Introduction: Equipping individuals with adequate knowledge on health can lead to optimal health outcomes. Scientific reports indicate clients' challenges in trusting and accessing formal health information sources. This study was designed to determine the sources of Iranian women's health information. Method: Study samples were selected through purposive sampling and with regarding to the inclusion criteria. Data were collected through semi-structured interviews with 17 women and using documentation and field notes until data saturation. Data were analyzed continuously and simultaneous with data collection using qualitative content analysis. Results: The 5 central themes of health care professionals, social networks (with 2 sub-categories of peers and social interactions), culture and religion (with 3 sub-categories of religious teachings, traditional medicine information, and experiences of elders and seniors), mass media (with 3 sub-categories of electronic media, print media, and internet), and self-referencing (with 2 sub-categories of self-discovery-intuition and prior experiences) emerged from data analysis. Conclusion: These findings highlighted the need for respecting the cultural and religious beliefs of a community, and also emphasized on clients' seeking rights, information needs, and empowerment in employment of formal and informal sources.
Background & Aims One of the challenges in accurate and macro planning for the future is the uncertainty involved in estimating the future and rapid changes in various health-related fields. A powerful tool that can predict future competitive environments is the scenario planning tool. The current research aims to provide scenarios for the future of nursing education in Iran. Materials & Methods This exploratory research was conducted in 2022. In the first stage, the drivers and trends of nursing education were identified using meta-synthesis, interviews, and the Delphi method. Then, the influence and uncertainty of the identified trends were rated using the opinions of a panel of experts. In the next step, using influence/uncertainty diagrams, the key factors for writing the scenario were identified. Scenarios were then designed by Scenario Wizard software, version 4.11, and strategies were presented. Results The experts agreed on 6 drivers and 31 trends. With five key uncertainties, the scenarios were designed with three optimistic, realistic, and pessimistic assumptions. According to the size of the matrix and its dimensions (15×15), four problem-oriented, ethics-oriented, maintaining the status quo, and limited educational system scenarios were designed. The validity of the scenarios was examined according to feasibility, internal consistency, usefulness, and differentiability. Conclusion Each of the four designed scenarios has the potential to be realized, but their occurrence depends on the current plans. The use of future planning methods, such as the scenario planning tool, can be used as a warning system for awareness of opportunities and threats in Iran's health system before a crisis.
Abstract Purpose : Cancer is the main cause of death in developed countries and is the third leading cause of death in Iran. The aim of this study was to compare the effect of traditional versus modern educational methods on the health literacy of caregivers of patients with cancer. Methods: This study was a randomized controlled trial in which 93 caregivers of patients with cancers referred to Ayatollah Khansari Hospital of Arak (Iran) participated. Simple random allocation to either the intervention group (n=45) which consisted of education using modern virtual social networks (Telegram messenger) or the control group which included using traditional face-to face education methods (n=48) was completed. At baseline and at two weeks post intervention, health literacy questionnaire was completed by participants in both groups. Results: The mean health literacy in the two groups did not differ significantly at baseline (p> 0.05). At two weeks post intervention the average health literacy in the intervention group was significantly higher than the control group (p <0.05). Conclusion: The social network intervention was more effective in improving the health literacy of caregivers of people with cancer compared to usual face-to-face methods. Thus, the use of these methods is recommended. New educational methods provide a valuable strategy for nurses and other health professionals to improve health literacy, attitudes and knowledge of cancer patient’s families. Trial registration: Iranian Registry of Clinical Trials ( IRCT20161223031522N11)
Background: Today empowerment of women by health literacy has become a necessity. Researchers have shown that women are active seekers of health information and seeking behaviors are driven by various motivational factors. Paying attention to women's motivations for seeking health information could facilitate evidence-based policy making in promotion of public health literacy. As health information seeking develops within personal-social interactions and also the health system context, it seems that a qualitative paradigm is appropriate for studies in this field. Objectives: The aim of this study was to explore Iranian women's motivations for seeking heath information. Patients and Methods: In this qualitative content analysis study, data collection was conducted considering the inclusion criteria, through purposive sampling and by semi-structured interviews with 17 women, using documentation and field notes, until data saturation. Qualitative data analysis was done constantly and simultaneous with data collection. Results: Five central themes emerged to explain the women's motivation for health information seeking including: a) dealing with fear and uncertainly b) understanding the nature of disease and diagnostic/therapeutic procedures c) performing parental duties d) promoting a healthy life style e) receiving safer health care. Conclusions: It seemed that respecting client's concerns, providing comprehensive health information, as well as risk management and promoting safer health care is necessary.
