Religiosity,Gender, and Natural Disasters: A Qualitative Study of Disaster-Stricken Regions in Iran

While religiosity is emerging as one of the more important subjects in disaster management, identifying gender differences in using religion as a coping method has attracted very little attention. The aim of this study was to explore the effects of religiosity on disaster-affected women and men in the setting of Iran. A field-based investigation using a qualitative approach was carried out to achieve the study’s purpose. Data were collected using in-depth unstructured interviews with 25 participants who had been damaged by recent disasters. Two themes, negative and positive effects of religiosity, and five categories were extracted from the data. Women may be influenced by religion more than men, and thus, they can play key roles in strengthening the positive effects of religiosity.     

Concordant Spiritual Orientations as a Factor in Physician--Patient Spiritual Discussions: A Qualitative Study

Objectives: To understand the impact of physicians and patients religious/spiritual orientation on discussions of spiritual issues. Methods: We performed semi-structured interviews of 10 Missouri family physicians and 10 patients of these physicians, selecting subjects nonrandomly to represent a range of demographic factors, practice types, and chronic or terminal illness. We coded and evaluated transcribed interviews for themes. Results: Respondents expressed that similar belief systems facilitate patient–physician spiritual interactions and bring confidence to their relationships. Those holding dissimilar faiths noted limited ability to address spiritual questions directly. They cited significant barriers to spiritual interaction but considered that ecumenism, use of patient-centered care, and negotiation skills lessen these barriers. Conclusions: Our respondents view spirituality similarly to other aspects of the physician–patient relationship involving differing viewpoints. Where discordance exists, cross-cultural, patient-centered, diplomatic approaches facilitate spiritual discussions.     

Healing the Heart: A Qualitative Study of Challenges and Motivations to Cardiac Rehabilitation Attendance and Completion among Women and Men

Heart disease is the leading cause of death in the United States. Given that cardiovascular rehabilitation (CR) participation is the best secondary prevention of cardiac mortality, it is important to understand the challenges and motivations people experience while taking part in rehabilitation. The present qualitative study explored the treatment experiences of 20 women and 20 men at urban and rural rehabilitation clinics in Minnesota. Participants were equally divided based on the number of CR session completed (less than or equal to 18 vs. more than 18). The study’s primary aim was to articulate similarities and differences in the CR treatment experiences by gender. Data were gathered from individual interviews and analyzed using an inductive content analysis. Findings revealed that both women and men view CR as a means to move forward from their cardiac incident and achieve good health. Women were more likely than were men to be motivated by a perceived obligation to CR staff and improved quality of life. Men, in comparison, identified their commitment to CR as a need to complete a task. The study findings can help inform the design of rehabilitation programs and strengthen patient-centered interventions to enhance participation in treatment.     

Relationship-Based Home Visiting Services for Families Affected by Substance Use Disorders: A Qualitative Study

Journal of Child and Family Studies - Home visiting programs face many challenges when providing evidence-based services to families affected by substance use disorders (SUDs). We conducted...     

Spiritual Needs of the Muslim Elderly Living in Nursing Homes: A Qualitative Study

Journal of Religion and Health - Paying attention to and meeting the needs of people who are elderly helps to improve their health. Caring for the elderly includes addressing...     

Health-Related Quality of Life in Iranian Breast Cancer Survivors: A Qualitative Study

Women play the most important role in Iranian families. Therefore, it is necessary to pay attention to efforts to maintain and promote their health. The diagnosis and treatment of breast cancer have significant physical and psycho-social impacts on patients, families and friends. This qualitative study was designed to analyze the role of several social and cultural factors and their relationship to health-related quality of life among Iranian breast cancer survivors. In-depth semi-structured and unstructured face-to-face interviews were conducted with 39 breast cancer survivors. The results of the present study revealed that most prevalent physical problems that were reported by Iranian breast cancer survivors were fatigue, pain and lymphedema related to the adverse effects of mastectomy. We found that most participants have a strong sense of spirituality and used this as a source of psychological support to help them accept their disease. Spirituality has been found to be a strong source of psychological support among Iranian breast cancer survivors. Religious faith has provided this community the strength and motivation to seek medical treatment and to be patient and relax. These findings can help researchers to provide a framework for the development of appropriate and effective culturally sensitive health interventions.     

