Publications by authors named "Haydeh Heidari"

10 Publications

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Perceived factors to providing palliative care for patients with cancer - a qualitative systematic review.

Oncol Rev 2020 Feb 19;14(1):463. Epub 2020 May 19.

Erasmus Medical Center, Department of Epidemiology, Rotterdam, The Netherlands.

Palliative care (PC) is one of the necessary cares given throughout a patient's experience with cancer. The aim of this study was to identify the perceived factors to providing PC for patients with cancer. Our study was a systematic review of qualitative literature. To this end, electronic databases, including CINAHL, PubMed, PsycINFO, Ovid, and Web of Science as well as Persian databases were searched and qualitative studies on the role of PC in patients with cancer published between Jan 2008 and Dec 2017 were selected. Generally, 12 studies were reviewed. A thematic synthesis approach was used to analyze the data. Exploring the selected articles, the findings on the perceived factors to providing PC for patients with cancer were categorized into three themes, including organizational factors, ethical factors, and psychological factors. This qualitative systematic review expands our knowledge about factors influencing the provision of PC for patients with cancer. It is necessary for health system managers and caregivers to pay attention to all aforesaid factors in order to improve PC for cancer patients.
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http://dx.doi.org/10.4081/oncol.2020.463DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246343PMC
February 2020

Decomposing socioeconomic inequality in poor mental health among Iranian adult population: results from the PERSIAN cohort study.

BMC Psychiatry 2020 05 13;20(1):229. Epub 2020 May 13.

Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Background: Socioeconomic inequality in mental health in Iran is poorly understood. This study aimed to assess socioeconomic inequality in poor mental health among Iranian adults.

Methods: The study used the baseline data of PERSIAN cohort study including 131,813 participants from 17 geographically distinct areas of Iran. The Erreygers Concentration index (E) was used to quantify the socioeconomic inequalities in poor mental health. Moreover, we decomposed the E to identify factors contributing to the observed socioeconomic inequality in poor mental health in Iran.

Results: The estimated E for poor mental health was - 0.012 (95% CI: - 0.0144, - 0.0089), indicating slightly higher concentration of mental health problem among socioeconomically disadvantaged adults in Iran. Socioeconomic inequality in poor mental health was mainly explained by gender (19.93%) and age (12.70%). Region, SES itself, and physical activity were other important factors that contributed to the concentration of poor mental health among adults with low socioeconomic status.

Conclusion: There exists nearly equitable distribution in poor mental health among Iranian adults, but with important variations by gender, SES, and geography. These results suggested that interventional programs in Iran should focus on should focus more on socioeconomically disadvantaged people as a whole, with particular attention to the needs of women and those living in more socially disadvantaged regions.
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http://dx.doi.org/10.1186/s12888-020-02596-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218818PMC
May 2020

Nurses' Perception of Family-Centered Care in Neonatal Intensive Care Units.

J Pediatr Intensive Care 2020 Mar 30;9(1):16-20. Epub 2019 Aug 30.

Nursing Care Research Center, Nursing Midwifery Department, Iran University of Medical Sciences, Tehran, Iran.

Family-centered care (FCC) is one of the important elements of care in neonatal intensive care units (NICUs). The aim of this study was to understand the nurses' perception of FCC in NICUs. This qualitative study was performed using conventional content analysis. Participants in this study included 18 nurses who were selected by a purposeful method. Semistructured, in-depth and face-to-face interviews were conducted with the participants. All interviews were written down, reviewed, and analyzed. Two categories were identified after the data analysis: (1) prerequisite for providing FCC and (2) parents' participation. Prerequisite for providing FCC consisted of two subcategories namely suitable facilities and adequate personnel. Parents' participation included subcategories of parents: neonate's attachment and parents' training. Nurses' perception of FCC in NICUs can facilitate an appropriate condition for the participation of family members in the care of neonates.
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http://dx.doi.org/10.1055/s-0039-1695060DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6978175PMC
March 2020

Psychosocial Distress as a Factor in Patients With Cancer Seeking Support: A Hermeneutic Study.

