ahmad sadati - Academia.edu (original) (raw)

Papers by ahmad sadati

Research paper thumbnail of How Iranian people perceived the COVID-19 crisis? Explored findings from a qualitative study: current concerns, ethics and global solidarity

Journal of Preventive Medicine and Hygiene, 2021

Summary Objectives This nation-wide project aimed to investigate the common perceptions and conce... more Summary Objectives This nation-wide project aimed to investigate the common perceptions and concerns regarding COVID-19 outbreak in Iran. Methods This qualitative study was conducted in Iran from February to March 2020 via an online open-ended questionnaire. The participants were also selected using convenience and snowball sampling methods. As well, the data collection process continued until data saturation was achieved. Thematic content analysis was utilized to analysis the transcribed texts. Results The statements retrieved also represented the most challenging psychological stress experienced by the participants. Four themes were accordingly recognized based on the content analysis including stressful conditions, health concerns, social and political concerns, and economic concerns. Throughout the study, a major proportion of the participants commented that psychological disorders such as fear, anxiety, stress, and ennui were their main challenges regarding this pandemic. Furth...

Research paper thumbnail of From good to great physician: a critical ethnography based on patients' views

Journal of Medical Ethics and History of Medicine, 2016

The doctor-patient interaction (DPI) plays an important role in the way patients view physicians.... more The doctor-patient interaction (DPI) plays an important role in the way patients view physicians. Thus, response to the question of ''Who is a great physician?'' is related to DPI experiences of patients. The aim of this qualitative study was to explore patients' views regarding this subject. Based on critical ethnography in one educational hospital in Shiraz, Iran, the study was performed based on 156 clinical consultations, 920 hours of participant observations, and 6 focus groups with patients and their relatives. The results revealed that asymmetrical power relationships exist in this context. Based on the general views of participants and their recent DPI experiences, a great physician should be kind, empathetic, friendly, and a good listener. Considering the presence of an asymmetrical power relationships in this context, results showed that doctors do not participate in an active interaction. Based on sociological theories, it can be concluded that the con...

Research paper thumbnail of Sociology in Medicine; Introducing a Model in Medical Education

Journal of Medical Education and Development, 2019

Research paper thumbnail of Patients’ Description of Unexpected Interactions: A Critical Ethnography of the Quality of Doctor-Patient Interactions in One Educational Hospital in Shiraz, Iran

Shiraz E-Medical Journal, 2016

Background: Sociologists regularly criticize the unbalanced doctor-patient interaction (DPI). A f... more Background: Sociologists regularly criticize the unbalanced doctor-patient interaction (DPI). A few previous studies have investigated DPI in developing countries. Objectives: This study aimed to explore the nature of DPI in one educational hospital in Shiraz, Iran, according to the views of patients and their relatives. Methods: This is a critical ethnography study that was conducted using a triangulation strategy in 2014, including156 clinical consultations, 920 hours of participant observations, and 6 focus groups with 51 patients and their families using a critical ethnography method. Sampling was purposeful, and the data were interpreted according to an exploration of the power relationship between the doctor and the patient in the context of the study according to the opinions of patients and their relatives. Results: The study showed that participants faced unexpected interactions, which included four features: unequal, unprofessional, instrumental, and non-cooperative. Although this form of interaction was explored to examine the struggle between the voice of medicine and the voice of the lifeworld, the results showed that the DPI in the context of our study contains hegemonic features, which are related to physicians' autonomy. Conclusions: These four themes revealed that patients are criticized about this form of interaction. These themes not only are not in line with the responsibilities and ethics of medicine but also are in contrast to it. It seems that patient-centered approaches can help solve the problem. In addition, the health system should monitor DPIs and promote them by reforming their structure.

Research paper thumbnail of A Qualitative Study on the Experiences of COVID-19 Ward Nurses in Shiraz, Iran

Shiraz E-Medical Journal

Background: The psychosocial risks and job stress have been considered as the most important fact... more Background: The psychosocial risks and job stress have been considered as the most important factors affecting the occupational health and safety and, therefore, exerting significant impact on the health conditions of individuals, organizations, and national economy. Objectives: The present study investigated the experiences of the nurses working in COVID-19 wards of specialty hospitals in Shiraz, Iran. Methods: Semi-structured interviews were carried out via telephone. A total of 15 participants (11 nurses and 4 active supervisors of COVID-19 wards) were included in the study. A conventional content analysis was applied. Results: COVID-19 ward nurses had a perception of differentiation because they had experienced difficult conditions and had higher social responsibilities. However, they managed to retain their social responsibilities despite suffering from anxiety and fear, physical and mental pressures, as well as various deficiencies. Four themes including fear and anxiety, burn...

