Showing 16 results for Sadeghi
Roghayyeh Karimi, Nahid Dehghan Nayyeri, Tabandeh Sadeghi, Abbas Mehran,
Volume 1, Issue 4 (10-2008)
Abstract
Tabandeh Sadeghi, Nahid Dehghan Nayyeri ,
Volume 3, Issue 1 (12-2009)
Abstract
Tabandeh Sadeghi, Nahid Dehghan Nayyeri, Roghayyeh Karimi,
Volume 4, Issue 3 (5-2011)
Abstract
Nurses' ability to communicate with patients is essential for the effectiveness of the nursing process. This factor is more significant in the case of adolescent patients. Appropriate communication between adolescent patients and health care staff is crucial, since it contributes to the patients disclosing important personal information, and helps nurses communicate necessary information, viewpoints or skills through health promotion measures. The present study aimed to draw a comparison between nurses’ and hospitalized adolescents’ understanding of the significance of the nurse-patient relationship and the observance thereof.
In this cross-sectional study, 175 nurses and 180 hospitalized adolescents (12-18 years of age) were selected through simple random sampling respectively, all of whom met the criteria necessary to enter the study. The data was collected from children’s hospitals affiliated with the Tehran University of Medical Sciences, and the data collection tools were self-report questionnaires. Data analysis was performed using the SPSS statistical software.
Findings of this study showed that there was a significant statistical difference between the understanding of nurses and hospitalized adolescents regarding the importance of the nurse-patient relationship (P=0.019) and its observance (P0.001), and the nurses scored a better understanding than adolescent patients in both cases. This paper also investigated the priorities of each group regarding the significance and observance of the nurse-patient relationship. The results showed that nurses viewed explaining the necessary follow-up care after discharge as the most important part, while adolescent patients believed that proper verbal communication and being listened to patiently were of great significance. Both groups seemed to observe proper verbal and non-verbal communication according to the results of this paper.
The findings of this research proved that nurses can be directed to achieve the less observed objectives that are viewed by adolescent patients as significant in order to eliminate the obstacles in proper nurse-patient relationship.
Hadi Sadeghi, Mahdi Nosratian Ahoor,
Volume 6, Issue 1 (4-2013)
Abstract
Though there are different definitions for the word “mawt” (death), it seems that the most appropriate one would be the loss of power of the soul over the body, and that is when the soul is separated from the body. There are a variety of religious rulings for a human’s death in Islamic moral jurisprudence, and therefore it is necessary for a jurisprudent to have proper knowledge of the subject, reality, and the criterion for death and life. There are two main theories on the criterion for death and life from jurisprudential and moral perspectives. Some hold that everyone dies of cardiac arrest and others argue that man dies of brain death. It is also necessary to view the arguments presented by each group from jurisprudential and moral perspectives.
Advocates of the theory of cardiac arrest support their view through the following reasons: authority of established practice in concept analysis, incumbency of guarding the protected soul, principle of caution regarding people’s lives, and principle of istishab. Authors of the present paper have attempted to provide a critical analysis of the above-mentioned arguments in this study.
Advocates of the theory of brain death hold their view through the following reasons: the fetal heartbeat before the soul is breathed into it, possibility of cardiac transplantation and impossibility of brain transplantation, similarity between death and sleep, and signs and symptoms of death, among which two have been accepted: a) possibility of cardiac transplantation and impossibility of brain transplantation and b) signs and symptoms of death.
Mehdi Golafrooz, Hajar Sadeghi, Fatemeh Ghaedi, Yaser Tabarraei, Fariba Keighobadi, Farzaneh Keighobadi,
Volume 7, Issue 1 (5-2014)
Abstract
Although errors in health services are harmful and the consequences might be irreversible in some situations, none of the health care providers are free of errors. Since health provision is the main goal of the nursing care, it is important to report professional errors in order to reach this goal. However, there are many obstacles in reporting nursing errors that should be identified and solved. The present study tried to evaluate the nurses’ point of view about managerial and moral obstacles in expressing nursing errors.Two hundred and one nurses of the educational hospitals of Sabzevar University of Medical Sciences were enrolled in this descriptive analytic study. The students were selected by convenience sampling method and the study data was collected using a questionnaire that consisted of a demographic part and a researcher made part with 13 and 27 questions related to managerial and moral obstacles respectively. Content validity index and reliability were measured by internal consistency (α = 80) and test-retest (r = 0.84). Data analysis was done by SPSS 18 software.The results of this study showed that the main reported managerial obstacle in reporting nursing errors was endangerment of academic position (43.3%), and the main moral obstacle was losing physicians' support (55.2%). Thus this problem might be solved by designing appropriate plans from both managerial and moral points of view.
