IntroductionNurses are key fighters in the forefront of care provision to COVID-19 patients. Due to the diversity of nurses' experiences in different countries because of variable nursing resources, health care systems, and cultural contexts, the present study aimed to divulge a deep understanding of the essence of health system problems based on nurses' experiences of care provision to COVID-19 patients in Iran.MethodsThe present study was conducted based on the conventional content analysis method and Graneheim & Lundman approach. The participants included the nurses working in the COVID-19 wards and were recruited by purposeful sampling and based on inclusion criteria. The data were collected by conducting semi-structured, one-to-one interviews, and taking field notes, until reaching data saturation.ResultsIn-depth interviews with 12 nurses. represented four main categories and six subcategories. Sudden exposure to an unknown threat (nurses' feelings and concerns and nurses' reactions), being involved in an unequal war (a vicious virus and weary nurses), stressful working conditions, and efforts to confine the threat (seeking for new and adequate information and gathering all forces) were among the emerged data.ConclusionThe nurses' experiences showed that despite passing a while since the coronavirus pandemic, there are still individual and professional concerns that all root in organizational and governmental factors.
Aims: This study aimed to compare the effects of self-care education using focus group discussion and teach-back method on the lifestyle promotion of pregnant women. Methods & Materials: In this randomized field trial, participants were 90 pregnant women referred to the community health centers in Gonabad, Iran with no history of physical and psychological problems that can affect their self-care. They were randomly selected from among the three health centers and divided into three groups of focus group discussion, teach-back, and control. The data collection tools were a demographic form, and Walker’s Health-Promoting Lifestyle Profile (HPLP) questionnaire completed before and one month after the intervention. The collected data were analyzed in SPSS v. 20 software using independent t-test, paired t-test and ANOVA. The P-value <0.05 was set as the significance level. Findings: There was no significant difference between the three groups in terms of educational level (P=0.029), occupation (P=0.090), income (P=0.099), and gestational age (P=0.741), and they were homogeneous. After intervention, all aspects of health-promoting lifestyle (except stress management) in two groups of teach-back (P<0.001) and focus group discussion (P<0.001) were significantly improved compared to the control group (P=0.66). In comparing the two educational methods, focus group discussion had a more significant impact on the lifestyle than the teach-back method. Conclusion: Focus group discussion method is recommended for the self-care education of pregnant women.
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