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Showing 3 results for Challenges

Somayeh Makvandi, Khadigeh Mirzaiinajmabadi, Najmeh Tehranian,
Volume 24, Issue 3 (11-2018)
Abstract

Background & Aim: The physiologic childbirth program in Iran is an emerging program that needs to be evaluated like any other program to improve its quality and process. Evidence suggests that the implementation of the physiologic childbirth program faces some challenges. The present research aimed to explore the challenges of the physiologic childbirth program from the perspective of service providers.
Methods & Materials: This qualitative research was carried out through a content analysis method in two mother-friendly hospitals of Ahwaz and Mashhad in 2016-2017. Data were collected through semi-structured interviews with 17 physiologic childbirth service providers. The content analysis method of Elo and Kyngas was used for qualitative data analysis.
Results: Data analysis led to five main categories: low motivation of midwives in performing physiologic childbirth; barriers related to manpower; medical interventions in physiologic childbirth; challenges from the environment and facilities; and educational barriers.
Conclusion: Different challenges in interaction with each other create a complex environment in which the implementation of physiologic childbirth program becomes more difficult. Therefore, policymakers, authorities, doctors, midwives and mothers need to work in a coordinated way to resolve the mentioned challenge.
 
Mahdi Shafiee Sabet, Fatemeh Bahramnezhad, Nahid Dehghan Nayeri,
Volume 29, Issue 4 (1-2024)
Abstract


According to a global report, 47 million people are currently living with dementia, and due to the aging population, its prevalence is expected to triple by 2050. In the future, Iran is expected to experience a significant increase in the elderly population. Currently, in Iran, the prevalence of dementia among individuals over 60 years old is 7.9%. Therefore, this group represents a significant population that warrants further research (1).
The best understanding and explanation of human experiences come from first-hand sources, specifically from people who have experienced those phenomena. Therefore, reliable research sources place great emphasis on including the voices of these individuals (2). Qualitative research out for its collaborative, inclusive, and flexible structure, enabling the exploration of complex issues, including mixed or ambiguous attitudes (2). It can reveal the profound experiences and core values of people with cognitive impairment that may not emerge in quantitative studies. Additionally, qualitative research excels in vividly portraying these experiences and values (3).
Throughout history, people with cognitive impairments have been marginalized from engagement in health and social research, resulting in their voices being inadequately represented in such studies. (2, 4). Instead, their perspectives have been channeled through their legal representatives or guardians, a practice that often entails constraints. These limitations include the inability to accurately predict the patient's decision-making process, the amount and manner of information provided, and the weight of decision-making responsibility placed on them (5).
Furthermore, excluding these individuals from the research process can dehumanize them and perpetuate negative stereotypes about people with cognitive disorders. This also contributes to power imbalances (2). Therefore, it is crucial to develop strategies that ensure the safe participation of these individuals in research endeavors. Through these efforts, we can improve our understanding of policy and measures aimed at promoting health and well-being (6).
 
Leila Mardanian Dehkordi, Shahrzad Ghiyasvandian,
Volume 30, Issue 1 (3-2024)
Abstract

Diabetes is one of the most challenging chronic conditions, necessitating continuous and complex management efforts that impacts all aspects of an individual's life (1). Those living with diabetes often experience many social and psychological challenges alongside the disease, ultimately affecting the disease management (2). Addressing and managing these psychological challenges in individuals with diabetes are crucial for optimal disease management and the prevention of serious consequences (3). This issue necessitates the design and implementation of interventions to manage the psychological consequences of diabetes.
Storytelling has emerged as a therapeutic approach utilized in social projects, health promotion, disease prevention, coping with grief, and other concerns (4). Therapeutic storytelling aims to explore the psychological problems experienced by individuals through creative narratives, using problem-solving skills, and providing narrative-based alternatives (5).
Stories serve as a means of expressing viewpoints, revealing emotions, sharing experiences, and transferring information. By engaging in storytelling activities whether through oral or written narratives individuals can absorb valuable lessons, gaining insights into effective problem-solving strategies and emotional expression
Storytelling serve as a means of expressing opinions, revealing emotions, sharing experiences, and transferring information (6). By engaging in storytelling activities whether through oral or written narratives individuals (7)

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