Abbas Heydari | Mashhad University of Medical Sciences, Mashhad. Iran. (original) (raw)

Papers by Abbas Heydari

International Journal of Community Based Nursing and Midwifery, 2019

Background: Home care has gradually become a nursing model for nursing care. The nurses’ experien... more Background: Home care has gradually become a nursing model for nursing care. The nurses’ experiences of challenges they have in home care have remained unknown. The aim of this study was to explore the hidden aspects of challenges related to home care in Iran. Methods: This study was conducted to explore the challenges of home nursing care using a qualitative content analysis method. Purposeful and snowball sampling methods were used for sampling. The study was conducted from September 2016 to September 2017 in the provinces of Khorasan and Tehran in Iran. Semi-structured interviews were conducted on 33 nurses who were providing home care. After data saturation, the data were analyzed. Results: The data analysis led to the development of five main categories of “difficult instances “, “economic problems”, “professional barriers”, “social difficulties”, and “bureaucratic tension”. Conclusion: The results of this study showed how nurses faced with a variety of challenges in home care ...

Background and Aim: Qualitative and quantitative researches are conducted through different appro... more Background and Aim: Qualitative and quantitative researches are conducted through different approaches. Each of them has their own specific philosophical basis. Due to the advent of the critical realism philosophy, this study aimed to discuss the critical realism as a philosophical perspective in nursing and health system researches. Materials and Methods: In this study, the data were collected through Pubmed، Wiley, Science Direct، Ovid and Google Scholar databases using realism, critical realism, philosophical perspective, health and nursing as keywords. Results: Critical realism as a philosophical orientation and as a research methodology leads to conduct valid researches to improve health system. In addition, it leads to a better understanding of personal, social-background and organizational factors and the interactions among them. Different subjects were considered in reviewing literatures including critical realism as a moderate philosophical perspective, its perspective to t...

Background and aims: Nurses have a responsibility in the wider context, ensuring health indicator... more Background and aims: Nurses have a responsibility in the wider context, ensuring health indicators and improving the quality of nursing services. Nursing literature review shows that it has been a very different opinion in relation to the concept of responsibility in nursing. The aim of this study was to analyze the concept of responsibility by Walker Avant (2005). Methods: Texts search using key words in nursing responsibilities in databases, Iranmedex, SID, Medline, Scopus, Proquest, and Ovid was performed. Domestic and foreign papers and books in English and Farsi languages associated with the concept of responsibility in nursing published between 2000 and 2013 were studied. After the search, 18 articles and five books related to the subject were available for selection and analysis of Walker Avant, and with the help of these resources, related terms were defined. Results: Analysis showed that the concept of responsibility in nursing with words such as accuracy, accountability and commitment are in a line. The responsibility and spend time with the word apathy in conflict with the concept of professional responsibility will not converge. Nursing is a complex process that is identified with the concepts of accountability, responsibility, commitment, altruism and consciousness. Conclusion: When professional ethics in nurses and a sense of spirituality and signifying find manifestation, it will have a significant effect on their responsibility. A responsibility nurse is a responder individual in careing and its goal is satisfaction of nursing services recivers. On the other hand, voluntary work and attention to equality in delivering services, respect to needs and their personality and try to obtaining trust of patients will consider as values of nursing responsibilities.

Iranian Journal of Nursing and Midwifery Research, 2021

Background: The families of children with Congenital Heart Disease (CHD) experience challenges in... more Background: The families of children with Congenital Heart Disease (CHD) experience challenges in taking care of their child, which may affect the whole family. Therefore, the families need to manage and organize the caregiving process for the child. In order to help families provide optimized and quality care for their child, it is important to understand how they manage caregiving challenges. This study was conducted with the aim to explore the strategies used by families for managing family caregiving for their child. Materials and Methods: This qualitative study was conducted on families of children with CHD referred to hospitals in Mashhad, Iran. The participants were selected using a purposive sampling method. The data were collected from among 40 eligible participants using in-depth and semi-structured interviews from November 2017 to December 2018. Conventional content analysis was used for data analysis and MAXQDA software for managing the coding process. Results: According to the results, effort to manage caregiving emerged as the main theme, which included the 4 categories of "monitoring the child's health conditions," "organizing family life," "optimizing family life," and "establishing interaction." Conclusions: The families used various strategies to manage caregiving including monitoring of the child's health conditions, organization, and optimization of family life, and effective interaction based on their knowledge, experiences, beliefs, and available sources. The results of the present study can help healthcare professionals and nurses to develop family-centered empowerment programs in order to promote families' abilities to manage family caregiving for a child with CHD.