J Adv Pract Oncol 2017 Nov-Dec;8(7):680-686. Epub 2017 Nov 1.

Department of Nursing, Iran University of Medical Sciences, Tehran, Iran, and Department of Nursing, Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188101PMC
November 2017

Iranian Nurses' Challenges in Caring for Older Adults: A Content Analysis Study.

Res Gerontol Nurs 2017 05;10(3):115-120

The current study describes Iranian nurses' challenges in caring for older adults. Participants included 22 nurses who were selected by purposeful method and underwent semi-structured, face-to-face interviews. The interviews were reviewed, and three categories and seven subcategories were noted. The category older adults-nurse interaction challenges included: specific characteristics of older adults and inappropriate interaction between nurses and older adults. The category structural problems included: shortage of nurses, inappropriateness of ward environment, and service problems. The category educational gap included: lack of training on principles of older adult ethics in nursing curriculum and shortage of personnel training on manner of relationship with older adults. The current study is the first qualitative study regarding nurses' challenges in caring for older adults in Iran, and the results reveal aspects of nurses' understanding about the said challenges in this country. There is a need for culture-based caring programs that are responsive to older adults' needs. [Res Gerontol Nurs. 2017; 10(3):115-120.].
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http://dx.doi.org/10.3928/19404921-20170411-04DOI Listing
May 2017

Stress Management among Parents of Neonates Hospitalized in NICU: A Qualitative Study.

J Caring Sci 2017 Mar 1;6(1):29-38. Epub 2017 Mar 1.

Fulbright Scholar and Professor at Florida State University, College of Nursing, United States.

Infant hospitalization is stressful event for parent in NICU. Parents think that they have lost control because of unfamiliar environment. Therefore, stress management is very important in this period. The family as the main factor of strength and protection for infant is required as the bases of standard care in NICU. Therefore the aim of this study was to investigate stress management in Iranian NICU Parents. Using qualitative content analysis approach helped to collect and analysis data for open coding, classification, and theme abstraction. Twenty one parents with hospitalized neonates, physicians and nurses in the city of Isfahan were purposely recruited and selected for in-depth interviews. The analyzed content revealed unique stress management approaches among the parents. The main themes were: 1) spirituality, 2) seeking information, 3) Seeking hope, 4) maintaining calm, 5) attachment to infant, and 6) communicating with the medical team Findings of this study highlights the importance of medical team's attention to stressed parents who are trying to make adjustment or adapt to the hospitalization of their infant. A revised management approach to address the emotional needs of parents of neonates in Iran seems essential for improving communication with physicians and nurses.
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http://dx.doi.org/10.15171/jcs.2017.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5348660PMC
March 2017

Cancer Patients' Informational Needs: Qualitative Content Analysis.

J Cancer Educ 2016 12;31(4):715-720

Department of Nursing, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Zafar Str, Vanak Sq, PO Box 1419733171, Tehran, Iran.

Understanding the informational needs of cancer patients is a requirement to plan any educative care program for them. The aim of this study was to identify Iranian cancer patients' perceptions of informational needs. The study took a qualitative approach. Semi-structured interviews were held with 25 cancer patients in two teaching hospitals in Iran. Transcripts of the interviews underwent conventional content analysis, and categories were extracted. The results came under two main categories: disease-related informational needs and information needs related to daily life. Disease-related informational needs had two subcategories: obtaining information about the nature of disease and obtaining information about disease prognosis. Information needs related to daily life also had two subcategories: obtaining information about healthy lifestyle and obtaining information about regular activities of daily life. The findings provide deep understanding of cancer patients' informational needs in Iran.
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http://dx.doi.org/10.1007/s13187-015-0887-zDOI Listing
December 2016

Cancer patients' effort to return to normal life: a hermeneutic study.