Research paper thumbnail of Ritualism in Medical Education: A grounded theory study based on view and experience of medical students at Zone 5 of the country

Journal of Medical Education and Development, 2019

Introduction: Medical education is one of the most important issues in current changing condition... more Introduction: Medical education is one of the most important issues in current changing conditions which mainly addresses medical students. The purpose of this study was to extract the underlying theory of medical education in Iran based on the perspective and experiences of the medical students. Methods: This was a qualitative study. The data were collected by semi-structured interview and focused group with 43 medical students at Zone 5 of the country (Shiraz, Yasouj, Bandar Abbas, Bushehr, and Fasa). Stress and Corbin (2006) grounded theory method was used for data analysis. Result: The results of the research showed that the students are not satisfied with the current trend in medical education. The main points about the quality of medical education were: hospitalization, theory based method, authoritarianism, alienation, and structural problems. Ritualism in medical education was another finding of the present study, which means the educational system is more concentrated on e...

Research paper thumbnail of Letter to the Editor Utilization of Mammography, Sonography and Radiology Services before and after Health Sector Evolution Plan in Iran Dear Editor-in-Chief

Research paper thumbnail of Analysis of Strategies for Integrating Humanities with Medical Sciences in Iran from the Perspective of Humanities Experts with Convergence Sciences Approach

Journal of Medical Education and Development, 2021

Introduction: Medical humanities are one of the most important interdisciplinary needs. Since the... more Introduction: Medical humanities are one of the most important interdisciplinary needs. Since the most important discussion in this field is how to achieve it, the purpose of this study is to analyze it from the perspective of humanities experts in the Iran. Method: The present study is a national wide qualitative study that was conducted in 2019. Considering the saturation criterion, data were collected through 22 semi-structured interviews and two open questionnaires from the participants. Study analysis was performed by thematic analysis method. Results: The participants were critical of the current situation of medical humanities in the country because there is no effective and serious relationship between humanities and medical sciences. To achieve this, four themes of institutional knowledge development, neighborhood (non-institutional development), policies and sociability were extracted. Conclusion: The development of medical humanities requires macro-policies in the country...

Research paper thumbnail of Study of Quality of Life Among Liver Transplant Candidates in Shiraz, Southwestern Iran

Galen Medical Journal, 2016

Background: Liver transplant candidates are under stressconditions which affect their Quality of ... more Background: Liver transplant candidates are under stressconditions which affect their Quality of life (QOL), a subject which is not well-understood and is worthy of evaluation. The aim of this study is to determine the socio-demographic variables about QOL of liver transplant candidates.Materials and Methods: This cross-sectional study was evaluated QOL among 210 liver transplant candidates in Shiraz, Iran. The questionnaire includes demographic and socioeconomic conditions of the patients, in addition to another questionnaire on QOL which comprised 6 dimensions. The statistical analyses used included independent sample t-test and one-way analysis of variance (ANOVA). A two-tailed P-value of less than 0.05 was considered statistically significant. Results: The results obtained showed that the score off emotion was significantly less than males (P=0.05). Patients aged lower than 30 years and patients with lower BMI had a higher score of QOL (P=0.05). Single patients had lower worries...

Research paper thumbnail of Illness Behavior in the Face of COVID-19 Infection: A Qualitative Study on Homecare in Afghanistan

Shiraz E-Medical Journal, 2021

Background: Illness behavior refers to the ways of perceiving, assessing, and managing specific s... more Background: Illness behavior refers to the ways of perceiving, assessing, and managing specific symptoms by an individual. Objectives: The present study aims to investigate illness behavior during the COVID-19 outbreak among Afghan people. Methods: The study is a thematic analysis conducted between May and September 2020. Data were collected purposefully through semi-structured telephone interviews with 17 infected people from the cities of Kabul, Bamian, and Balkh in Afghanistan. Results: As the participants believed, the COVID-19 outbreak in their country was a socio-political rather than a medical phenomenon. In this situation, the health system is unable to meet medical needs, and patients creatively take care of themselves at home with exercise, local soups, and oxygen therapy if needed. There were four themes explored, including de-hospitalization, healthcare-seeking behavior, social stigma, and the role of media. Conclusions: The illness behavior regarding disease outbreaks i...

