Zoya Hadinejad; Mehrdad Farrokhi; Shokoufeh Ahmadi; Mohammad Saatchi; Hamidreza Khankeh
Articles in Press, Accepted Manuscript, Available Online from 13 April 2025
Abstract
Objective : This qualitative study aimed to identify the key challenges of managing patients affected by biological emergencies in Iran.Methods: This is a part of the Grounded Theory study using the constant comparative analysis method recommended by Corbin 2014 . Data was gathered through semi-structured ...
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Objective : This qualitative study aimed to identify the key challenges of managing patients affected by biological emergencies in Iran.Methods: This is a part of the Grounded Theory study using the constant comparative analysis method recommended by Corbin 2014 . Data was gathered through semi-structured interviews with 25 individuals who had expertise or experience in managing biological emergencies. Purposive following by theoretical sampling was employed based on theoretical saturation. Data collection occurred between April and November 2023, MAXQDA software (2020) was used to help with the analysis .Results: After several rounds of data analysis and summarization, considering similarities and differences, four main categories and 14 subcategories were extracted from the data. The main categories were grouped into 1) lack of a comprehensive risk communication plan, 2) mismanagement of patient flow, 3) political and governance challenges, and 4) inadequate resource management.Conclusion : This study highlighted Iran’s Health care systems' challenges in managing affected people in biological emergencies. Key issues included mismanagement of patient flow. Addressing these challenges is crucial for enhancing the effectiveness and sustainability of Iran’s Health care system. Further investigation is recommended to provide practical Strategies in dealing with biological emergencies in the future.
Shima Farokhi; Azim Azizi; Masoud Khodaveisi; Eesa Mohammadi; Khodayar Oshvandi
Volume 13, Issue 1 , January 2025, , Pages 37-46
Abstract
Objectives: This study aimed to identify strategies for enhancing the quality of home care for trauma patients.Methods: Using a conventional qualitative content analysis approach, this study was conducted from September 2023 to September 2024 in Hamadan, located in northwest Iran. A total of 18 participants, ...
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Objectives: This study aimed to identify strategies for enhancing the quality of home care for trauma patients.Methods: Using a conventional qualitative content analysis approach, this study was conducted from September 2023 to September 2024 in Hamadan, located in northwest Iran. A total of 18 participants, including home care managers, nurses, trauma patients, and the family members of trauma patients, were selected through purposive sampling. Data were collected using semi-structured interviews and analyzed using Graneheim and Lundman’s method with the assistance of MAXQDA software (version 20).Results: Analysis of the data yielded 430 initial codes, which were categorized into 36 subcategories and 6 main categories: patient-centered care, safe care provision, spiritual care, effective educational program development, service effectiveness enhancement, and dynamic service delivery.Conclusion: The study results showed that nurses employed various strategies to improve the quality of home care services for trauma patients. Key strategies included adhering to the principle of patient-centered care, providing safe care for trauma patients, providing spiritual care, developing effective educational programs, enhancing service effectiveness, and ensuring dynamism in service delivery. Implementing these strategies could guide policymakers and home care nurses to improve care quality for trauma patients and increase satisfaction. The findings of the present study can enhance the planning and implementation of home care services, facilitating the transition from hospital to home for trauma patients.