Fariba Keighobadi, Hajar Sadeghi, Farzaneh Keighobadi, Yaser Tabaraei,
Volume 7, Issue 3 (9-2014)
Abstract
The nursing profession is based on ethics. Clinical decisions that most nurses have to deal with include cases that involve moral conflicts. Moral distress is a phenomenon that causes pain, suffering, anxiety, depression and psychological damage. Emotional exhaustion can cause moral distress and is a consequence of job stress that has even been investigated as a reason for the high turnover in nursing. Therefore, the present study investigated the relationship between moral distress and emotional exhaustion among nurses.In this cross-sectional study, 265 nurses who employed in teaching hospitals of Sabzevar University of Medical Sciences were selected through convenience sampling. Data collection tools included a questionnaire on personal information a moral distress scale whose validity and reliability had been measured in previous studies (Cronbach's alpha 0.86) and a scale for emotional exhaustion that had also been tested for validity and reliability through content validity and test-retest (r = 0.84). Data analysis was performed using SPSS version 18.In this study, mean and standard deviation of moral distress and emotional exhaustion of nurses were 4.99 (0.91) and 4.17 (1.58) respectively. A statistically significant correlation was found between moral distress and the nurses’ field of work (rho = 0.338, P = 0.000). There was also a significant correlation between emotional exhaustion and rotating working shifts (rho = 0.385, P = 0.000) and ward (rho = 0.173, P = 0.03).The moral distress and emotional exhaustion of the nurses in this study were found to be higher than average. Education, counseling and raising nurses’ awareness of these concepts seem to be necessary in order to empower them to better deal with ethical issues.
Hossein Ebrahimi, Effat Sadeghian, Naeimeh Seyedfatemi, Eesa Mohammadi,
Volume 7, Issue 4 (11-2014)
Abstract
Patient autonomy is the opposite of paternalism and an essential element in individualised, patient-centred, ethical care. Challenges associated with patient autonomy are culture-related and have not been fully investigated in Iran so far. The aim of this study was to explore the challenges to the autonomy of patients in Iranian hospitals.This was a qualitative study using conventional content analysis methods. In 2013 13 patients, 7 nurses and 1 doctor were selected from three Tabriz and Hamadan teaching hospitals using purposive sampling to participate in semi-structured interviews. The interviews were subjected to qualitative content analysis and analysed using the MAXQD10 software.Fifteen categories and three themes were identified. The three main themes related to challenges associated with patient autonomy were: interpersonal factors, altered relationships, and organisational constraints. In summary, this study revealed some challenges associated with patient autonomy that the treatment team, managers and planners in the health care system should target in order to improve patient autonomy.
Nikzad Iesazadeh, Reza Salimi, Kazem Sadeghi Abi Sofla,
Volume 8, Issue 2 (7-2015)
Abstract
The precepts of Islamic education are founded on a practical and all-inclusive system that is aimed to develop man in all aspects of his life based on Quranic guidance (Quran and Ravayat). The individual is at the heart of Islamic education, and therefore has a specific place in Islam and is considered sacred and blessed.As a rule, medicine is targeted at the physical wellbeing of man. Consequently, Islamic education can play can play an important role in medical training and may be traced in the Quran and Revayat.Instructors and students are at the core of education and learning, and their development will result in the moral, spiritual and technical advancement of the society. Medical schools aim to cultivate young talents and educate experts in the health industry, and are naturally essential for the development of a nation. This can be achieved through the attempts of capable and motivated instructors within the educational system.The present study is a review of the Islamic approach to medical training and the techniques of developing motivated and capable scholars and students in order to achieve Islamic educational goals.