Research paper thumbnail of Expectations of citizens from the government in response to COVID-19 pandemic: a cross-sectional study in Iran

BMC Public Health, 2021

Background The government is the main body in charge of controlling epidemics; hence, expectation... more Background The government is the main body in charge of controlling epidemics; hence, expectations from the intention and capacities of the government would affect the flexibility and behaviors of citizens. Given the severity of COVID-19 pandemic and the urgent need for cooperation of people in the prevention and combat processes, understanding the public perspectives would be crucial and instructive. This study aimed to explore such perspectives towards the current pandemic among the Iranian. Indeed, we sought to provide a favorable platform for effective policies in the face of the COVID-19 pandemic through recognizing public expectations. Methods This cross-sectional survey used an open-ended online questionnaire to investigate the common perspectives of the Iranian towards the response of government to COVID-19 pandemic. The participants were selected using snowball and convenient sampling techniques across the country. The collected data were analyzed and described using a them...

Research paper thumbnail of Utilization of Mammography, Sonography and Radiology Services before and after Health Sector Evolution Plan in Iran

Iranian Journal of Public Health, 2018

Research paper thumbnail of The Reasons for the Emergence of Violent Behavior and Attempted Murder from the Perspective of Male Killers: A qualitative study

ORIGINAL ARTICLE Background: Murder is a violent social behavior, which stems from various reason... more ORIGINAL ARTICLE Background: Murder is a violent social behavior, which stems from various reasons. The purpose of the present research is to evaluate the reasons for murder from the perspective of killers. Methods: The present research is a qualitative study which involves 23 male killers sampled purposefully from Adel Abad prison in Shiraz. After conducting a semi-structured interview, data was analysed through qualitative content analysis. Results: The results showed that three reasons including Honor (fear of prolongation of trial, recognition of the legitimacy of murder), unintentional (mental stress, consumption of alcohol and psychotropic substances, availability of weapons), and subcultural values (considering crime to be a normal event) are the major reasons for emergence of murder among these people. Results of the research indicate that murder occurs based on interpretive structures of actors; which form their values and behaviors and potentially can lead to murder. Concl...

Research paper thumbnail of Money Based Reform and Distorted Doctor-patient Interaction: A Critique of the Recent Health Sector Evolution Plan in Iran

Iranian Journal of Public Health, 2017

Money Based Reform and Distorted Doctor-patient Interaction: A Critique of the Recent Health Sect... more Money Based Reform and Distorted Doctor-patient Interaction: A Critique of the Recent Health Sector Evolution Plan in Iran

Research paper thumbnail of The pattern of educator voice in clinical counseling in an educational hospital in Shiraz, Iran: a conversation analysis

Journal of medical ethics and history of medicine, 2017

Doctor-patient interaction (DPI) includes different voices, of which the educator voice is of con... more Doctor-patient interaction (DPI) includes different voices, of which the educator voice is of considerable importance. Physicians employ this voice to educate patients and their caregivers by providing them with information in order to change the patients' behavior and improve their health status. The subject has not yet been fully understood, and therefore the present study was conducted to explore the pattern of educator voice. For this purpose, conversation analysis (CA) of 33 recorded clinical consultations was performed in outpatient educational clinics in Shiraz, Iran between April 2014 and September 2014. In this qualitative study, all utterances, repetitions, lexical forms, chuckles and speech particles were considered and interpreted as social actions. Interpretations were based on inductive data-driven analysis with the aim to find recurring patterns of educator voice. The results showed educator voice to have two general features: descriptive and prescriptive. However...

