Javad Vakili; Seyed Ali Kimiaei; Hossain Kareshki; Seyed Amir Amin Yazdi
Abstract
Background: The quality and manner of couples’ communication in sexual matters is one of the most important and effective variables on the couples’ sexual health and satisfaction. The aim of this study was to discover the factors affecting the couples’ sexual communication from the ...
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Background: The quality and manner of couples’ communication in sexual matters is one of the most important and effective variables on the couples’ sexual health and satisfaction. The aim of this study was to discover the factors affecting the couples’ sexual communication from the perspective of couples’ therapists, couples, and research.Methods: The present study was conducted qualitatively using the grounded theory method that has three statistical population. In the research section, electronic resources, books, dissertations, and valid journals were used. In interviewing all the Iranian couple therapists and interviewing all couples who were referred to counseling centers in Mashhad, purposeful sampling was used. Data were collected using semi-structured and interactive interviews. For the validity of the data, after saturation, 2 more people were added, and the interview continued. Finally, 13 couple therapists and 21 couples were interviewed. MAXQDA20 software was used for data analysis.Results: In the text analysis of the interviews with couple therapists, in open coding 62 categories and in axial coding 14 categories; in interviews with couples, in open coding 56 categories and in axial coding 14 categories; and in qualitative analysis of research, in open coding 42 categories and in axial coding 13 categories were obtained. Finally, with the use of triangulation, three main categories of couple, individual, and situation were identified.Conclusion: According to the results obtained, couple therapists are advised to have a combination of multidimensional attitudes towards the couples’ sexual communication and pay attention to it in therapeutic and educational sessions.
Rahil Ghorbani Nia; Somayeh NooriHekmat; Reza Dehnavieh; Kambiz BahaadinBeigi; Morteza Arab-Zozani
Abstract
Background: The present study investigated the possibility of implementing quaternary prevention using family physicians in Iran’s health system.Methods: The present study was a qualitative study conducted with a grounded theory approach. Thirty-four participants, who were faculty members and experts, ...
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Background: The present study investigated the possibility of implementing quaternary prevention using family physicians in Iran’s health system.Methods: The present study was a qualitative study conducted with a grounded theory approach. Thirty-four participants, who were faculty members and experts, were selected by purposive and theoretical sampling using the snowball approach until data saturation. The data were collected through semi-structured interviews. The interviews took 20 to 60 minutes each, based on the circumstances and the participant’s willingness to continue. Data analysis was performed along with data collection by Strauss and Corbin’s constant comparative analysis. Using Lincoln and Guba criteria, the accuracy and strength of this research were confirmed.Results: The dimensions model of quaternary prevention using family physicians in Iran were specified in six axial categories: causal conditions, contextual conditions, intervening conditions, strategies, and outcomes. The phenomenon was the promotion of quaternary prevention, including defining quaternary prevention, family physicians, the philosophy of quaternary prevention, and the philosophy of family physicians—social, political, economic, cultural, and technological conditions as contextual and intervening conditions. Causal conditions were doctors, patients, and the health system. Two main strategies were intersectoral administration and intra-sectoral governance. Outcomes included efficiency and the provision of security for society.Conclusion: For quaternary prevention promotion and to offer ethically and rationally acceptable scientific services to the people, it is necessary to promote the position of the family physician as the primary implementer of quaternary prevention in healthcare. Getting to the PHC umbrella is achieved through intra-sectoral leadership and inter-sectoral governance, which supports the patient and reduces unnecessary care.
Mohammad Hossein Kaveh; Shirin Ahmadnia; Mohadeseh Motamed-Jahromi; Fazlollah Ahmadi
Abstract
Background: COVID-19 epidemic in Iran has imposed a heavy social, economic, political, and psychosocial burden and caused devastating social problems. On the other hand, it has also led to promising social cohesion. This study aimed to explore the community-wide changes following the COVID-19 pandemic ...
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Background: COVID-19 epidemic in Iran has imposed a heavy social, economic, political, and psychosocial burden and caused devastating social problems. On the other hand, it has also led to promising social cohesion. This study aimed to explore the community-wide changes following the COVID-19 pandemic and to understand how these changes may affect the Iranian community.Methods: This qualitative study used the grounded theory approach and conducted from May 2020 to March 2021 at Shiraz University of Medical Sciences, Shiraz, Iran. Adopting a purposive sampling approach, 15 faculty members in different fields participated in this study, and 17 interviews were performed.Results: This study indicated that the core phenomenon in the social change process was “struggling for survival and livelihood”. Therefore, people tried to identify and choose strategies to deal with or repel COVID-19 disease as a life-threatening situation. A set of contextual factors influenced their choice. The media and the performance of organizations as intervening conditions also played an important role in this process. Finally, this complex process led to constructive and destructive outcomes in society.Conclusion: The COVID-19 epidemic caused various multifaceted social changes in the Iranian community. Some social consequences were constructive and contributed to community development, while others jeopardized community development goals. Therefore, the paradigm model developed in this study can help policymakers and social planners develop programs to promote community health.
