Parisa Bozorgzad,
Volume 21, Issue 2 (9-2015)
Abstract
Ethnography is a qualitative research method in which researchers study various values, beliefs and cultural meanings in a group of people or society. Critical ethnography puts more emphasis on social groups and individuals' power, prestige, authority and status (1). In ethnographic studies, researchers employing inductive logic focus on interactions between people to discover the meaning embedded in culture. Critical approach attracts researchers’ attention towards individuals who play a minor role in social interactions (2). Madison quoting Thomas contends that critical ethnography is a classic ethnography with a political aim. The ethnographer not only explains the meanings of interaction in a specific context, but also strives to know how these meanings are described against the broad structure of power (3). Thus, critical ethnography involves all the fields in which interactions are influenced by power relations. Critical ethnography plays an essential role in health research and nursing, in particular. Most of the nurses are female and power relations are one of many factors that affect the complex doctor-nurse and nurse-patient interactions (4).
Hanieh Gholamnejad, Mahnaz Seyedoshohadaee, Parisa Bozorgzad, Shima Haghani, Raziyeh Omidvar, Fatemeh Kheirkhah,
Volume 31, Issue 1 (4-2025)
Abstract
Background & Aim: Medication adherence remains a significant challenge in the management of patients with cardiomyopathy, with many patients relying on external support systems to maintain compliance. The study aimed to assess the impact of family-centered educational interventions on medication adherence among patients with cardiomyopathy.
Methods & Materials: This controlled clinical trial employed convenience sampling to select 80 patients attending the Heart Failure Clinic at Shahid Rajaee Hospital in Tehran in 2023. Participants were randomly assigned to two groups of 40 each. The intervention consisted of two 30-minute family-centered education sessions delivered to the intervention group, while the control group received standard informational care. Medication adherence was assessed using the Morisky Medication Adherence Scale two weeks post-intervention. Data were analyzed with SPSS version 22, using both descriptive and inferential statistics.
Results: The groups were comparable regarding demographic variables and disease characteristics (P>0.05). Prior to the intervention, the mean (±SD) medication adherence scores were 5.00±1.19 for the control group and 4.35±1.05 for the intervention group (P=0.12). Post-intervention, adherence scores improved significantly in the intervention group, with a mean (±SD) of 6.43±0.78 compared to 5.10±1.19 in the control group (P=0.001).
Conclusion: Family-centered educational programs can effectively enhance medication adherence in patients with cardiomyopathy. The results highlight the valuable role nurses play in leveraging the potential of family members to provide education and support to patients, ultimately contributing to improved quality of life.
Clinical trial registry: IRCT20230216057433N1