Iranian Journal of Nursing and Midwifery Research, 2018

Background: Compared with other renal replacement therapies, hemodialysis treatment can impose re... more Background: Compared with other renal replacement therapies, hemodialysis treatment can impose restrictions on children with chronic renal failure and their mothers. Such pediatric illness can also lead to negative effects on mothers' physical and mental health. Knowledge about mothers' experiences can aid medical teams to support mothers in playing their roles as care managers. Providing supports to mothers can exert significant effects on mothers' health status and indirectly improve patient outcomes and whole family functioning. This study was aimed at understanding the meanings of care for children undergoing hemodialysis based on mothers' lived experiences. Materials and Methods: This study is a qualitative research using hermeneutic phenomenology. A total of 17 interviews were conducted with 11 mothers of children undergoing hemodialysis. The interview sessions were recorded and transcribed, after which the data were analyzed using van Manen's methodology. Results: The main themes identified in this study was "immersion in an ocean of psychological tension," which suggests that the mothers of the children undergoing hemodialysis are overwhelmed by the numerous psychological pressures that they encounter during their children's treatment. This theme was constituted by the subthemes "bewilderment between hope and despair," "endless concerns," "agony and sorrow," and "a sense of being ignored." Conclusions: The findings indicated the need to implement multilateral support measures that align with the educational, emotional-psychological, and financial needs of mothers with children receiving hemodialysis treatment. Such measures should be taken with the participation of multidisciplinary teams.

Iranian Journal of Psychiatry and Behavioral Sciences, 2017

Background: According to the World Health Organization, one in four people experience a psychiatr... more Background: According to the World Health Organization, one in four people experience a psychiatric disorder throughout his/her life. For centuries, psychiatric patients have been sent to psychiatric hospitals that often stigmatized and located out of the community. Moreover, these patients are stigmatized by the hospital staff because they are not aware of patients' experiences in this domain. This humiliating attitude leads to low self-esteem, isolation, and frustration, and prevents patients from seeking treatment. Aim: This study aimed to explain the lived experiences of patients with psychiatric disorders on the consequences of stigma in mental health centers. Methods: This hermeneutic phenomenological study is a part of a larger study undertaken for partial fulfillment of the requirement for PhD dissertation in nursing. The main study was conducted on 12 psychiatric patients during 2014-2015. They were selected based on purposeful sampling method. Data were collected using unstructured interviews and analyzed by an interpretative method. Results: Psychiatric hospital as an unsafe place is one of the main themes of the phenomenon under study in the original project. It consists of two sub-themes (i.e., an egregious hospital and cold-hearted white collars) each of which is supported by a number of common meanings. Implications for Practice: The results of this study can shape the interventions and policies to combat and prevent the spread of stigma through health centers about people with psychiatric disorders.

International Journal of Human Rights in Healthcare, 2016

Purpose – The purpose of this paper is to explore experiences of Afghan refugees from health serv... more Purpose – The purpose of this paper is to explore experiences of Afghan refugees from health service delivery in Mashhad, Iran. Design/methodology/approach – This is a descriptive study with contextual and qualitative design. Semi-structured interview conducted with 19 Afghan refugees and their caregivers and a focus group session were held with Afghan medical science students. Purposive sampling technique was used to select participants. Data were analysed by qualitative content analysis of Graneheim and Lundman. Lincoln and Guba’s criteria were implemented to ensure trustworthiness. Findings – The results with the core concept of “position of immigrants in the health system” were presented at four themes of “perceived discrimination”, “snowed with loneliness”, “feeling inferior”, and “gratitude”. Research limitations/implications – This study has some implications for researchers and practitioners. The present study is the first study that was done on the health of Afghan refugees...

