Publications by authors named "Zohre Parsa Yekta"

11 Publications

  • Page 1 of 1

Unmet needs in Iranian cancer patients.

Med J Islam Repub Iran 2017;31:35. Epub 2017 Jun 29.

Students Research Committee, Neyshabur University of Medical Sciences, Neyshabur, Iran.

The identification and management of unmet needs is an essential component of health care for the growing cancer patient population. Information about the prevalence of unmet need can help medical service planning/redesigning. Therefore, this study aimed to identify unmet needs in Iranian patients suffering from cancer. This cross-sectional correlational study was conducted on 650 cancer patients admitted to the major medical centers in Mashhad and Neyshabur by census sampling. The data was gathered by the Survivor Unmet Needs Survey (SUNS). Data were analyzed using ANOVA, t-test and Pearson correlation. Most of participants were female (56%, n=263) and Mashhad resident (67.1%, n=436). The most common cancers were colorectal (17.8 %, n=116), stomach (13.6%, n=88) and lung (9.4%, n=62), respectively. The highest unmet needs score belonged to work and financial needs (2.46 ± 0.91), and the least was the emotional domain (1.92±0.90). Among demographic factors, a significant relationship was found between resident places (p<0.001), and cancer type (p<0.0001). This is the first study addressing the unmet needs of cancer patients in Iran. It reveals that cancer patients had a relative high number of unmet needs; this shows the necessity of including these factors in the routine assessment of all cancer patients and planning treatment interventions based on their individual's need.
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June 2017

Why don't you share your satisfaction with me?

Perspect Psychiatr Care 2018 Apr 23;54(2):162-167. Epub 2017 Feb 23.

Psychosexual Department, Roozbeh Hospital, Tehran, Iran.

Background: Healthy spousal communication of marital and sexual expectations is one of the most important factors to improve the quality of sexual relations in marriage.

Objectives: This paper has attempted to explore women's expectations of men for having pleasurable sex in a monogamous and steady sexual relationship within the context of Iran.

Methods: In this qualitative study, 20 interviews were conducted in Tehran from December 2013 to May 2014. Participants were recruited using purposive sampling, face-to-face, in-depth, and semistructured interviews. The collected data were analyzed using qualitative conventional content analysis. The research was designed with regard to Lincoln and Guba's four major rigor criteria in qualitative investigation.

Results: Women's expectations for having enjoyable sex were classified in two areas: (1) marital components and (2) sexual components. Marital components included romantic relationships, attention, respect and admiration, appreciation, man's loyalty, and having compatibility. Sexual components included enough sexual skills, good sexual function, and commitment to equity in sex.

Conclusions: This research helps to identify women's expectations for having a gratifying sexual relationship and thus contributes to enhanced sexual satisfaction, as well as marital stability and continuity.
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April 2018

Comparing the Effect of Concept Mapping and Conventional Methods on Nursing Students' Practical Skill Score.

Nurs Midwifery Stud 2015 Sep 23;4(3):e27471. Epub 2015 Sep 23.

Department of Medical and Surgical, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IR Iran.

Background: Development of practical skills in the field of nursing education has remained a serious and considerable challenge in nursing education. Moreover, newly graduated nurses may have weak practical skills, which can be a threat to patients' safety.

Objectives: The present study was conducted to compare the effect of concept mapping and conventional methods on nursing students' practical skills.

Patients And Methods: This quasi-experimental study was conducted on 70 nursing students randomly assigned into two groups of 35 people. The intervention group was taught through concept mapping method, while the control group was taught using conventional method. A two-part instrument was used including a demographic information form and a checklist for direct observation of procedural skills. Descriptive statistics, chi-square, independent samples t-tests and paired t-test were used to analyze data.

Results: Before education, no significant differences were observed between the two groups in the three skills of cleaning (P = 0.251), injection (P = 0.185) and sterilizing (P = 0.568). The students mean scores were significantly increased after the education and the difference between pre and post intervention of students mean scores were significant in the both groups (P < 0.001). However, after education, in all three skills the mean scores of the intervention group were significantly higher than the control group (P < 0.001).

Conclusions: Concept mapping was superior to conventional skill teaching methods. It is suggested to use concept mapping in teaching practical courses such as fundamentals of nursing.
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September 2015

Sexual Satisfaction Concept Analysis in Iranian Married Women: A Hybrid Model Study.

Glob J Health Sci 2015 May 20;7(6):345-53. Epub 2015 May 20.

Tehran University of Medical Sciences.

