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Article ; Online: Delegating care as a double-edged sword for quality of nursing care: a qualitative study.

Moradi, Tayebeh / Rezaei, Mahboubeh / Alavi, Negin Masoudi

2024 Volume 24, Issue 1, Page(s) 592

Abstract: Background: Considering the significance of care delegation in enhancing the quality of nursing care and ensuring patient safety, it is imperative to explore nurses' experiences in this domain. As such, this study aimed to explore the experiences of ... ...

Abstract	Background: Considering the significance of care delegation in enhancing the quality of nursing care and ensuring patient safety, it is imperative to explore nurses' experiences in this domain. As such, this study aimed to explore the experiences of Iranian nurses regarding the delegation of care. Methods: This qualitative study was conducted between 2022 and 2023, employing the content analysis method with a conventional approach. The study utilized purposeful sampling method to select qualified participants. Data collection was carried out through in-depth and semi-structured interviews utilizing open-ended questions. The data analysis process followed the steps proposed by Graneheim and Lundman (2004) and involved the use of MAXQDA version 12 software. To ensure the trustworthiness of the data, the study employed the four rigor indices outlined by Lincoln and Guba (1985). Results: In the present study, a total of 15 interviews were conducted with 12 participants, the majority of whom were women. The age range of the participants fell between 25 and 40 years. Through qualitative data analysis, eight subcategories and three main categories of "insourcing of care", "outsourcing of care" and "delegating of care to non-professionals" were identified. Additionally, the overarching theme that emerged from the analysis was "delegation of care, a double-edged sword". Conclusions: The results of the study revealed that the delegation of care occurred through three distinct avenues: to colleagues within the same unit, to colleagues in other units, and to non-professionals. Delegating care was found to have potential benefits, such as reducing the nursing workload and fostering teamwork. However, it was also observed that in certain instances, delegation was not only unhelpful but also led to missed nursing care. Therefore, it is crucial to adhere to standardized principles when delegating care to ensure the maintenance of high-quality nursing care.
MeSH term(s)	Humans ; Qualitative Research ; Female ; Iran ; Quality of Health Care/standards ; Adult ; Male ; Interviews as Topic ; Nursing Care/standards ; Attitude of Health Personnel ; Nursing Staff, Hospital/psychology
Language	English
Publishing date	2024-05-07
Publishing country	England
Document type	Journal Article
ZDB-ID	2050434-2
ISSN	1472-6963 ; 1472-6963
ISSN (online)	1472-6963
ISSN	1472-6963
DOI	10.1186/s12913-024-11054-4
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Rationing of nursing care: A concept analysis.

Moradi, Tayebeh / Adib-Hajbaghery, Mohsen / Dianati, Mansour / Moradi, Fatemeh

Heliyon

2023 Volume 9, Issue 5, Page(s) e15861

Abstract: Rationing of nursing care (RONC) refers to necessary nursing tasks that nurses refuse or fail to do because of limited time, staffing level, or skill mix. As an important process factor, it affects the quality of patient care. The concept of rationing of ...

Abstract	Rationing of nursing care (RONC) refers to necessary nursing tasks that nurses refuse or fail to do because of limited time, staffing level, or skill mix. As an important process factor, it affects the quality of patient care. The concept of rationing of nursing care has not yet been clearly defined and analyzed and there are different views regarding this issue. Using Walker and Avant's eight-step method, this concept analysis was conducted to analyze the meaning, attributes, dimensions, antecedents, and consequences of nursing care rationing. The literature was collected by searching in electronic databases including PubMed, ScienceDirect, Web of Science, Scopus, and Google Scholar with no date limitation. Both qualitative and quantitative studies on rationing of nursing care, which were open-access and published in English, were included in this study. Thirty-three articles were investigated in the present study. The four defining attributes of RONC included the duty of performing nursing care, dealing with problems of doing nursing care, decision-making and prioritizing, and outcome. The antecedents included nurse-related, organization-related, care-related, and patient-related antecedents. A theoretical definition and a conceptual model of RONC were developed. The attributes, antecedents, and consequences of RONC identified in this study can be used in nursing education, research, and managerial and organizational planning.
Language	English
Publishing date	2023-04-28
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2835763-2
ISSN	2405-8440
ISSN	2405-8440
DOI	10.1016/j.heliyon.2023.e15861
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Article ; Online: Rationing of nursing care: A concept analysis