Research paper thumbnail of Review of: "Bordering on crisis: A qualitative analysis of focus group, social media, and news media perspectives on the Republic of Ireland-Northern Ireland border during the ‘first wave’ of the COVID-19 pandemic

In the recent published article titled "Bordering on crisis: A qualitative analysis of focus grou... more In the recent published article titled "Bordering on crisis: A qualitative analysis of focus group, social media, and news media perspectives on the Republic of Ireland-Northern Ireland border during the 'first wave' of the COVID-19 pandemic" O'Connor et al. showed the challenges posed by the land borders between Republic of Ireland (ROI) from Northern Ireland (NI) in the COVID 19 pandemic. The most important challenge in this area has been Interpretations of Cross-Border Policy Disparities. Researchers have proposed two solutions in this regard: strengthen border controls, or pursue a unified all-island approach. The authors conclude by proposing greater synchronization of cross-border pandemic responses (O'Connor et al., 2021). Undoubtedly, the article is a valuable work as a qualitative study. Researchers have tried to use and analyze different data (news media, social media and 8 focus groups discussions) to answer their question with a kind of triangulation. In addition, this article presents treasured findings about the health policy challenges in the border between (ROI) and (NI) during first wave of COVID 19. However, regarding the findings, it seems that authors ignored a deeper layer of the link between politics and public health. It means that public health policies in the pandemic are made up of general human laws, while authors limited it to border between (ROI) and (NI). Although they just refer to this issue in the last sentence of article when they refer to the context of political conflict, which exacerbates political tensions and ethnocentrism in the emergence of a transnational public health crisis risks (O'Connor et al., 2021). We believed that in such kinds of global risks, we need unified policies at global level, as O'Connor

Research paper thumbnail of Burnout among Nurses during Coronavirus Disease 2019 Outbreak in Shiraz

Galen Medical Journal, 2020

Background: The function of healthcare workers, particularly nursing staff, in taking care of cor... more Background: The function of healthcare workers, particularly nursing staff, in taking care of coronavirus disease 2019 (COVID-19) patients, cannot be overemphasized. As the pandemic lasts, burnout among the nursing staff needs to be considered as an important challenge. This was aimed to assess the nurses’ burnout and factors affecting this variable. Materials and Methods: In this cross-sectional study, Maslach Burnout Inventory was completed by 261 nurses in Shiraz hospitals (Iran) in April 2020. This questionnaire addresses different aspects, including emotional exhaustion, personal achievement, and depersonalization, to determine the intensity of perceived burnout among nurses during the outbreak. Results: Our data demonstrated that the nurses’ burnout in Shiraz hospitals during the COVID-19 pandemic was high (64.6%). Emotional exhaustion and depersonalization were observed in 63.6 and 53.3 percent of the participants, respectively. Moreover, the rate of successful personal achie...

Research paper thumbnail of Sanctions, Misinfodemcis, and Polinfodemic During COVID-19: The Need for Global Collaborations

Shiraz E-Medical Journal, 2021

Research paper thumbnail of Disparities and Discrimination against People with HIV/AIDS by Healthcare Providers in Iran

Iranian Journal of Public Health, 2020

The article's abstract is no available.

Research paper thumbnail of Experience of Stigma by Women Infected with HIV by Their Husbands: A Qualitative Study

International Journal of High Risk Behaviors and Addiction, 2018

Background: HIV/AIDS stigma continues to be a social problem. Among infected patients, women who ... more Background: HIV/AIDS stigma continues to be a social problem. Among infected patients, women who are infected with HIV by their husbands live in different conditions. Objectives: The aim of this study was to explore the psychosocial experiences of this population group. Patients and Methods: A qualitative study was conducted in Shiraz, Iran, to explore the experience of 10 women with HIV/AIDS. The data were gathered through two focus group discussions and analyzed using the conventional content analysis method. Results: The name HIV/AIDS entails severe fear called onomatophobia. In addition, social stigma, discrimination, and self-stigma were found to be experienced by the participants. Among those experiences, discrimination in health sectors and onomatophobia were most agonizing. Accordingly, the subjects reported they did not tend to disclose their problem in the society. Conclusions: Women with HIV/AIDS are faced with certain psychosocial pressures, and it is required to reduce discrimination and inequity against them. Alongside social attention, social work support and psychological counseling are suggested for these patients. In addition, health policymakers should pay more attention to this issue.