Background: Sexual satisfaction is considered to be a sexual right and an important component of sexual health. The purpose of this qualitative study was to clarify the meaning and the nature of sexual satisfaction in Iranian married women, and to provide a cultural-based definition of it.

Method: Sexual satisfaction was examined in three phases by the Hybrid Model of concept analysis: (1) the theoretical phase; (2) the fieldwork phase and (3) the analytical phase. Hybrid concept analysis method was chosen because its inclusion of married women's perspectives enriches the limits of sexual health search literature.

Result: The critical attributes of sexual satisfaction were investigated. They included 'two-dimensional structure', 'an affective response', 'a means to achieve marital satisfaction', 'unique', 'a concept based on expectations' and 'a concept on shadow of values'.

Conclusion: The concept analysis of sexual satisfaction showed some of the attributes and antecedents for this concept that, have not been mentioned in the literature.
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May 2015

Married Women's Sexual Satisfaction Questionnaire; A Developmental and Psychometric Evaluation.

Iran Red Crescent Med J 2015 Apr 25;17(4):e26488. Epub 2015 Apr 25.

Department of Biostatistics, Faculty of Medical Sciences, Tarbiyat Modares University, Tehran, IR Iran.

Background: Despite the significant contribution of cultural factors to sexual satisfaction, most of the current sexual satisfaction scales pay little attention, if any, to cultural factors and marital status.

Objectives: The current study aimed to develop and validate the Married Women's Sexual Satisfaction Scale.

Patients And Methods: The current methodological study went through three consecutive phases. In the first phase, the concept of sexual satisfaction was defined and analyzed by the hybrid model approach. In the second phase, an item pool was generated by the findings of the first phase. Finally, the psychometric properties of the scale were evaluated in the third phase. All data analyses were performed by the SPSS version 19.0.

Results: A 78-item pool was generated based on the findings of the concept analysis phase. After assessing and confirming its face and content validity, 27 items remained in the final version of the scale. The exploratory factor analysis revealed a four-factor structure for the scale. The results of the known-groups comparison showed that females with lower educational status had significantly lower sexual satisfaction. Moreover, there was a significant correlation between the scores of the finalized scale and those of the ENRICH Marital Satisfaction Scale (r = 0.706, P = 0.01). The interclass correlation between the test and the retest measurements was also statistically significant (ICC = 0.939, P value = 0.001).

Conclusions: The 27-item Iranian Married Women's Sexual Satisfaction Scale is a simple, valid, and reliable tool to assess married women's sexual satisfaction.
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April 2015

HIV-infected patients' adherence to highly active antiretroviral therapy: a phenomenological study.

Nurs Health Sci 2010 Dec 17;12(4):464-9. Epub 2010 Nov 17.

Department of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran.

Adherence to the treatment regimen is essential to the success of highly active antiretroviral therapy for patients who are infected with HIV. The evidence suggests that poor adherence to antiretroviral drug therapy is a major problem that has the potential to diminish effective viral suppression, promote viral resistance, and place patients at risk for hospitalization, opportunistic infections, and an increased risk of HIV transmission. The primary aim of this study was to understand patients' experiences regarding their adherence to antiretroviral drug therapy. Thus, 19 participants were recruited for in-depth interviews regarding their adherence to drug regimens. All the interviews were transcribed verbatim and analyzed by using Benner's phenomenological analysis approach. Four main themes emerged from the data: (i) choosing to live and the decision to start taking medications; (ii) strategies for adhering to the regimen and managing the side-effects; (iii) relationships with healthcare providers; and (iv) advantages of the medications as a motivator to continue one's adherence to the regimen. Studying and understanding the experiences of patients can provide new insights and strategies in order to enhance patients' adherence to highly active antiretroviral therapy.
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December 2010

Strategies and criteria for clinical decision making in critical care nurses: a qualitative study.

J Nurs Scholarsh 2009 ;41(4):351-8

Postgraduate Department, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Purpose: To explore the reasoning strategies and criteria for clinical decision making used by Iranian critical care nurses.

Design And Methods: In this qualitative descriptive study, 14 critical care nurses from four educational hospitals affiliated with Tehran University of Medical Sciences (TUMS) participated. Data were collected through semistructured in-depth interviews. Content analysis was used to analyze the data. The interviews were transcribed verbatim and analyzed concurrently with the data collection.

Findings: Three main themes emerged concerning the reasoning strategies: intuition, recognizing similar situations, and hypothesis testing. Three other main themes emerged regarding the participants' criteria for clinical decision making: the patients' risk-benefits, organizational necessities, and complementary sources of information.

