Showing 11 results for Nasiri
Seyyed Pouria Hedayati, , Amirashkan Nasiripour, Fatemeh Mohabati, Ali Maher, Mahood Mahmoodi, Nahid Hatem,
Volume 2, Issue 3 (9-2009)
Abstract
Amir Ashkan Nasiripour, Mohammad Ali Hosseini, Hasan Fazayeli Rad, Abbas Kamyabi,
Volume 4, Issue 6 (12-2011)
Abstract
Evaluation of the factors related to the patients&apos complaints against medical staff, especially doctors and efforts towards its reduction affects patients&apos satisfaction of health care system. The main purpose of the present study was to determine the factors related to the patient`s complaint against doctors with the verdict of Medical Council of Kerman.
This study was a descriptive, analytical and practical evaluation, assessing 250 documents related to the patients&apos complaints of doctors in Kerman Medical Council during 2004-2009.
The most reasons of complaints (%73.2) were carelessness and disrespecting scientific and legal standards, and obtaining funds out of legal standards (%9.3) respectively. In the case of issuing vote, the most opinions (%31.7) were innocence and suspended and barred from prosecuting (%22.9) respectively. Most complaints were of ophthalmologists and private hospitals. There were significant relationship between the reason of complaint and issued out (P<0.01, c2= 53.706) and the reason of complaints and field practitioners (P=0.026, c2= 49.27). No significant relationship between issued out and the type of hospital was found.
Regarding the results, respecting scientific, and legal standards, and decreasing financial relationships between doctors and patients is an effective way in reducing patients&apos complaints of physicians. Improvement in physicians&apos patients&apos relationship by explaining the disease condition, its risks and treatment options to patients are effective in reducing patient&aposs complaint against physicians.
Seyyedeh Fatemeh Vasegh Rahimparvar, Leila Nasiriani, Tahmineh Faraj Khoda, Naser Bahrani,
Volume 7, Issue 2 (7-2014)
Abstract
Ethical performance is one of the main components of offering quality care to women and mothers. The aim of this study was to assess the degree of compliance with the professional codes of ethics among the midwives employed in maternal child health centers in Tehran.This was a descriptive, cross-sectional study performed on 125 maternal child health center midwives in Tehran. Method of sampling was stratified and cluster sampling. The data collection tool consisted of a valid, reliable questionnaire including two sections: demographic information and 43 questions in 10 areas of professional ethics based on a 5-point Likert scale. Data analysis was performed by descriptive statistics via the SPSS software.The overall compliance with ethical codes among midwives was 3.866±0.522, and compliance rates in each of the 10 areas mentioned above were as follows: respect for human dignity: 3.77±0.676 observance of clients’ decision-making right: 3.62±0.58 obtaining informed consent: 3.48 ± 0.988 truth telling: 4±0.74 respect for clients’ privacy: 4.08±0.709 observance of the principles of beneficence and non-maleficence: 3.97±0.689 revealing clients’ information: 3.47±0.723 confidentiality: 3.83±0.844 fair treatment of clients: 4.14±0.802 and professional relationship with colleagues: 4.23±0.709.In order to improve the quality of midwifery services, more attention should be paid to teaching professional ethics in midwifery courses, and after extensive notification, compliance with ethical codes should be monitored.
Shahriar Shahab, Nahid Rejeh, Maliheh Nasiri, Rohollah Asghari Rad,
Volume 7, Issue 4 (11-2014)
Abstract
Empathy and communication between dentists and patients are among the major concerns of dental health educators. The present study aimed to evaluate the empathy levels of dentistry students with their patients in the city of Tehran during 2014.In this descriptive cross-sectional study, 410 dentistry students of various universities throughout Tehran were selected randomly. Data were collected using the questionnaire of demographic data and Interpersonal Reactivity Index to assess dispositional empathy. Data analysis was performed using SPSS 16 statistical software.The students had a mean empathy score of 53.06 (SD = ± 1.03), with the highest level pertaining to the imagination dimension (14.41 ± 4.65). Age, gender, and educational level had significant relationships with empathy (P < 0.01). Female students reported higher emotional empathy (P < 0.01), but no significant relationship was found between empathy and the university of attendance.Empathy scores of undergraduate dentistry students were lower than ideal and acceptable levels. Therefore it seems necessary to design proper educational programs to improve empathy among dentistry students.