Research paper thumbnail of How Iranian people perceived the COVID-19 crisis? Explored findings from a qualitative study: current concerns, ethics and global solidarity

Journal of Preventive Medicine and Hygiene, 2021

Summary Objectives This nation-wide project aimed to investigate the common perceptions and conce... more Summary Objectives This nation-wide project aimed to investigate the common perceptions and concerns regarding COVID-19 outbreak in Iran. Methods This qualitative study was conducted in Iran from February to March 2020 via an online open-ended questionnaire. The participants were also selected using convenience and snowball sampling methods. As well, the data collection process continued until data saturation was achieved. Thematic content analysis was utilized to analysis the transcribed texts. Results The statements retrieved also represented the most challenging psychological stress experienced by the participants. Four themes were accordingly recognized based on the content analysis including stressful conditions, health concerns, social and political concerns, and economic concerns. Throughout the study, a major proportion of the participants commented that psychological disorders such as fear, anxiety, stress, and ennui were their main challenges regarding this pandemic. Furth...

Research paper thumbnail of From good to great physician: a critical ethnography based on patients' views

Journal of Medical Ethics and History of Medicine, 2016

The doctor-patient interaction (DPI) plays an important role in the way patients view physicians.... more The doctor-patient interaction (DPI) plays an important role in the way patients view physicians. Thus, response to the question of ''Who is a great physician?'' is related to DPI experiences of patients. The aim of this qualitative study was to explore patients' views regarding this subject. Based on critical ethnography in one educational hospital in Shiraz, Iran, the study was performed based on 156 clinical consultations, 920 hours of participant observations, and 6 focus groups with patients and their relatives. The results revealed that asymmetrical power relationships exist in this context. Based on the general views of participants and their recent DPI experiences, a great physician should be kind, empathetic, friendly, and a good listener. Considering the presence of an asymmetrical power relationships in this context, results showed that doctors do not participate in an active interaction. Based on sociological theories, it can be concluded that the con...

Research paper thumbnail of Sociology in Medicine; Introducing a Model in Medical Education

Journal of Medical Education and Development, 2019

Research paper thumbnail of Patients’ Description of Unexpected Interactions: A Critical Ethnography of the Quality of Doctor-Patient Interactions in One Educational Hospital in Shiraz, Iran

Shiraz E-Medical Journal, 2016

Background: Sociologists regularly criticize the unbalanced doctor-patient interaction (DPI). A f... more Background: Sociologists regularly criticize the unbalanced doctor-patient interaction (DPI). A few previous studies have investigated DPI in developing countries. Objectives: This study aimed to explore the nature of DPI in one educational hospital in Shiraz, Iran, according to the views of patients and their relatives. Methods: This is a critical ethnography study that was conducted using a triangulation strategy in 2014, including156 clinical consultations, 920 hours of participant observations, and 6 focus groups with 51 patients and their families using a critical ethnography method. Sampling was purposeful, and the data were interpreted according to an exploration of the power relationship between the doctor and the patient in the context of the study according to the opinions of patients and their relatives. Results: The study showed that participants faced unexpected interactions, which included four features: unequal, unprofessional, instrumental, and non-cooperative. Although this form of interaction was explored to examine the struggle between the voice of medicine and the voice of the lifeworld, the results showed that the DPI in the context of our study contains hegemonic features, which are related to physicians' autonomy. Conclusions: These four themes revealed that patients are criticized about this form of interaction. These themes not only are not in line with the responsibilities and ethics of medicine but also are in contrast to it. It seems that patient-centered approaches can help solve the problem. In addition, the health system should monitor DPIs and promote them by reforming their structure.

Research paper thumbnail of A Qualitative Study on the Experiences of COVID-19 Ward Nurses in Shiraz, Iran

Shiraz E-Medical Journal

Background: The psychosocial risks and job stress have been considered as the most important fact... more Background: The psychosocial risks and job stress have been considered as the most important factors affecting the occupational health and safety and, therefore, exerting significant impact on the health conditions of individuals, organizations, and national economy. Objectives: The present study investigated the experiences of the nurses working in COVID-19 wards of specialty hospitals in Shiraz, Iran. Methods: Semi-structured interviews were carried out via telephone. A total of 15 participants (11 nurses and 4 active supervisors of COVID-19 wards) were included in the study. A conventional content analysis was applied. Results: COVID-19 ward nurses had a perception of differentiation because they had experienced difficult conditions and had higher social responsibilities. However, they managed to retain their social responsibilities despite suffering from anxiety and fear, physical and mental pressures, as well as various deficiencies. Four themes including fear and anxiety, burn...