Behzad Joodaki, Mohsen Sadeghi, Keivan Ghani, Mohamad Mirzaie,
Volume 9, Issue 4 (10-2016)
Abstract
Physician-assisted suicide is an important, challenging issue in medical ethics, which the right to die is a central point in this issue. Physician-assisted suicide is offered to end intolerable pain and suffering. Although, it is a legal practice in some countries, still it is a challenging and controversial practice in ethical and legal perspectives. It has been argued that based on the principles of medical ethics, physicians should respect patient’s decision, however many ethicists and jurists believe that Physician-assisted suicide is unethical. It should be noted that the main reason for proponents and opponents is based on their interpretation about human dignity. This controversy can be resolved by reference to religious interpretation of human dignity in which asserts that Physician-assisted suicide is against human dignity and respect for human life.
Mohammad Jafari, Arash Ghodousi, Narges Sadeghi, Mozhgan Mohammadpour,
Volume 12, Issue 0 (3-2019)
Abstract
Communication with patients is an important issue in nursing meaning that to realize the truth from their viewpoints. This study was performed to compare levels of nurses’ empathy with patients at drug abuse treatment centers (DATCs) and the internal ward of hospital. The present research was a cross-sectional and descriptive-analytic study conducted at two environments of the internal ward and DATCs. A total of 60 subjects comprised research participants and were listed in the study through census method. A two-part scale was used including personal information and Jefferson scale of empathy with verified validity and reliability. Data were analyzed using SPSS16 software. The scores of nurses' empathy with patients recorded in the internal ward and at DATCs were 67.84±6.32 and 79.73±9.21 (out of 100), respectively (P=0.001). Male nurses (76.80±9.88), married nurses (75.93±9.98), ages of >40 years (79.1±11.12), masters’ degrees (75.5±3.78), job experiences of >10 years (83.53±8.53) and overtime hours of <50 h (80.61±9.9) attained the highest empathy scores with significant differences (P<0.05). The scores of nurses’ empathy with drug-dependent patients at DATCs were higher than those of internal wards indicating that the care of addicted patients in a specialized ward leads to increased empathy. Considering the relationship between
empathic communication, educational levels and occupational experience of nurses, it is essential to consider training empathy skills to nursing students from the first semester and to provide in-service training to nurses working at hospitals and centers by nurses of higher educational qualifications and experiences.
Shilan Ghaderi, Mehran Sadeghi, Fayegh Yousefi, Mohammad Saleh Vahedi, Nader Karami, Aram Karimian,
Volume 12, Issue 0 (3-2019)
Abstract
One of the main methods of improving patient safety is use of reporting systems and providing facilities for analyzing and preventing mistakes. The aim of this study was to determine the attitude of nursing managers of hospitals affiliated to Kurdistan University of Medical Sciences towards the voluntary reporting system of medical errors in 2015. In this descriptive-analytic study, all managers of selected hospitals in Kurdistan province were enrolled in this study. The data was collected through a valid questionnaire for attitude towards the voluntary reporting system of medical errors. Data were analyzed by SPSS software version 20, independent t-test, chi - square and ANOVA. According to the results of the study, 87.9% (80 participants) of the managers encountered reporting of errors in their workplace. 68.1% (62 participants) of the managers had a positive attitude toward the voluntary system of medical errors and 16.15 % (15 participants) had a negative attitude and 15.38% (14 participants) were indifferent. According to the results of the research, more than 68.1 % of managers have a positive attitude towards the voluntary reporting of medical errors and with the necessary measures a suitable platform for launching the voluntary reporting system of medical errors in the treatment centers can be provided.