Conclusions: The findings of this study provided a deep understanding of the reasoning strategies and criteria used by Iranian critical care nurses regarding their clinical decision making. Participants demonstrated use of a range of reasoning strategies and criteria. The cause for using different decision-making strategies and criteria was not entirely clear and may have been related to different patients' situations, nurses' knowledge and their previous experiences, interdisciplinary professional relationships, and kinds of decisions included determining the patient's problems, selecting appropriate care, and deciding whether or not to perform decisions of care.

Clinical Relevance: Deeper understanding of how nurses make decisions in the stressful environment of the critical care units provide useful information to facilitate making more efficient decisions as well as promoting the outcomes of independent and collaborative nursing care interventions.
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February 2010

Coming to terms with a diagnosis of HIV in Iran: a phenomenological study.

J Assoc Nurses AIDS Care 2009 Jul-Aug;20(4):249-59

Tehran University of Medical Sciences, School of Nursingand Midwifery, Tehran, Iran.

The number of people living with HIV (PLWH) has increased in all Asian regions, including Iran. Discovering that one has any serious illness can be a traumatic experience, but coming to terms with an HIV diagnosis is made more difficult by social constructs and negative reactions to the infection. This interpretative phenomenological study was carried out to understand and describe the lived experience of HIV-infected Iranians during the period immediately following an HIV diagnosis. Audiotaped in-depth semistructured interviews with 13 participants were used to collect data, which were analyzed with critical hermeneutics. Two main themes emerged: (a) doubt and delay in coming to terms with the diagnosis and (b) testing and its associated impacts. Nine subthemes were also found. Many challenges face people who need to determine their HIV status, and these are compounded by the sociocultural context found in Iran. Iran needs more education, counseling, testing facilities, and support programs to encourage people to get tested for HIV and to help them deal with a positive test result.
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September 2009

A new approach for teaching nursing ethics in Iran.

Indian J Med Ethics 2009 Apr-Jun;6(2):85-9

Medical Surgical Group, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Ethics is a core concept in nursing practice. However, traditional approaches to teaching ethics are not sufficient and ethicists have to devise creative new approaches for the new generation of students.
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July 2009

Competence development among nurses: the process of constant interaction.

J Contin Educ Nurs 2007 Sep-Oct;38(5):211-8

Nursing & Midwifery School, Guilan University of Medical Science, Bandaranzali, Guilan, Iran.

Background: The importance of competence to nursing practice was the motivation for this study, which explored nurses' experience in developing their competence as they progress through their careers.

Methods: In accordance with grounded theory method, data collection and data analysis were performed simultaneously using the constant comparative method.

Results: Data revealed that nurses developed competence through an iterative process called "the process of constant interaction." This five-stage process was found to be a complex, ongoing interpersonal dynamic between the nurse and the surrounding world.

Conclusions: Although the nurse is the key player in the process of his or her own competence development, employers have a pivotal responsibility in facilitating the nurse's progress toward ongoing professional competence, which is a key element of the quality of care.
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November 2007

Nursing experience in Iran.

Int J Nurs Pract 2003 Apr;9(2):78-85

Tehran University of Medical Sciences, School of Nursing and Midwifery, Tehran, Iran.

The aim of this study was to describe Iranian registered nurses' experience of nursing, and to discuss some of the sociocultural viewpoints that are relevant for such experience. Data were collected by asking 75 registered nurses (RNs) to write statements about their nursing experience. Written descriptions were analyzed by an interpretative phenomenological method. Four different themes emerged: (i) task-oriented nursing experience; (ii) caring-oriented nursing experience; (iii) altruism-oriented nursing experience; and (iv) difficulties experienced. Some participants explained nursing experience by describing a series of daily routine tasks. Others described experience by emphasizing how nursing was a caring profession, and some described their nursing experience from an altruistic viewpoint. Furthermore, the participants described nursing experience based on the relevant problems that they faced in everyday professional life. They expressed difficulties relating to work settings and also problems that were related to the sociocultural view of nursing in society. The nurses in general were dissatisfied with their work and this made them seriously consider leaving the nursing profession. The findings have implications for nursing management and education. These suggestions might enable changes that could effectively improve the status of nursing in Iran. An holistic approach is necessary to integrate these implications into a nursing system, both in practice and in education, for improving conditions that will facilitate a higher development of nursing in Iran.
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April 2003