Research paper thumbnail of Ritualism in Medical Education: A grounded theory study based on view and experience of medical students at Zone 5 of the country

Journal of Medical Education and Development, 2019

Introduction: Medical education is one of the most important issues in current changing condition... more Introduction: Medical education is one of the most important issues in current changing conditions which mainly addresses medical students. The purpose of this study was to extract the underlying theory of medical education in Iran based on the perspective and experiences of the medical students. Methods: This was a qualitative study. The data were collected by semi-structured interview and focused group with 43 medical students at Zone 5 of the country (Shiraz, Yasouj, Bandar Abbas, Bushehr, and Fasa). Stress and Corbin (2006) grounded theory method was used for data analysis. Result: The results of the research showed that the students are not satisfied with the current trend in medical education. The main points about the quality of medical education were: hospitalization, theory based method, authoritarianism, alienation, and structural problems. Ritualism in medical education was another finding of the present study, which means the educational system is more concentrated on e...

Research paper thumbnail of Letter to the Editor Utilization of Mammography, Sonography and Radiology Services before and after Health Sector Evolution Plan in Iran Dear Editor-in-Chief

Research paper thumbnail of Analysis of Strategies for Integrating Humanities with Medical Sciences in Iran from the Perspective of Humanities Experts with Convergence Sciences Approach

Journal of Medical Education and Development, 2021

Introduction: Medical humanities are one of the most important interdisciplinary needs. Since the... more Introduction: Medical humanities are one of the most important interdisciplinary needs. Since the most important discussion in this field is how to achieve it, the purpose of this study is to analyze it from the perspective of humanities experts in the Iran. Method: The present study is a national wide qualitative study that was conducted in 2019. Considering the saturation criterion, data were collected through 22 semi-structured interviews and two open questionnaires from the participants. Study analysis was performed by thematic analysis method. Results: The participants were critical of the current situation of medical humanities in the country because there is no effective and serious relationship between humanities and medical sciences. To achieve this, four themes of institutional knowledge development, neighborhood (non-institutional development), policies and sociability were extracted. Conclusion: The development of medical humanities requires macro-policies in the country...

Research paper thumbnail of Study of Quality of Life Among Liver Transplant Candidates in Shiraz, Southwestern Iran

Galen Medical Journal, 2016

Background: Liver transplant candidates are under stressconditions which affect their Quality of ... more Background: Liver transplant candidates are under stressconditions which affect their Quality of life (QOL), a subject which is not well-understood and is worthy of evaluation. The aim of this study is to determine the socio-demographic variables about QOL of liver transplant candidates.Materials and Methods: This cross-sectional study was evaluated QOL among 210 liver transplant candidates in Shiraz, Iran. The questionnaire includes demographic and socioeconomic conditions of the patients, in addition to another questionnaire on QOL which comprised 6 dimensions. The statistical analyses used included independent sample t-test and one-way analysis of variance (ANOVA). A two-tailed P-value of less than 0.05 was considered statistically significant. Results: The results obtained showed that the score off emotion was significantly less than males (P=0.05). Patients aged lower than 30 years and patients with lower BMI had a higher score of QOL (P=0.05). Single patients had lower worries...

Research paper thumbnail of Illness Behavior in the Face of COVID-19 Infection: A Qualitative Study on Homecare in Afghanistan

Shiraz E-Medical Journal, 2021

Background: Illness behavior refers to the ways of perceiving, assessing, and managing specific s... more Background: Illness behavior refers to the ways of perceiving, assessing, and managing specific symptoms by an individual. Objectives: The present study aims to investigate illness behavior during the COVID-19 outbreak among Afghan people. Methods: The study is a thematic analysis conducted between May and September 2020. Data were collected purposefully through semi-structured telephone interviews with 17 infected people from the cities of Kabul, Bamian, and Balkh in Afghanistan. Results: As the participants believed, the COVID-19 outbreak in their country was a socio-political rather than a medical phenomenon. In this situation, the health system is unable to meet medical needs, and patients creatively take care of themselves at home with exercise, local soups, and oxygen therapy if needed. There were four themes explored, including de-hospitalization, healthcare-seeking behavior, social stigma, and the role of media. Conclusions: The illness behavior regarding disease outbreaks i...

