L. Jouybari, F Oskouie, F. Ahmadi,
Volume 19, Issue 47 (Autumn 2006)
Abstract
Background & Aim: Historically, comfort has been an optimal outcome in caring of hospital patients though, the concept of comfort from patients' perspective is rarely assessed. The aim of this study was to explore hospitalized Medical-Surgical patients’ experiences and perceptions regarding of comfort and discomfort.
Material & Method: A qualitative approach using grounded theory was adopted in this study. The data collected by semi-structured interviews and participants’ observation, from a purposive sample of 31 medical-surgical patients, with 11 patients' accompanied relatives who were subjected to questions and constant comparative analysis. This study was conducted in five large teaching and semi-private hospitals in Iran.
Result: Date analysis covered a number of themes obviously included discomfort. In fact, experiencing discomfort was so persistent in the data, that it formed several categories including “physical, psychosocial and environmental discomfort”. Self help and organizing of informal caring web, and seeking help from others, were the participants’ main strategies to deal with discomfort.
Conclusion: The finding indicated that hospitalization of patients is not always necessarily equivalent to effective deal with caring and therapeutic needs. Patients experience a lot of distress related to hospital's policies, regulations and priorities. Patients can have active role for discomfort management. In addition, it is highlited the roles of patients' relative and care-givers in hospitals. Therefore, without cooperation of care-givers (patients' relatives), the quality of nursing care could be disturbed seriously.
M Margdari Nejad, Sb Kazemi, F Kord, M Khosravi, A Sanagoo, L Jouybari,
Volume 29, Issue 104 (February 2017)
Abstract
Background & Aim: The scientific advances have been caused more access to the medication. The easy accessibility as harmful social phenomena (i.e misuse of medication) is widespread problem in many countries. Self-medication is one of the greatest social and economic health problems of the country. The aim of study was to explore prevalence of self-medication practice among medical students and its relationship with some factors.
Material & Methods: In this descriptive cross- sectional study using convince sampling 262 of the students were participated. The data collected by valid and reliable questionnaire consisted two parts; demographic and specific questions related to medication consumption. The data analyzed using SPSS.16 and interpreted by Chi-Square and T-Tests.
Results: 51.1 percent of the students were of male. The most commonly used drugs were analgesics 84/8% (229 cases), antihistamines 76/4% (207 people), common cold medications. The most important factor for self-treatment (67.5%) was feeling no need to visit a doctor because of mild symptoms. The most important source for the access to the medication was the pharmacy 34/1 stores.
Conclusions: The prevalence of self- medication with drugs without prescription was high. The most commonly used drugs were analgesics. The public education to increase awareness s0till seems necessary.
Farzaneh Mokhtary, Abouali Vedadhir, Akram Sanagoo, Leila Jouybari,
Volume 37, Issue 148 (July 2024)
Abstract
Background & Aims Institutional ethnography (IE), as one of the qualitative approaches, focuses on the everyday work processes of individuals. In this study, we aim to introduce the IE for explicating the relations in the healthcare institutions. This study will investigate the key terms, concepts, and insights of IE through examples by reviewing the related studies.
Materials & Methods This methodological study involved a search in databases including PubMed, Scopus, Web of Science, Cochrane Library, the Iranian Scientific Information Database (SID), and Google Scholar using the keywords institutional ethnography, IE, healthcare system, and delivery of health care, without any time limit until January 2024.
Results The IE has four steps: identifying the disjuncture and problematic, data collection, data analysis, and recommendations and conclusions useful for changing practice. In this approach, the institutional ethnographer utilizes a wide range of data collection techniques, including interviews, observations, focus group discussions, document collection, and reflexivity to create a description of what people do in their everyday lives.
Conclusion The IE is used to identify and understand how higher-level processes and policies impact daily clinical work. Achieving a proper understanding of how texts and individuals function together within an organization (what actually happens) enables the formulation and implementation of practical strategies for addressing issues in the field.
