Ali Hesamzadeh; Asghar Dalvandi; Sadat Bagher Maddah; Masoud Fallahi Khoshknab; Fazlollah Ahmadi
Volume 20, s1 , December 2018, , Pages 1-9
Abstract
Background: Stroke can be seen as a family matter, and nearly all stroke patients live with their families in their communities. Comprehensive insights into stroke recovery from family caregivers’ point of view are lacking.Objectives: The aim of the present study is to explore and describe family ...
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Background: Stroke can be seen as a family matter, and nearly all stroke patients live with their families in their communities. Comprehensive insights into stroke recovery from family caregivers’ point of view are lacking.Objectives: The aim of the present study is to explore and describe family caregivers’ experiences about the contributing elements of promoting the stroke recovery of older adults in the Iranian context. Methods: A qualitative content analysis approach was conducted. From September 2013 to April 2014, 17 family caregivers from multiple physiotherapy clinics in Sari, Iran, participated in this study. Data were generated through in-depth interviews, and the content analysis method was used to determine themes. Results: The results of data analysis were categorized into three main themes: 1) promoting functional recovery; 2) improving psychological health; and 3) strengthening social roles. The general, overarching theme was promoting positive recovery. Conclusions: The family positively figures in the stroke patient’s recovery. Health practitioners must help the stroke families effec- tively play their critical roles in helping their stroke patients recover.
Reza Ghanei Gheshlagh; Kourosh Sayehmiri; Abbas Ebadi; Asghar Dalvandi; Sahar Dalvand; Sadat Seyed Bagher Maddah; Kian Norouzi Tabrizi
Volume 19, Issue 6 , June 2017, , Pages 1-9
Abstract
Context: Considering the stressful conditions of life and social difficulties, an important question is why are some people can show positive adaptation and avoid mental health disorders, while others cannot? The present study aimed at reviewing the national studies on the correlation between resilience ...
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Context: Considering the stressful conditions of life and social difficulties, an important question is why are some people can show positive adaptation and avoid mental health disorders, while others cannot? The present study aimed at reviewing the national studies on the correlation between resilience and mental health.Evidence Acquisition: In this systematic review, all national articles published in international and national databases weresearched without restrictions, using the following keywords: “Resilience OR Resiliency” AND “Mental health” OR “General Health” and their combinations. The Persian equivalents of these words were also used in Persian language sites. Finally, based on PRISMA guidelines, 15 studies were selected. The results of these studies were combined using the random effects model of meta-analysis.Results: In the present research, 16 correlation studies were examined without time limits, and with a sample size of 3157. Overall, a positive correlation was found between resilience and mental health in the national studies (r = 0.48). The results showed that the correlation between resilience and mental health was lower in the population of school and university students than among other populations (r = 0.39, compared to r = 0.54). The analysis based on geographical division indicated that the highest correlation between resilience and mental health existed in the fifth area (r = 0.83), and the lowest correlation was found in the fourth area (r = 0.35).Conclusions: By providing cognitive, behavioral and emotional responses in stressful situations, resilience can maintain and improve mental health.
Moluk Pouralizadeh; Hamid Reza Khankeh; Asghar Dalvandi; Abbas Ebadi
Volume 19, Issue 6 , June 2017, , Pages 1-9
Abstract
Background: Identification of the influencing factors of nursing students’ clinical judgment (CJ) facilitates the achievement of this important educational outcome. However, no tool is so far designed to assess it in the field of clinical education in Iran.Objectives: The current study aimed at ...
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Background: Identification of the influencing factors of nursing students’ clinical judgment (CJ) facilitates the achievement of this important educational outcome. However, no tool is so far designed to assess it in the field of clinical education in Iran.Objectives: The current study aimed at designing sequential exploratory mixed method in 3 phases.Methods: It was a mixed method study. The 1st phase included reviewing literature, analyzing the relevant studies in Iran, and a qualitative content analysis. In the 2nd phase, validity and reliability of the tool were investigated.Results: In the study, after assessing the face, content, and construct validity, 4 factors and 38 items obtained. Content validity ratio (CVR) ranged from 0.45 to 1.00 and content validity index (CVI) ranged from 0.6 to 1.00. Internal consistency of the total scale was good with Cronbach’s alpha coefficient 0.92, and intraclass correlation coefficient (ICC) was 0.95 that indicated good stability. In the construct validity by exploratory factor analysis, the Kaiser-Meyer-Olkin (KMO) index was higher than 0.90 and also the Bartlett test of sphericity was significant (P value < 0.001). Concerning the cumulative percent of the variance, the 4 factors determined 44.8% of the total variance.Conclusions: The developed questionnaire in the current study was a suitable tool to assess the factors influencing the CJ of undergraduate nursing students.
Moluk Pouralizadeh; Hamid Reza Khankeh; Abbas Ebadi; Asghar Dalvandi
Volume 19, Issue 5 , May 2017, , Pages 1-10
Abstract
Background: Clinical judgment (CJ) is a complex process and is one of the most important concepts in the domain of education of the nursing students. Despite the special importance of its concept in nursing, this term still has not created an equal perception in the minds of many experts in the nursing ...
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Background: Clinical judgment (CJ) is a complex process and is one of the most important concepts in the domain of education of the nursing students. Despite the special importance of its concept in nursing, this term still has not created an equal perception in the minds of many experts in the nursing education and no study has been done in order to define and explain this concept by concept analysis of the “CJ” in the educational domain.Objectives: The current study was done with the purpose of determining dimensions and features of this concept in the domain of clinical education of nursing students in Iran.Methods: The design of this study is qualitative with concept analysis method and hybrid model approach. It was done in three phases that were described by Walker and Avant. In the theoretical stage, reviews on the related and valid articles were accomplished. The articles were assessed and analyzed in order to present the working definition. In the stage of field work, the interview was done with 17 participants including 7 nursing students, 6 teachers, and 4 clinical instructors. In the final stage, the general analysis was done and the antecedents, attributes, and the consequences of the concept were extracted.Results: According to the final analysis, CJ for the nursing students is a cognitive and reasoning process, in order to achieve which, the nursing students by guidance of teachers in a secure clinical environment, assess the patients’ needs, interpret, and evaluate the patients’ response to the clinical practice and then reflect and perform the critical evaluation of the patients’ conditions. In the meanwhile, making effective clinical decisions, increasing the trust of patient and quality of care, the necessary conditions for the promotion of their professional competence will be provided.Conclusions: In the concept analysis of CJ, some of the needed conditions for CJ in the nursing students have not been reported in the studies.