Research paper thumbnail of Expectations of citizens from the government in response to COVID-19 pandemic: a cross-sectional study in Iran

BMC Public Health, 2021

Background The government is the main body in charge of controlling epidemics; hence, expectation... more Background The government is the main body in charge of controlling epidemics; hence, expectations from the intention and capacities of the government would affect the flexibility and behaviors of citizens. Given the severity of COVID-19 pandemic and the urgent need for cooperation of people in the prevention and combat processes, understanding the public perspectives would be crucial and instructive. This study aimed to explore such perspectives towards the current pandemic among the Iranian. Indeed, we sought to provide a favorable platform for effective policies in the face of the COVID-19 pandemic through recognizing public expectations. Methods This cross-sectional survey used an open-ended online questionnaire to investigate the common perspectives of the Iranian towards the response of government to COVID-19 pandemic. The participants were selected using snowball and convenient sampling techniques across the country. The collected data were analyzed and described using a them...

Research paper thumbnail of Utilization of Mammography, Sonography and Radiology Services before and after Health Sector Evolution Plan in Iran

Iranian Journal of Public Health, 2018

Research paper thumbnail of The Reasons for the Emergence of Violent Behavior and Attempted Murder from the Perspective of Male Killers: A qualitative study

ORIGINAL ARTICLE Background: Murder is a violent social behavior, which stems from various reason... more ORIGINAL ARTICLE Background: Murder is a violent social behavior, which stems from various reasons. The purpose of the present research is to evaluate the reasons for murder from the perspective of killers. Methods: The present research is a qualitative study which involves 23 male killers sampled purposefully from Adel Abad prison in Shiraz. After conducting a semi-structured interview, data was analysed through qualitative content analysis. Results: The results showed that three reasons including Honor (fear of prolongation of trial, recognition of the legitimacy of murder), unintentional (mental stress, consumption of alcohol and psychotropic substances, availability of weapons), and subcultural values (considering crime to be a normal event) are the major reasons for emergence of murder among these people. Results of the research indicate that murder occurs based on interpretive structures of actors; which form their values and behaviors and potentially can lead to murder. Concl...

Research paper thumbnail of Money Based Reform and Distorted Doctor-patient Interaction: A Critique of the Recent Health Sector Evolution Plan in Iran

Iranian Journal of Public Health, 2017

Money Based Reform and Distorted Doctor-patient Interaction: A Critique of the Recent Health Sect... more Money Based Reform and Distorted Doctor-patient Interaction: A Critique of the Recent Health Sector Evolution Plan in Iran

Research paper thumbnail of The pattern of educator voice in clinical counseling in an educational hospital in Shiraz, Iran: a conversation analysis

Journal of medical ethics and history of medicine, 2017

Doctor-patient interaction (DPI) includes different voices, of which the educator voice is of con... more Doctor-patient interaction (DPI) includes different voices, of which the educator voice is of considerable importance. Physicians employ this voice to educate patients and their caregivers by providing them with information in order to change the patients' behavior and improve their health status. The subject has not yet been fully understood, and therefore the present study was conducted to explore the pattern of educator voice. For this purpose, conversation analysis (CA) of 33 recorded clinical consultations was performed in outpatient educational clinics in Shiraz, Iran between April 2014 and September 2014. In this qualitative study, all utterances, repetitions, lexical forms, chuckles and speech particles were considered and interpreted as social actions. Interpretations were based on inductive data-driven analysis with the aim to find recurring patterns of educator voice. The results showed educator voice to have two general features: descriptive and prescriptive. However...