Leila Razeghian Jahromi, Safoura Sadeghi Mazidi, Ali Farhangdoost,
Volume 15, Issue 1 (3-2022)
Abstract
An increase in the incidence of chronic and incurable diseases and the lack of facilities to care for patients raises the issue of prioritization in the allocation of facilities and the selection of patients to use the facilities and the choice between life and death. Discussion of termination of life and cessation of treatment is one of the challenges in the field of medicine and ethics. The demand for euthanasia has increased in recent years, and future physicians will face this issue. This cross-sectional study was performed on 200 interns and medical residents in 1400. All participants completed the Demographic Information Questionnaire, Beck Depression Questionnaire, and Attitude to Euthanasia Questionnaire. In the present study, 67.5% of participants agreed with euthanasia. The mean score of attitudes to euthanasia was higher in men than women (P = 0.023) and higher in single people (P = 0.045). As religious beliefs increased in individuals, the mean score of attitudes toward euthanasia decreased and opposition to it increased (P> 0.001). Positive attitudes toward euthanasia were associated with depression and its severity (P> 0.001). Depression and its severity are significantly associated with more physicians' desire for euthanasia. On the other hand, the stronger the religious beliefs, the greater the anti-euthanasia. Support for euthanasia in men and single people was also higher than in other groups.
Homa Sadeghi Avval Shahr,
Volume 17, Issue 0 (Supplement of 11th Annual Iranian Congress of Medical Ethics 2024)
Abstract
Effective medical education requires the cultivation of essential professional attributes, including ethical reasoning, communication skills, empathy, and professionalism. Traditional teaching methods often fall short in adequately developing these crucial aspects. Reflection-based learning, with its emphasis on self-analysis and critical thinking, presents a promising pedagogical approach to address these limitations. This review study examined the literature on reflection in medical education. A comprehensive search of the Web of Science, PubMed, Scopus, and Google Scholar databases was conducted using keywords such as "education," "reflection," "professionalism," "professional behavior," and "medical students" from 2010 to 2024. Eighteen relevant articles were selected and analyzed for their type, focus, and conceptual implications. Different approaches to integrating reflection into professionalism education were then categorized and analyzed. The reviewed literature highlights a multifaceted approach to incorporating reflection into medical education. Key strategies include contextual reflection, linking reflections to specific clinical experiences; utilizing structured frameworks such as the Gibbs Cycle to guide the reflective process; fostering peer-to-peer learning through discussions, peer feedback, and mentorship; and seamlessly integrating reflection as an ongoing and assessed component of the medical curriculum. Findings suggest that an educational approach emphasizing practical application, experiential learning, and structured reflection opportunities can significantly enhance students' understanding of professional behavior. This approach is anticipated to lead to improvements in communication skills, ethical reasoning, empathy, and self-awareness, ultimately contributing to better patient care and a stronger medical workforce. Reflection-based learning offers a valuable strategy for developing professional competence in medical education. This approach necessitates the active integration of reflection into clinical learning activities, utilizing structured frameworks, and providing ample opportunities for peer and faculty support. Future research should rigorously investigate the impact of specific reflective activities on tangible improvements in clinical skills and behaviors.
Mohammad Chahkandi, Yasaman Sadeghi, Vajihe Tanoumand ,
Volume 17, Issue 0 (Supplement of 11th Annual Iranian Congress of Medical Ethics 2024)
Abstract
Induced abortion remains a significant global health concern, with an estimated 73 million procedures performed annually. While legal and medical frameworks vary across countries, many Islamic societies grapple with ethical dilemmas surrounding abortion. This review examines the ethical challenges surrounding abortion within the context of Islamic perspectives. A comprehensive literature search was conducted using the keywords "abortion," "Islam," and "ethics" in combination with Boolean operators (AND, OR) within PubMed, SID, Google Scholar, and other relevant databases. The search was conducted by three independent researchers. Inclusion criteria included articles published between 2014 and 2024 with the keywords appearing in the title, abstract, or keywords, and full-text availability. After removing duplicates, 11 articles met the inclusion criteria. The decision to undergo elective abortion is influenced by various factors, including the desire for pregnancy, maternal and fetal health status, family dynamics, social stigma, and legal and religious regulations. While Islam generally prohibits abortion, ongoing debates arise from challenges related to access to safe abortion methods and the protection of women's rights. Despite the religious prohibition of abortion, restrictions on access to safe abortion services do not eliminate the practice but rather drive women towards unsafe methods, leading to significant physical and psychological harm, particularly among vulnerable populations. Moreover, limitations on prenatal screenings can result in the birth of infants with genetic defects. These factors raise important questions about the effectiveness and ethical implications of restrictive abortion policies in Islamic societies. Ensuring access to safe and legal abortion services, along with comprehensive sexual and reproductive health education, is crucial for improving maternal health outcomes and upholding women's rights within these contexts.