Aims: Better understanding of the meaning of life in hemodialysis patients can lead to understanding the needs and style of their care.Therfore the purpose of this study was to describe the life experiences of patients from living hemodialysis unit. Methods: In this study, one of the qualitative research methods as descriptive phenomenology approach Collaizzi was used. The data were gathered through a semi-structure d interview with 10 hemodialysis patients of Ekbatan University Hospital of Hamadan and Shohadaye Yaft Abad Hospital of Tehran. The Interviews was performed about the experiences of patients about the living with hemodialysis Unit in 2010. Results: Four themes has been driven from the obtained results of this study which describe the structures of life experience of the hemodialysis patients with hemodialysis unit as fallow: hemodialysis as a irrefutable component of life, tensions of dialysis life, need to support and effective adaptation. Conclusion: The important life aspect of these patients was gradually moving from limitations toward the effective adoption against the inevitable process with all of its outcomes. Applying of the supportive sources in the patients for adaptability was different among the patients. These findings will give the nurses a new vision for real understanding of these patients and their more problems.
This study aimed at developing a new nursing handover program in pediatric wards in Iran through action research. Nursing handover is the handover of patient information among nurses between shifts. The participants, including 12 nurses, 2 assistants, a head nurse, and academic researchers as facilitators, worked through two cycles of reflection and action for change over a period of 20 months from 2012 to 2014. The data were collected and analyzed using the concurrent mixed method. Reflection on actions in two cycles resulted in designing and implementing action plans for change, learning in both participants and facilitators, and improvement in nurses' satisfaction with the new nursing handover program. Furthermore, the quantitative data showed a significant decrease in time and cost of nursing handover. This study resulted in the participants' deep understanding about the principles of nursing handover in real world, applicable knowledge through action for change, and reflection on it. Finally, the nurses could establish the foundation of sustainable nursing handover successfully.
Dear Editor-in-ChiefAccording to Traditional Iranian Medicine (TIM), health preservation and disease prevention are prior to disease treatment. To get this aim, there are recommendations in TIM such as appropriate physical activity (1) and appropriate nutrition which are introduced as two parts of six principles for healthiness (2). Today, these two factors are very important for health preservation and disease prevention too (3). Representing viewpoints of Ibn Sina (Avicenna), one of the greatest Iranian medical scientists about nutrition is the purpose of this study in order to find out the best quality of nutrition because nutrition is one of the most im-portant things to survive man, which is effective in all aspects of his/her life. Therefore, health and disease of an individual, society, and generations depend on it. In addition, focusing on nutrition has been the main issue in medical sciences in an- cient medicine references. Quality of nutrition and the type of food have played a substantial role in organizing medical science (4). According to Avi-cenna's viewpoint, there are eight important and effective principles in relation with nutrition to be more useful in order to preserve health and pre-vent from disease include:1- The quality of nutrition should be according to his/her temperament (Mizaj) and in general, he/she should eat some foods in balance with his/her temperament.2- Since digestive system is strong in winter and weak in summer, individuals should eat nutri-tive foods in winter and foods which are easy to digestion in summer.3- The type and quality of foods which are eaten should be in accordance with personal activi-ties and efforts. For instance, athletes should eat more nutritive foods.4- It is necessary to consider digestive system power, i.e. anyone whose digestive system is strong can eat foods which are difficult to digestion and conversely, anyone whose diges-tive system is weak can eat foods which are easy to digestion.5- Middle-age people should eat less than before.6- Healthy nutrition and habits should be ob-served in various regions and climates.7- The sequence of eating foods should be based on its digestion time. Some foods are digested early and the others are digested lately. Thus, foods should be eaten in proper time both in order to preserve nutrients of foods and to prevent from food degradation within sto-mach.8- Subsequent meal should be eaten after digest-ing previous meal because eating on undi-gested food has been known as the most harmful thing for healthiness (5).As a conclusion, this study indicates that vari-ous factors about nutrition and its quality have been focused by Iranian medicine scientists. These factors include: temperament, individ-ual, seasonal, climate age, digestive system, gastric condition and so on. Today, according to modern medicine references, nutrition science is often based on pyramid of energy (6), pyramid of food (7), food categories (8), and Acceptable Macronutrient Distribution Ranges (AMDR) (9). …
Today, women empowering is an important issue. Several methods have been introduced to empower women. Health information seeking is one of the most important activities in this regard. A wide range of capabilities have been reported as outcomes of health information seeking in several studies. As health information seeking is developed within personal-social interactions and also the health system context, it seems that the qualitative paradigm is appropriate to use in studies in this regard. This study aimed to explore how women's empowerment through health information seeking is done.In this qualitative content analysis study, data collection was done with regard to inclusion criteria, through purposive sampling by semi-structured interviews with 17 women and using documentation and field notes until data saturation. Qualitative data analysis was done constantly and simultaneous with data collection.Four central themes were emerged to explain women's empowerment through health information seeking that included: a) Health concerns management with three subcategories of Better coping, Stress management, Control of situation, b) Collaborative care with two subcategories of Effective interaction with health professions and Participation in health decision making c) Individual development d) Self-protection with four sub- categories of Life style modification, Preventive behaviors promoting, Self-care promoting, and medication adherence.The results of this study indicate the importance of women empowerment through foraging their health information seeking rights and comprehensive health information management.
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