Mohammad Jalali, Ahmad Nasiri, Heidarali Abedi,
Volume 7, Issue 5 (1-2015)
Abstract
Breaking bad news to patients and their families is an important issue in health care services. Since access to information is among the basic rights of the patient, investigating the experiences of patients and their families after receiving bad news can make the process more purposeful and prevent unnecessary suffering. This study aimed to describe the experiences of patients and their families after hearing bad news from health providers.The present study was conducted with a qualitative, phenomenological approach. Participants were selected through purposive sampling from people who had the experience of receiving bad news during 2013 in Birjand, Iran. The sampling process continued up to the point of data saturation, which reduced the number of participants to 10. Note-taking was used to complete the data collection process. In this study Colaizzi's method was used for data analysis, while robustness of the study was assessed based on the criteria of precision.The subjects were between 25 and 70 years of age. First, according to Colaizzi's Method, 280 codes were obtained which were the same as the developed concepts. At this point, the code lists were extracted. Different thematic categories with similar meanings were placed in 5 thematically larger groups as follows: 1) tension at the beginning of the encounter, 2) adaptive responses, 3) spiritual relief, 4) family crises, and 5) seeking support.Patients and their families showed different reactions upon receiving bad news. The study showed that health providers can contribute to a better adjustment of patients and families and promote peace by acquiring a methodical approach while delivering bad news. This can be achieved by identifying the reactions, confusions and tensions, as well as introducing adaptive or supportive resources to patients and their families.
Ebrahim Nasiri, Hamidreza Kelidari, Sobhan Bahrami,
Volume 9, Issue 3 (10-2016)
Abstract
Protecting patient’s secrets and private information such as disease name and diagnosis can play an important role in establishing trust in the treatment team. The present study aimed to investigate the issues surrounding the confidentiality of patients’ disease names and diagnoses in hospitals affiliated with Mazandaran University of Medical Sciences.
This was a cross-sectional study conducted on 216 patients in internal, surgical and women’s wards who had been hospitalized for at least 24 hours. Research tool was a questionnaire consisting of two parts: demographic data, and questions on the disclosure or confidentiality of information such as disease names. Patients' views were investigated through simple sampling method, and data were analyzed using SPSS software and chi-square test. Of the 216 patients entered in the study, 122 (56.5%) were male and 94 (43.5 %) were female. Participants were aged between 16 and 80, and their mean age was 47 ± 18.6 years.
The results showed that 49 (22.7 %) of the patients did not approve of an open display of their disease names and diagnoses above their beds, while a difference was observed between male and female patients in this regard (P < 0.50). Moreover, there was no relationship between patients’ educational levels and their perspective on other patients’ caregivers finding out about their disease names or diagnoses (P < 0.578).
In this study, a significant percentage of patients were found to be opposed to the disclosure of their diagnoses and disease names. Considering that this phenomenon may prevail among special disease or emergency room patients, it is recommended that authorities take measures against disclosure of patients’ disease names and diagnoses.
Khadijeh Nasiriani, Seyede Elham Fazlojoo, Arefe Dehghani Tafti, Yadollah Mobari,
Volume 13, Issue 0 (3-2020)
Abstract
Moral sensitivity is the first step in making a moral decision and taking a moral judgment. An effort to promote nurses' moral sensitivity, education of ethical concepts, and using appropriate approaches to teaching ethics is still under discussion. Thus, this study was conducted to determine the effect of virtual teaching of ethical principles through narrative method on the ethical sensitivity of critical care nurses. In this quasi-experimental study, 60 critical care nurses were studied in two groups of test and control in 2 hospitals. The experimental group was taught ethical principles through virtual narrative method. Demographic information and Latezen moral sensitivity questionnaire were completed by nurses on three occasions (before, immediately after and two months after virtual education). Data were analyzed by SPSS 20 software. Results showed that the mean and standard deviation of nurses' moral sensitivity were 61.53 ± 9.24 before intervention and (60.60 ± 7.76 for the control group, and the association was not statistically significant (p> 0.05). However, there was a significant difference between the experimental group (77.50 ± 6.05) and the control group (60.83 ± 8.07 in the first post-test. In addition, there was a significant difference between the experimental and control groups (p <0.05) in the second post-test. Repeated measure analysis showed a significant difference between the ethical sensitivity scores in the experimental group, but no significant difference in the control group. According to the findings, the nurses' moral sensitivity was moderate at the beginning of the study, but after the intervention, the test group was at a high level and the control group was still at a moderate level. Thus, it is necessary to motivate nurses for recording and sharing their ethical challenges. Accordingly, they can promote their own ethical performance. Furthermore, their narratives can be used for education of other nurses and students of nursing.
Khadijeh Nasiriani, Abbas Ali Dehghani Tafti, Seyede Elham Fazljoo,
Volume 14, Issue 0 (3-2021)
Abstract
This article has no abstract.