自然灾难后身心反应的影响因素:研究与启示

所有经历自然灾难的人都会出现应激反应。随着时间的推移, 这些反应或消退, 或转化为一种创伤后成长(PTG), 或恶化为创伤后应激障碍(PTSD)等。根据危险因素模型, 这一过程受三类因素影响:(1)前灾难因素, 如性别、年龄等;(2)当下灾难因素, 如创伤暴露程度等;(3)后灾难因素, 如社会支持、复原特征等。其中, 后灾难因素得到了更多的关注。在危险-保护因素模式及机体主动模式的基础上, 分析了后灾难因素的作用机制, 通过研究的整合, 探讨了其对于灾后研究和干预的启示。     

Spiritual Evolution of Bereavement Counselors: An Exploratory Qualitative Study

This article draws from a phenomenological study on the experience of being a bereavement counselor. Ten bereavement counselors shared their experiences in bereavement counseling. Spiritual and emotional aspects of bereavement counseling with grieving and dying persons are discussed as well as the spiritual effects on and growth processes of the bereavement counselors. Participants also describe their self‐care strategies pertaining to their bereavement counseling work.     

Attitudes Toward Spirituality and Spiritual Care among Iranian Nurses and Nursing Students: A Cross-Sectional Study

Addressing spiritual needs is taken into account as an integral part of holistic health care and also an important component of nursing practice. The aim of present study is to evaluate attitudes toward spirituality and spiritual care among nurses and nursing students at Semnan University of Medical Sciences in Iran. In this cross-sectional study, all nurses (n = 180) working in the teaching hospitals affiliated to Semnan University of Medical Sciences as well as senior nursing students (n = 50) selected by the census method. Finally, 168 individuals meeting the inclusion criteria were evaluated as the study sample. The data collection instrument was the Spirituality and Spiritual Care Rating Scale. The mean and standard deviation scores of attitudes toward spirituality and spiritual care among nurses and nursing students were 59 ± 10.9, and the scores obtained by the majority of study population (64.3%) ranged between 32 and 62 which were at a moderate and relatively desirable level. Nurses and nursing students working in aforementioned hospitals reported positive attitudes to spirituality and spiritual care. Given the importance of spiritual care and also the moderate level of spirituality and spiritual care among nurses and nursing students in this study, institutionalization of the concept of spirituality, provision of an appropriate context to deliver such care, and also implementation of interventions in order to improve spiritual care along with other nursing skills were assumed of utmost importance.     

A Gift Grows in the Ghetto: Reimagining the Spiritual Diagnosis of Black Men

This essay explores the spiritual diagnosis of Black men in the American ghetto. The ghetto is viewed as a place of desolation, a place where nothing of value thrives—quite simply, a place where it is hard to grow. But is it also something more? By using the biblical story of Hagar and her son Ishmael being abandoned in the wilderness, the author argues that it is within deleterious environs, whether the wilderness or the ghetto, that one’s gift is discovered and then, through divine assistance, allowed to develop. This offers a useful tool in terms of spiritual diagnosis, especially for Black men, because one of the main criteria to be assessed becomes the person’s awareness of his gift and how the gift is being developed. In the end, Black men are encouraged to become more aware of their specific gift and the ways in which this gift, when properly cared for, develops—i.e., grows up—in such a way that it protects them, above all, in an uncaring environment.     

Spiritual Experiences of War Veterans Who Suffer from Combat-Related Post-Traumatic Stress Disorder: A Qualitative Study

Recognition of the spiritual experiences of patients with post-traumatic stress disorder may be helpful in their rehabilitation. Accordingly, the present study has been carried out to determine the spiritual experiences of Iranian Muslim warriors who suffer from the previously mentioned disorder. In this qualitative study, 22 patients were selected using an objective-based sampling method and underwent an individual, semi-structured thorough interview. The data were analyzed using content analysis. The spiritual experiences of the participants were divided into two main categories as follows: (1) religious attitude consisting of three sub-categories known as “religious beliefs,” “religious sentiments,” and “religious behaviors” and (2) a national sensibility that includes the two sub-categories of “patriotism” and “proud” of being injured for my homeland. The analysis of the participants’ spiritual experiences showed that their specific religious orientation and feelings of nationalism assisted with their improved ability to cope with the consequences of their disorder. Therefore, it is recommended that caregivers use patients’ spiritual values to help them cope more efficiently.     