Batool Zeidabadi, Khadijeh Ahmadzadeh, Zeinab Khademi, Reza Sadeghi, Farnoosh Ghomi,
Volume 17, Issue 0 (Supplement of 11th Annual Iranian Congress of Medical Ethics 2024)
Abstract
Research ethics is a fundamental component of the scientific process and is crucial for ensuring the integrity and reliability of research outcomes. Researchers must recognize that the results of their studies can impact individuals and societies. Therefore, accountability and transparency in conducting research are of particular importance. Adherence to ethical principles not only enhances the scientific credibility of researchers but also contributes to the advancement of science and technology. This study aimed to assess the level of adherence to research ethical principles among researchers at Iranian Medical Sciences Universities. This descriptive-analytic, cross-sectional study focused on researchers from Iranian universities of medical sciences. The data collection tool was a research ethics compliance questionnaire, which was distributed to researchers at medical universities in Region Eight. The questionnaire contained 40 items across 9 dimensions: respect for subjects' moral rights, free thinking, professional responsibility, social responsibility, accuracy, emotional impartiality, honesty, Originality, and legitimacy. Data were analyzed using SPSS version 24 software. In addition to descriptive statistics, Mann-Whitney, Kruskal-Wallis, and Spearman correlation tests were also applied. A total of 230 researchers participated in the study, 193 of whom were faculty members. The results indicated that the average score for adherence to ethical principles in research was 3.174, reflecting a high level of adherence. The results also revealed that the dimensions of legitimacy and accuracy had the highest average scores (21.7 and 22.5, respectively). Significant differences were observed in adherence to ethical principles based on educational degree, academic rank, age, and work experience (p < 0.05). Spearman's correlation indicated a significant inverse relationship between adherence to ethical principles and educational degree, meaning that higher educational levels were associated with lower adherence to ethical principles in research. Overall, the findings of this study show that most researchers in the eight regions of Iranian medical sciences universities adhere to ethical principles in research at a high level.
Homa Sadeghi Avval Shahr, Kosar Alizadeh, Leila Amini, Shima Haghani,
Volume 17, Issue 0 (Supplement of 11th Annual Iranian Congress of Medical Ethics 2024)
Abstract
Effective communication with patients is not only a crucial element of professionalism in healthcare but also plays a significant role in achieving care and treatment goals. In light of the importance of active learning strategies and reflective practices in education, this study aimed to evaluate the effect of guided reflection on the communication skills of undergraduate nursing and midwifery students. This semi-experimental study with a pre-test and post-test design was conducted at the Faculty of Nursing and Midwifery, Iran University of Medical Sciences. A total of 50 second- to fourth-year undergraduate students in nursing and midwifery voluntarily participated in the study following a public invitation. Data collection tools included a demographic questionnaire and a patient communication skills questionnaire developed by Javaher et al. The intervention consisted of four 90-minute interactive training sessions conducted weekly via Google Meet. The first two sessions focused on teaching components of professionalism with an emphasis on patient communication and reflective practice. The final two sessions included scenario presentations, film viewings, opportunities for reflection, and shared discussions. Data were analyzed using descriptive and inferential statistical tests in SPSS version 24. The findings indicated a positive change in the overall communication skills score immediately after the training and one month later, although the change was not statistically significant. In specific areas of communication skills, the "conscious initiation" domain showed a statistically significant improvement from pre-intervention to immediately after (P=0.005) and one month after the training (P=0.011). Additionally, in the domain of "unconditional acceptance of the client," pairwise comparisons revealed a significant improvement in scores one month after the intervention compared to the pre-intervention phase (P=0.02). Although guided reflection showed some promise in enhancing specific aspects of communication skills among nursing and midwifery students, the overall impact was not statistically significant. Further research with larger samples and longer follow-up periods is recommended to more conclusively determine its effectiveness.