Acta Facultatis Medicae Naissensis, 2015

SUMMARYIncivility among nurses and matrons can lead to various issues such as employment turnover... more SUMMARYIncivility among nurses and matrons can lead to various issues such as employment turnover and dysfunctional patient care. Therefore, the need to examine and assess the uncivil behaviors among nurses and matrons is evident. The main purpose of this article is to study and determine the frequency of incivility between nurses and matrons from nurses’ point of view.In this cross-sectional study, 200 nurses were selected from three educational hospitals of Mashhad using stratified-cluster random sampling method. The main research instrument was the edited Ottinot’s questionnaire of “perceived workplace civility climate scale (PWCC)” as well as general demographic information questionnaire. Data were analyzed using descriptive and inferential statistics in SPSS version 11.5.According to research findings, 22.6% of isolating behaviors, 27% of gossiping behaviors, 28% of hostile behaviors, and 26.5% of privacy violation behaviors were reported among matrons for at least one instance...

BACKGROUND: Accurate recording of the nursing care indicates the care performance and its quality... more BACKGROUND: Accurate recording of the nursing care indicates the care performance and its quality. It is so that any failure in documentation can be a reason for inadequate patient care. Therefore, improving nurses’ skills in this field with help of effective educational methods is of high importance. Since traditional teaching methods are not suitable for communities with rapid knowledge expansion and constant changes, e-learning methods can be a viable alternative. To show the importance of e-learning methods on nurses’ care reporting skills, this study was performed to compare the e-learning methods with the traditional instructor-led methods. METHODS: This was a quasi-experimental study aimed to compare the effect of two teaching methods (e-learning versus lecture) on nursing documentation and to examine the differences in acquiring competency on documentation between nurses who participated in the e-learning (n = 30) and nurses in a lecture group (n = 31). RESULTS: The results ...

Background: Visiting family members is one of the basic human needs; however, there is contradict... more Background: Visiting family members is one of the basic human needs; however, there is contradictory evidence about the advantages and disadvantages of the existing visiting systems.Â Therefore, the investigation of patientsâ�� preferences for the visiting strategies, and achievement of their authentic experiences can significantly contribute to decision-making about the type of acceptable and approved policies in this domain. Aim: The aim of this study was to explain the experiences of conscious patients undergoing mechanical ventilation in Intensive Care Units regarding their visits with their family members. Method: This qualitative study was conducted on 15 conscious mechanically ventilated patients admitted to the Intensive Care Unit in Iran in 2017. The data were collected using semi-structured interviews and observations. The sampling was performed through purposive sampling technique, which was continued until data saturation to select the individuals with rich experiences a...

H . Yazdi Moghaddam [1] , F . Rahnamai Rahsepar [2] , A . Heydari [3] Received: 11/07/2009 Sent f... more H . Yazdi Moghaddam [1] , F . Rahnamai Rahsepar [2] , A . Heydari [3] Received: 11/07/2009 Sent for Revision: 23/01/2010 Received Revised Manuscript: 20/11/2010 Accepted: 26/12/2010 Background and Objectives : Delivery is one of the greatest events in the life of a pregnant woman. Although it is considered to be a natural phenomenon, it is potentially dangerous. Entonox gas used for pain relief and is reasonably effective in labor analgesic practice. The purpose of this study was to compare the APGAR score of the neonates were born to mothers who treated with entonox gas with those who their mothers did not received this gas. Materials and Methods : In this semi-experimental study, 270 pregnant women hospitalized at the labor ward of Shahidan Mobini Hospital of Sabzavar were included using simple available sampling method. They were then separated into two groups, case and control, based on their specifications. The data gathering tool for this study was a questionnaire of "inv...

Objectives: Although triage systems based on the Emergency Severity Index (ESI) have many advanta... more Objectives: Although triage systems based on the Emergency Severity Index (ESI) have many advantages in terms of simplicity and clarity, previous research has questioned their reliability in practice. Therefore, the aim of this meta-analysis was to determine the reliability of ESI triage scales. Methods: This meta- analysis was performed in March 2014. Electronic research databases were searched and articles conforming to the Guidelines for Reporting Reliability and Agreement Studies were selected. Two researchers independently examined selected abstracts. Data were extracted in the following categories: version of scale (latest/older), participants (adult/paediatric), raters (nurse, physician or expert), method of reliability (intra/inter-rater), reliability statistics (weighted/unweighted kappa) and the origin and publication year of the study. The effect size was obtained by the Z-transformation of reliability coefficients. Data were pooled with random-effects models and a meta-r...