Khadijeh Nasiriani, Mojghan Barati Kahrizsangi, Seyede Elham Fazljoo,
Volume 14, Issue 0 (3-2021)
Abstract
The ethical climate in hospitals can influence nurses' ethical decisions. In other words, in the hospital where the nurse cannot use his moral courage, the patient's rights and interests are gradually ignored. Therefore, the aim of this study was to determine the relationship between perception of ethical climate and moral courage of nurses working in hospitals affiliated to Shahid Sadoughi University of Yazd in 2019. This was a descriptive-analytical study. A total of 204 nurses working in hospitals affiliated to Shahid Sadoughi University of Medical Sciences in Yazd were included in the study by census sampling. Data were collected using demographic questionnaire, Professional Moral Courage (PMC), and Hospital Ethical Climate Survey (HECS) and analyzed by SPSS 18 software. The results showed that the mean score of ethical climate (3.35 ± 0.62) of 5 and the mean score of moral courage was 56.37 ± 5.46 out of 75. There was no significant relationship between ethical climate and moral courage (P≥0.05). Of demographic characteristics, gender had a significant relationship with the mean score of ethical climate (<0.05), but other demographic characteristics did not have a significant relationship with ethical climate and moral courage (>0.05). Considering influence of environments supporting nurses’ moral courage on optimal care to patients, development of plans by managers to promote nurses’ moral courage can lead to beneficial effects.
Reza Salehinia, Marzieh Nasiri Sangari, Hossein Abbasian, Sajjad Salehian,
Volume 17, Issue 0 (Supplement of 11th Annual Iranian Congress of Medical Ethics 2024)
Abstract
Artificial intelligence (AI) represents a significant human advancement. The proliferation of AI technologies within the healthcare sector has led to substantial improvements in health outcomes and medical indicators. However, the application of AI in healthcare is accompanied by numerous ethical challenges. This study aimed to investigate the ethical considerations associated with the use of AI in the healthcare domain. This narrative review included articles published between February 2019 and November 2024. A comprehensive literature search was conducted across internal databases, including Magiran and SID, as well as external scientific databases such as PubMed, Web of Science, Medline, ScienceDirect, and Google Scholar. Keywords used for the search included "Ethics," "Artificial Intelligence," and "Health" in both Persian and English. After applying inclusion criteria and conducting quality assessments, nine studies were deemed eligible for inclusion in this review. The findings of previous studies demonstrate that the utilization of AI in healthcare has yielded significant benefits, including more accurate disease diagnoses, improved clinical predictions, more efficient hospital management, optimized resource allocation, enhanced patient care, streamlined clinical workflows, and advancements in medical research. These technologies have contributed to increased efficiency and quality within healthcare services. However, significant ethical challenges remain, including data privacy and security concerns, algorithmic bias, transparency issues, the need for robust clinical validation, and the importance of ensuring professional responsibility. Adherence to principles such as transparency, fairness, privacy protection, and equitable access is crucial for the responsible development and deployment of AI in healthcare. Ultimately, achieving a balance between technological advancements and human values is paramount for the sustainable and ethical utilization of AI in this domain. The findings of this review underscore the profound impact of AI on improving quality of life and enhancing services across various sectors, particularly healthcare, by providing innovative solutions. However, the optimal utilization of AI in healthcare necessitates a meticulous consideration of ethical implications, rigorous monitoring of AI systems, and proactive efforts to address the existing challenges.
Mohammadmahdi Pazhavand, Maasoumeh Barkhordari-Sharifabad, Khadijeh Nasiriani,
Volume 18, Issue 1 (3-2025)
Abstract
Identifying an effective coping strategy for moral distress, as an important and common phenomenon among intensive care unit nurses, seems essential. The knowledge-to-action model aims to identify effective methods for implementing evidence into clinical practice. The present study sought to determine the effect of an intervention based on the knowledge-to-action model on moral distress among nurses working in intensive care units. This was an experimental study, and the statistical population included nurses working in the intensive care units of Namazi Hospital in Shiraz, Iran. A total of 100 eligible nurses were selected through convenience sampling and then randomly assigned to intervention and control groups. For the intervention group, the knowledge-to-action model was implemented. Data were collected using the Hamric Moral Distress Scale before and one month after the intervention. Both groups completed the questionnaire at these time points. Data were analyzed using descriptive and inferential statistics with SPSS version 19. The findings showed that the two groups were similar in terms of demographic characteristics and mean moral distress scores before the intervention. After the intervention, the mean scores of moral distress in the intervention group were significantly reduced in the frequency dimension (2.12±0.34) and severity dimension (2.32±0.46) compared to the control group (frequency: 2.51±0.43; severity: 2.57±0.55) (p<0.001). The results indicated that implementing the knowledge-to-action model reduces moral distress in intensive care unit nurses. Therefore, it is recommended that nursing managers adopt this model to improve the quality of care.