Scand J Caring Sci 2017 Jun 11;31(2):351-358. Epub 2016 Oct 11.

Faculty of Nursing and Midwifery, Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.

Background: The increasing population of patients with cancer highlights the need to develop an understanding of the patients' lived experiences.

Objective: The purpose of our study was to explore the lived experiences of Iranian patients regarding living with cancer.

Methods: A hermeneutic phenomenological study was performed. Twelve patients with cancer were interviewed to understand their lived experiences. We employed the seven-stage hermeneutical process of data analysis.

Findings: One constitutive pattern 'cancer patients' effort to return to normal life' and two associated themes, namely 'pass through limitations and challenges' and 'emotional and informational support seeking', were identified. 'Pass through limitations and challenges' had two subcategories: 'acceptance of reality' and 'resist cultural taboos'. 'Emotional and informational support seeking' also had two subcategories: 'family and friends support' and 'healthcare providers support'.

Conclusion: The findings present better understanding of the lived experiences of patients with cancer in Iran regarding the phenomena under the study.

Implications For Practice: Nurses have an obligation to educate patients with cancer about anticipated changes in their life.
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http://dx.doi.org/10.1111/scs.12354DOI Listing
June 2017

The experiences of parents with infants in Neonatal Intensive Care Unit.

Iran J Nurs Midwifery Res 2013 May;18(3):208-13

PhD Candidate in Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: In recent years significant medical science advances have been made in the field midwifery and infant care. The premature, low birth weight and ill infants are admitted to the technologically advanced NICU for care and they often require long-term stay. This study addresses parental experiences with the infant care in NICU, explores their concerns regarding nursing supports for parents and offers nurses' perspectives on performing duties.

Materials And Methods: A qualitative inductive content analysis method was applied in 2011 that included a purposely selected group of parents, nurses and physicians from neonatal unit at the Medical Science University of Isfahan. Participants were surveyed and interviewed according to the institutional ethics committee approval and signed informed consents.

Results: THE CONTENT ANALYSIS IDENTIFIED TWO MAIN CATEGORIES: 1) the definition of stress, which consisted of misgivings, nervous pressure, imbalance, separation and 2) the parents' reaction to stress, which revealed emotional, psychotic and behavioral reactions as subcategories.

Discussion: The medical team awareness of NICU parent experiences is essential to the quality of care. Recognizing the type of parents' reaction to the whole process by the healthcare team seems essential to the optimum outcome.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3748539PMC
May 2013

The Iranian parents of premature infants in NICU experience stigma of shame.

Med Arh 2012 ;66(1):35-40

Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Introduction: To explore experiences of Iranian parents with a hospitalized premature infant in Neonatal Intensive Care Unit (NICU) and examine socio-cultural factors associated with having a less than perfect infant.

Methods: Purposely selected 21 participants in this study were 6 fathers, 7 mothers, 5 nurses and 3 physicians specialized in neonatology. Semi-structured in-depth interviews using inductive approach and content analysis helped obtain and analyze data by open encoding for classification and theme abstraction.

Results: Findings revealed that parents of hospitalized NICU infants in Iran experienced: job and income loss; shattered confidence in parental role; challenges to family dynamics; shame as a social stigma; loss of control; overwhelmed with uncertainties; and stress induced physical and emotional problems.

Conclusion: Unique and outstanding finding of this study was the social stigma of shame for parents of an NICU infant which directly explained the socio-cultural aspect of Iranian society where families place great importance on having a healthy and strong infant. Having a premature infant with anomalies is viewed as a family flaw. Physicians and nurses must focus more on communication with parents and fulfill an important role to educate, assure and comfort parents. Establishing support system for parents of NICU infants seem urgently needed to improve parent-infant bonding.
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http://dx.doi.org/10.5455/medarh.2012.66.35-40DOI Listing
May 2012