Journal of Medical Ethics and History of Medicine

Nurses are faced with tremendous pressure when providing brain-dead patients with care. There is ... more Nurses are faced with tremendous pressure when providing brain-dead patients with care. There is limited guidance for nurses on the care of these patients. The present study aimed to report the experiences of nurses regarding the care of patients diagnosed with brain death.Semi-structured interviews were conducted with 31 nurses and other stakeholders, and the observations and field notes were analyzed using continuous and comparative analysis based on grounded theory.The qualitative analysis of the data resulted in extraction of six final categories, including 'facing increased tensions and conflicts', 'organ donation: a distinct care element', 'inconsistency of care management', 'effective care requirements', 'challenges, rights and duty requirements', and 'moral obligation to provide holistic care until the last minute'. Data analysis identified 'Challenges, rights and duty requirements' as the main issue and showed that the...

The Journal of Maternal-Fetal & Neonatal Medicine

BACKGROUND postpartum depression (PPD) is one of the psychological complications of mothers who h... more BACKGROUND postpartum depression (PPD) is one of the psychological complications of mothers who have experienced severe maternal morbidity/maternal near miss (SMM/MNM) which can adversely affect the wellbeing of mothers, new born infants and other family members, but the risk level in this group is unclear. Therefore, we did a meta-analysis to ascertain the relationship PPD with MNM/SMM. MATERIAL AND METHODS The authors searched relevant studies in databases (Web of Science, PubMed, EMBASE, Clinikalkey, Scopus).The summary odds ratio (OR) along with 95% confidence interval (CI) was calculated by use of random or fixed effects models. RESULTS Four studies were included in qualitative synthesis. The pooled analysis revealed that PPD was significantly associated with an increased risk of MNM/SMM (OR = 1.83; 95% CI 1.37-2.44, p = 0.027). CONCLUSION The results show that the risk of PPD in the MNM mothers are twice as likely as women without MNM. Therefore, more attention should be paid to psychological symptoms such as depression in MNM in order to reduce the long-term burden of maternal morbidity.

Journal of Caring Sciences

Introduction: The wives of veterans are under great pressure because of their husbands ’physical ... more Introduction: The wives of veterans are under great pressure because of their husbands ’physical and mental problems, and this can affect their mental health and quality of life. It seems that the training of some skills can have a significant impact on improving quality of life and reducing their mental burden. This study was conducted to determine the effect of spiritual care education in quality of life in wives of veterans with post-traumatic stress disorder (PTSD) that plays a major role in caring for them. Methods: This study was a quasi-experimental study in which 60 wives of PTSD-affected veterans in Ibn Sina hospital were selected and assigned randomly in two experimental and control groups. Spiritual care education was conducted in five sessions of two hours. Quality of life Questionnaire (SF-36) was used in this study. The questionnaire was implemented on participants of both groups in three stages: before, after and one months after the intervention (follow-up). Data wer...

Iranian Journal of Nursing and Midwifery Research

This is an open access journal, and articles are distributed under the terms of the Creative Comm... more This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Nursing and Midwifery Studies

Background: Caring for brain-dead patients is one of the hardest duties for nurses, particularly ... more Background: Caring for brain-dead patients is one of the hardest duties for nurses, particularly in Intensive Care Units (ICUs). Objective: This study aimed to explore the nursing challenges of caring for patients diagnosed with brain death. Methods: The present study was conducted as a qualitative conventional content analysis, and data collection was carried out by field notes and 15 semi-structured and in-depth interviews with nurses working in the ICUs. Data analysis co-occurred simultaneously with data collection. Results: Seven themes were extracted from the data: uncertainties and conflicts between physicians and nurses, tensions in breaking the news of patient's brain death to families, stressful experience of caring for the first time, nurses' physical and psychological afflictions due to complex care tensions, stress of being blamed by patients' family, difficulty in tackling the emotions of patients' family, and finally, a sense of lack of support and protection in care. Finally, the main theme of turbulent confrontation with successive chains of tension in caring brain-dead patients was abstracted. Conclusions: Since nurses confront chain of tensions while caring for a brain-dead patient, this can affect the quality of this vital role to keep the transplantable organs viable; furthermore, authorities should implement special support programs for nurses.