A Qualitative Study of the Recruiting of Men and Women for Sales Positions in Turkey

This study examines the effects of gender on recruitment of salespeople in Turkey, an emerging economy with a male-dominated society where historical and cultural values have frequently limited women’s employment opportunities. Based on 16 interviews with male and female recruiters from four industries actively hiring productive salespeople, the study addresses gender effect on recruiting of men and women for sales positions in Turkey. The findings of this qualitative study provide an opportunity to expand our understanding of gender effects in an emerging economy.     

How We Define Success: A Qualitative Study of What Matters Most to Women and Men

In this article we explore how women and men define success and how their definition of success affects their career progress. Qualitative analysis of data from 40 interviews with successful women and men suggest that gender differences do exist. Women highlight the importance of balance and relationships. Men focus more on material success. Similar numbers of women and men thought that their definitions of success had limited their career progress, but the tradeoffs they reported making were distinctly different. Our results suggest that gender differences in the meaning of success exist even when occupational attainments are similar.     

A Qualitative Assessment of the Sex Education Needs of Married Iranian Women

Despite a comprehensive reproductive health program there is little sex education available in Iran. In this article we present results of a study conducted to identify content area for a proposed sex education program for married Iranian women. Twenty-one married female clients (23–45 years) and 18 reproductive health providers, recruited from urban health clinics in Tehran using non-probability sampling, participated in four focus group discussions. Sexual health information needs related to reproductive tract and sexually transmitted infections, “acceptability” of certain sexual practices such as oral and anal intercourse, and the sexual response cycles and physiology of men and women. Women’s sexual concerns related to communication, incompatibility of sexual interests and desire, and their ability to maintain a strong marriage. Two themes cut across women’s responses to all questions: modesty and maintaining a strong marriage. Results contributed to the design of a sex education program that addressed the specific information needs and concerns of Iranian women.     

医生身份建构影响因素的质性分析

运用Nvivo12 Plus软件,通过对25名医生、6.8万字访谈资料三级编码的分析,发现影响医生身份建构的6个因素是：医生人格、身份认同、职业认知、职业成长、职业能力和职业压力。健全的性格心理是医生身份建构的人格要求;高度的身份认同是医生身份建构的心理基础;深刻的职业认知是医生身份建构的起点;持续的职业成长是医生身份建构的路径;突出的职业能力是医生身份构建的核心;应对复杂的职业压力是医生身份建构的策略。医生的身份建构需要从性格心理、情感态度、医学道德、医学教育、终身学习、学科交流、技术能力和尊重能力等方面切入培养。

     

Correction to: Spiritual Care Needs of Patients in Oncology Units and Nursing Practices in Turkey: A Qualitative Study

Journal of Religion and Health -     

Men and Menstruation: A Qualitative Exploration of Beliefs,Attitudes and Experiences

Our article presents the findings from a study exploring men’s attitudes towards and perceptions of menstruation. Using a social constructionist framework, we analyzed 48 Australian men’s written accounts in response to an anonymous online questionnaire which explored messages they received about menstruation growing up as well as their current attitudes towards, and experiences with, menstruation. Respondents were 18–69 years-old; most were Caucasian and in an intimate relationship, and they varied considerably in terms of educational attainment. Thematic analysis yielded four themes: (a) managing the stigma of menstruation, (b) talking menstruation today—open and closed communication, (c) menstruation is part of relationships, and (d) menstruation and social commentary. These findings shed light on how boys learn about menstruation and how men’s role in menstruation is constructed, emphasizing the educational, relational, and socio-political contexts in which these attitudes are created. Researchers, health care providers, and educators could use our findings to create more effective reproductive health education programs. Improving communication between parents and children may encourage a more balanced view towards menstruation, working towards reducing the stigma commonly experienced by girls and women.     

A Qualitative Study Exploring the Causes of Boredom for Men with a Psychosis in a Forensic Setting

Boredom is a problem in forensic mental health settings and is believed to increase levels of violence and be detrimental to health and recovery. There were 8 men in a forensic unit, all diagnosed with a psychotic disorder, that were interviewed regarding their experiences of boredom. A thematic analysis was used to identify emergent themes. These included: Mental health and motivation; Restrictive environment; Responsibilities; and Nothing to do. These findings provide a greater understanding of factors which may contribute to boredom within forensic settings and can guide occupational therapy interventions to address them.