The purpose of this qualitative study was to determine the concerns of mothers referred to health center in south Tehran, Iran about immunizing children aged 0-24 months. Data were collected using individual semi-structured interviews and analyzed using content analysis. The mothers' concerns over immunizing their children fell into 5 main categories: (1) "Factors that cause mothers' concerns," (2) "Factors that influence mothers' concerns," (3) "Information, education, and communication barriers," (4) "Informational/educational needs and sources," and (5) "The necessity of childhood vaccinations." According to study findings, mothers consider immunizing children important and they have enough trust in the health system. A deep understanding of maternal concerns about immunizing their children at 0-24 months allows nurses to reduce mothers' concerns by removing communication barriers and providing appropriate and adequate information.
Since many pediatric nurses clearly face moral distress while taking care of children, it is necessary to consider measures for preventing or decreasing situations that would lead to this distress.
Background
Given the potential of intersectionality to identify the causes of inequalities, there is a growing tendency toward applying it in the field of health. Nevertheless, the extent of the application of intersectionality in designing and implementing health interventions is unclear. Therefore, this study aimed to determine the extent to which previous studies have applied intersectionality and its principles in designing and implementing health interventions.
Methods
The title and abstract of the articles which were published in different databases e.g. PubMed, Web of Science, Proquest, Embase, Scopus, Cochrane, and PsychInfo were screened. Those articles that met the screening criteria were reviewed in full text. The data about the application of principles of intersectionality, according to the stages heuristic model (problem identification, design & implementation, and evaluation), were extracted through a 38-item researcher-made checklist.
Results
Initially, 2677 articles were found through reviewing the target databases. After removing the duplicated ones and screening the titles and abstracts of 1601 studies, 107 articles were selected to be reviewed in detail and 4 articles could meet the criteria. The most frequently considered intersectionality principles were “intersecting categories” and “power”, particularly at the stages of ‘problem identification’ as well as ‘design & implementation’. The results showed that “multilevel analysis” principle received less attention; most of the studies conducted the interventions at the micro level and did not aim at bringing about change at structural levels. There was a lack of clarity regarding the attention to some of the main items of principles such as “reflexivity” as well as “social justice and equity". These principles might have been implemented in the selected articles; however, the authors have not explicitly discussed them in their studies.
Conclusions
Given the small number of included studies, there is still insufficient evidence within empirical studies to show the implication of intersectionality in designing and conducting health interventions. To operationalize the intersectionality, there is a need to address the principles at various stages of health policies and interventions. To this end, designing and availability of user-friendly tools may help researchers and health policymakers appropriately apply the intersectionality.
Purpose
– The purpose of this paper is to present and analyze the current literature related to developing and improving the Mahalanobis-Taguchi system (MTS) and to present the shortcomings related to this method for future research.
Design/methodology/approach
– In this paper, articles in the literature are classified to give an overview on the MT strategy. For this purpose, 46 articles are considered for classification from 2000 to 2013 on the basis of: MTS contribution area, description of the issue, and results.
Findings
– In this paper a review on the concepts and operations of the MTS was provided as a new method in the field of pattern recognition, multivariable diagnosis, and forecasting. A large number of studies were performed in recent years consisting of developing MTS and MTS case studies. The analysis of the articles showed the fields of MTS which had more potential for future studies and developing. The comparison of the MTS to other methods and the selection of the normal group for constructing the Mahalanobis space have received the most attention by researchers. In addition, several studies concentrated on the use of other methods instead of design of experiments, finding applications for multiclass MTS and finding an alternative for the SN ratio.
Originality/value
– This paper contains the publications in the field of MTS chronologically and shows different areas for developing and case studies. It will be useful to researchers and professionals who are interested in pattern recognition, multivariate analysis, and forecasting.
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