.8%) and seasonal flood (83.3%), among all the risks investigated, have a higher priority than traffic accidents (77.7%) and heavy snowfall (72.2%) in the society. They had a review. The pre-hospital emergency is closely related to many various risks, among which the earthquake risk was chosen as the priority by the community of experts participating in this research. For the emergency of the earthquake, preparedness plans were produced based on the response plan of the health sector and the additional comments of the expert community.
Conclusion: Identification of high-priority risks and design of appropriate response plans will help those in charge to face and prepare in time and reduce damages.