Iranian Journal of Nursing and Midwifery Research

Background: The role of women and men is changing across the world, and women, including pregnant... more Background: The role of women and men is changing across the world, and women, including pregnant women, are adopting newer roles in traditional societies like Iran. This study aimed to explore the meaning of pregnant women's experiences regarding their social roles in the sociocultural context of Iran. Materials and Methods: This study was carried out using an ethnophenomenological approach. Participants included 16 pregnant women who attended health centers, hospitals, and private obstetric clinics in Mashhad, Iran, between 2016 and 2017 and were selected based on purposive sampling. In-depth semistructured interviews, vignette interviews, participant observations, and field notes were used to collect data. To analyze data, six-step van Manen's (1997) descriptive-interpretive phenomenological approach was used. Results: Through data analysis, the overarching theme of “selection, management, and adjustment of various roles to play social roles” was emerged. This was consisted of four themes: “Mother's perspective regarding out-of-home employment, incompatibility between pregnancy and social roles, mother's management strategies to play different roles, and husband's authority regarding mother's employment.” Conclusions: The consequence of reciprocal endeavors of pregnant women along with their husbands as well as their work environment expectations tends to selection, management, and adjustment of feminine roles. Since the employment of pregnant women leads to their more physical and psychological involvement, not only the problems of working women but also the expectations and rules of the workplaces as well as the requests of their husbands should be taken into account.

Electronic Physician

Background: Despite the clinical importance of adherence to treatment in β-Thalassemia Major (β-T... more Background: Despite the clinical importance of adherence to treatment in β-Thalassemia Major (β-TM) patients, poor adherence remains a prevalent and persistent problem in these patients. Objective: The aim of this study was to explore Iranian β-TM patients' perception regarding the barriers and facilitators of adherence to their treatments. Methods: In this qualitative study, data were collected using purposeful sampling and semi-structured interviews with 18 β-TM patients, 3 family members and 5 healthcare professionals (total=26) in Sari, northern Iran, between August 2015 and May 2017. Data were analyzed using conventional content analysis with the support of MAXQDA software. All the interviews were transcribed verbatim. Data were coded and grouped under specific categories. Results: We identified and classified the perceived barriers of patients' adherence to treatment into six main categories including: (I) long distance challenges, (II) delayed occurrence of complications, (III) fatigue of healthcare providers, (IV) staff workload, (V) insufficient follow-up of healthcare workers, and (VI) busy everyday life. Also, nine main categories emerged as facilitators including: (I) concern of appearance changing, (II) outcomes of treatment, (III) good awareness, (IV) parental monitoring, (V) fear of complications, (VI) social activity, (VII) marriage as a facilitator, (VIII) friendly interaction with the medical staff, and (IX) trusting the medical staff. Conclusion: Our findings provide a broad range of context-specific facilitators and barriers to treatment adherence perceived by Iranian β-TM patients. These factors improve our understanding of the complex and multifactorial nature of adherence to treatments. Health care providers can use these findings in designing and implementing appropriate interventions to promote β-TM patients' adherence to treatment.

International Journal of Community Based Nursing and Midwifery, 2019

Iranian Journal of Nursing and Midwifery Research, 2021

Iranian Journal of Nursing and Midwifery Research, 2018

Iranian Journal of Psychiatry and Behavioral Sciences, 2017

International Journal of Human Rights in Healthcare, 2016

Acta Facultatis Medicae Naissensis, 2015

Journal of Medical Ethics and History of Medicine

The Journal of Maternal-Fetal & Neonatal Medicine

Journal of Caring Sciences

Iranian Journal of Nursing and Midwifery Research

Nursing and Midwifery Studies

Iranian Journal of Nursing and Midwifery Research

Electronic Physician