Alireza Khosravi, Mousa Alavi, Maryam Eghbali Babadi, Mohsen Shahriari, Razieh Molavi, Azam Mahmoodi, Mandy Archibald,
Volume 11, Issue 4 (12-2021)
Abstract
Background: Although clinical guidelines help in the prevention, diagnosis, and management of hypertension, individuals with hypertension often remain undiagnosed, or once diagnosed, may not receive adequate care and treatment.
Objectives: In this study, we explored physicians’ perspectives of the factors influential in implementing the Iranian Recommendations on Prevention, Evaluation, and Management of Hypertension (IRPEM-HTN).
Methods: A qualitative descriptive study was conducted using the purposeful sampling method to enroll 30 physicians from October 2016 to May 2018. The physicians working in private offices or university-affiliated health centers/hospitals in the province of Isfahan, Iran, were included in this study one year after participating in the IRPEM-HTN program. The data were gathered through semi-structured interv iews. The transcribed data were thematically analyzed, and the rigor was ensured following the procedure outlined by Braun and Clark.
Results:This themes identified were: 1) macro- and meso-contextual factors, emphasizing that a) policies at all levels affect guideline adherence, and b) environmental-contextual factors affect guideline adherence, 2) micro level factors, emphasizing that c) attributes of the guideline affect guideline adherence, and d) clinician- and patient-level factors affect guideline adherence. Micro-, meso- and macro-level factors influenced guideline implementation.
Conclusion: The attitudes, awareness, knowledge, and capacity of clinicians, as well as a broader socio-cultural context should be taken into account for guideline implementation.
Mahboobeh Namnabati, Atefeh Shamsi, Mohsen Shahriari, Sedigheh Farzi, Maryam Eghbali Babadi, Maryam Shahshahani,
Volume 14, Issue 2 (8-2024)
Abstract
Background: Consultation is one of the primary roles of nurses as a health professional discipline in the community. COVID-19 allowed the nurses to respond to public health needs, be accountable for their concerns, and advocate for vulnerable groups to alleviate COVID-19 challenges.
Objectives: The study was aimed to explore the nurses’ experiences in the consultation role during the COVID-19 crisis.
Methods: This qualitative study was conducted with Colizzi’s descriptive phenomenological approach. Data was collected through semi-structured interviews with fifty nurses in different positions. The participants were selected purposefully of the nurses with consultative performance through hotlines.
Results: Qualitative data were classified into 5 main themes: "nurse consultation as a missing link in the health system", "COVID-19 threat as an opportunity to demonstrate the nurse`s role in the community", "formation of consultation role identity", "nurse`s competency in the role performance", and "calming the people".
Conclusion: As a result of the COVID-19 pandemic, effective health communication strategies must be used to inform the public. Nursing consultation is essential to increase coping with unexpected events in the community. It reduces the pressure on the health system’s capacity to be potentially in crisis and provides the opportunity to extend nurses’ role in emergencies.
