grounded theory.

扎根理论。
  • 文章类型: Journal Article
    背景:印度尼西亚不断增长的老年人口给医疗保健系统带来了挑战,促使人们探索远程医疗作为一种解决方案。然而,它在印度尼西亚的有效实施面临障碍。
    方法:本研究旨在通过研究多个利益相关者,在巴东市开发一个全面的老年远程医疗框架。我们采用了定性的方法,包括深度访谈,横跨两家医院,卫生办公室,还有一个社区卫生中心,涉及18名老年人。
    结果:该研究确定了老年远程医疗服务的十个关键维度:技术,人机界面(HCI)基础设施,系统工作流,临床内容,人(不同的角色),组织(生态系统,服务工作流,内部和外部法规),和融资(社会保障机构对健康和独立)。我们使用人-组织-技术拟合和社会技术系统方法进行分析。
    结论:该研究提出了对未来实施的影响,并倡导更广泛的参与者参与,系统开发的信息技术(IT)研究,和纵向评估,以评估对老年人健康结果的影响。
    BACKGROUND: The growing elderly population in Indonesia presents challenges for the healthcare system, prompting the exploration of telemedicine as a solution. However, its effective implementation in Indonesia faces obstacles.
    METHODS: This research aimed to develop a comprehensive geriatric telemedicine framework in Padang City by studying multiple stakeholders. We employed qualitative methods, including in- -depth interviews, across two hospitals, a Health Office, and a Community Health Center, involving 18 elderly participants.
    RESULTS: The study identified ten key dimensions for geriatric telemedicine services: technology, Human-Computer Interface (HCI), infrastructure, system workflow, clinical content, people (diverse roles), organization (ecosystem, service workflow, internal and external regulations), and financing (social security agency on health and independent). We used the Human-Organization- Technology Fit and Sociotechnical System approaches for analysis.
    CONCLUSIONS: The study suggests implications for future implementation and advocates for broader participant involvement, information technology (IT) studies for system development, and longitudinal evaluations to assess the impact on elderly health outcomes.
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  • 文章类型: Journal Article
    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 nurses managed this issue using the strategy of \'moral obligation to provide holistic care until the last minute\' as the core variable. According to the results, it is recommended that the healthcare system (especially hospital management) take supportive action for nurses in various fields of care of brain-dead patients to resolve educational, moral and legal challenges.
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  • 文章类型: Journal Article
    我们旨在探讨和描述伊朗女性户主的健康促进活动所涉及的因素。采用扎根理论作为方法。招募了16名女户主。数据是通过半结构化访谈生成的。我们的研究结果表明,剩余的资源(金钱,时间和精力)以及健康风险的严重程度是两个主要因素,而女性的个人和社会经济特征是这些女性健康促进活动中涉及的两个背景因素。为了帮助这些妇女改善她们的健康状况,我们建议政府,非政府组织和卫生保健专业人员为他们提供所需的资源,并通过举办培训课程来增加他们的知识。
    We aimed to explore and describe the factors involved in Iranian women heads of household\'s health promotion activities. Grounded theory was used as the method. Sixteen women heads of household were recruited. Data were generated by semi structured interviews. Our findings indicated that remainder of resources (money, time and energy) alongside perceived severity of health risk were two main factors whereas women\'s personal and socio-economic characteristics were two contextual factors involved in these women\'s health promotion activities. To help these women improve their health status, we recommended that the government, non-governmental organizations and health care professionals provide them with required resources and increase their knowledge by holding training sessions.
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