Research paper thumbnail of Review of: "Bordering on crisis: A qualitative analysis of focus group, social media, and news media perspectives on the Republic of Ireland-Northern Ireland border during the ‘first wave’ of the COVID-19 pandemic

In the recent published article titled "Bordering on crisis: A qualitative analysis of focus grou... more In the recent published article titled "Bordering on crisis: A qualitative analysis of focus group, social media, and news media perspectives on the Republic of Ireland-Northern Ireland border during the 'first wave' of the COVID-19 pandemic" O'Connor et al. showed the challenges posed by the land borders between Republic of Ireland (ROI) from Northern Ireland (NI) in the COVID 19 pandemic. The most important challenge in this area has been Interpretations of Cross-Border Policy Disparities. Researchers have proposed two solutions in this regard: strengthen border controls, or pursue a unified all-island approach. The authors conclude by proposing greater synchronization of cross-border pandemic responses (O'Connor et al., 2021). Undoubtedly, the article is a valuable work as a qualitative study. Researchers have tried to use and analyze different data (news media, social media and 8 focus groups discussions) to answer their question with a kind of triangulation. In addition, this article presents treasured findings about the health policy challenges in the border between (ROI) and (NI) during first wave of COVID 19. However, regarding the findings, it seems that authors ignored a deeper layer of the link between politics and public health. It means that public health policies in the pandemic are made up of general human laws, while authors limited it to border between (ROI) and (NI). Although they just refer to this issue in the last sentence of article when they refer to the context of political conflict, which exacerbates political tensions and ethnocentrism in the emergence of a transnational public health crisis risks (O'Connor et al., 2021). We believed that in such kinds of global risks, we need unified policies at global level, as O'Connor

Research paper thumbnail of Burnout among Nurses during Coronavirus Disease 2019 Outbreak in Shiraz

Galen Medical Journal, 2020

Background: The function of healthcare workers, particularly nursing staff, in taking care of cor... more Background: The function of healthcare workers, particularly nursing staff, in taking care of coronavirus disease 2019 (COVID-19) patients, cannot be overemphasized. As the pandemic lasts, burnout among the nursing staff needs to be considered as an important challenge. This was aimed to assess the nurses’ burnout and factors affecting this variable. Materials and Methods: In this cross-sectional study, Maslach Burnout Inventory was completed by 261 nurses in Shiraz hospitals (Iran) in April 2020. This questionnaire addresses different aspects, including emotional exhaustion, personal achievement, and depersonalization, to determine the intensity of perceived burnout among nurses during the outbreak. Results: Our data demonstrated that the nurses’ burnout in Shiraz hospitals during the COVID-19 pandemic was high (64.6%). Emotional exhaustion and depersonalization were observed in 63.6 and 53.3 percent of the participants, respectively. Moreover, the rate of successful personal achie...

Research paper thumbnail of Sanctions, Misinfodemcis, and Polinfodemic During COVID-19: The Need for Global Collaborations

Shiraz E-Medical Journal, 2021

Research paper thumbnail of Disparities and Discrimination against People with HIV/AIDS by Healthcare Providers in Iran

Iranian Journal of Public Health, 2020

The article's abstract is no available.

Research paper thumbnail of Experience of Stigma by Women Infected with HIV by Their Husbands: A Qualitative Study

International Journal of High Risk Behaviors and Addiction, 2018

Background: HIV/AIDS stigma continues to be a social problem. Among infected patients, women who ... more Background: HIV/AIDS stigma continues to be a social problem. Among infected patients, women who are infected with HIV by their husbands live in different conditions. Objectives: The aim of this study was to explore the psychosocial experiences of this population group. Patients and Methods: A qualitative study was conducted in Shiraz, Iran, to explore the experience of 10 women with HIV/AIDS. The data were gathered through two focus group discussions and analyzed using the conventional content analysis method. Results: The name HIV/AIDS entails severe fear called onomatophobia. In addition, social stigma, discrimination, and self-stigma were found to be experienced by the participants. Among those experiences, discrimination in health sectors and onomatophobia were most agonizing. Accordingly, the subjects reported they did not tend to disclose their problem in the society. Conclusions: Women with HIV/AIDS are faced with certain psychosocial pressures, and it is required to reduce discrimination and inequity against them. Alongside social attention, social work support and psychological counseling are suggested for these patients. In addition, health policymakers should pay more attention to this issue.