Moradi, Tayebeh / Adib-Hajbaghery, Mohsen / Dianati, Mansour / Moradi, Fatemeh

Heliyon. 2023 May, v. 9, no. 5 p.e15861-

2023

Abstract	Rationing of nursing care (RONC) refers to necessary nursing tasks that nurses refuse or fail to do because of limited time, staffing level, or skill mix. As an important process factor, it affects the quality of patient care. The concept of rationing of nursing care has not yet been clearly defined and analyzed and there are different views regarding this issue. Using Walker and Avant's eight-step method, this concept analysis was conducted to analyze the meaning, attributes, dimensions, antecedents, and consequences of nursing care rationing. The literature was collected by searching in electronic databases including PubMed, ScienceDirect, Web of Science, Scopus, and Google Scholar with no date limitation. Both qualitative and quantitative studies on rationing of nursing care, which were open-access and published in English, were included in this study. Thirty-three articles were investigated in the present study. The four defining attributes of RONC included the duty of performing nursing care, dealing with problems of doing nursing care, decision-making and prioritizing, and outcome. The antecedents included nurse-related, organization-related, care-related, and patient-related antecedents. A theoretical definition and a conceptual model of RONC were developed. The attributes, antecedents, and consequences of RONC identified in this study can be used in nursing education, research, and managerial and organizational planning.
Keywords	decision making ; education ; models ; patient care ; solid wastes ; Rationing of nursing care ; Concept analysis ; Nursing ; RONC
Language	English
Dates of publication	2023-05
Publishing place	Elsevier Ltd
Document type	Article ; Online
Note	Use and reproduction
ZDB-ID	2835763-2
ISSN	2405-8440
ISSN	2405-8440
DOI	10.1016/j.heliyon.2023.e15861
Database	NAL-Catalogue (AGRICOLA)

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Article: Challenges of Budgeting and Public Financial Management in Iran's Health System: A Qualitative Study.

Moradi, Tayebeh / Kabir, Mohammad Javad / Pourasghari, Hamid / Ehsanzadeh, Seyed Jafar / Aryankhesal, Aidin

Medical journal of the Islamic Republic of Iran

2023 Volume 37, Page(s) 80

Abstract: Background: Efficient and effective management of budgets and financial resources is critical for health systems to achieve their goals; in this regard, countries may face budgetary and financial challenges owing to the weak prediction of resources and ... ...

Abstract	Background: Efficient and effective management of budgets and financial resources is critical for health systems to achieve their goals; in this regard, countries may face budgetary and financial challenges owing to the weak prediction of resources and consumptions, and lack of prioritization for their budget. This study aims to identify the most critical policies and events that have affected public financial management and health budgeting and existing challenges in Iran. Methods: We conducted the present study in 2022 using a 2-stage qualitative method. First, by reviewing upstream documents and laws, we identified evidence related to health budgeting. Then, we conducted 13 semi-structured interviews with informed people in the health budgeting field that led us toward the main challenges through thematic content analysis. Results: After reviewing 48 upstream documents related to health budgeting, we identified 85 policies. After reviewing the articles, we achieved 11 themes and 71 subthemes. The most critical challenges of the budgeting cycle were as follows: (I) budget formulation, including inappropriate budget structure, conflicts of interest and infringement, lack of financial sustainability, and transparency; (II) budget execution, including a nonexecutable approved budget, complicated allocation process, and ineffective allocations; and (III) monitoring, reporting, and evaluation (MR&E), including fragmentation of MR&E processes, ineffective monitoring and evaluation, weak evaluation of platforms, and inadequate transparency. Conclusion: Most challenges in the health budgeting system are related to the budget formulation and approval stage that have their roots in implementation, monitoring, and reporting. In addition, Iran's macroeconomic and financial issues have also damaged the budgeting of the health sector. Budget problems affect the goals and outcomes of this sector, especially the health system.
Language	English
Publishing date	2023-07-17
Publishing country	Iran
Document type	Journal Article
ZDB-ID	1095990-7
ISSN	1016-1430
ISSN	1016-1430
DOI	10.47176/mjiri.37.80
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: A Systematic Review on the Economic Evaluations Evidence of Enhanced External Counter-Pulsation (EECP) for Managing Chronic Stable Angina.

Rezapour, Aziz / Naghdi, Seyran / Ghiasvand, Hesam / Moradi, Tayebeh / Kabir, Mohammad Javad / Yousefzadeh, Negar

Medical journal of the Islamic Republic of Iran

2022 Volume 36, Page(s) 100

Abstract: Background: ...

Abstract	Background:
Language	English
Publishing date	2022-09-01
Publishing country	Iran
Document type	Journal Article ; Review
ZDB-ID	1095990-7
ISSN	1016-1430
ISSN	1016-1430
DOI	10.47176/mjiri.36.100
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Article ; Online: Decomposing inequality in financial protection situation in Iran after implementing the health reform plan: What does the evidence show based on national survey of households' budget?

Moradi, Tayebeh / Naghdi, Seyran / Brown, Heather / Ghiasvand, Hesam / Mobinizadeh, Mohammadreza

The International journal of health planning and management

2018

Abstract: Background: Lack of well-designed healthcare financing mechanisms and high level of out-of-pocket payments in Iran over the last decades led to implementing Health Transformation Plan, in 2014. This study aims to decompose inequality in financial ... ...

Abstract	Background: Lack of well-designed healthcare financing mechanisms and high level of out-of-pocket payments in Iran over the last decades led to implementing Health Transformation Plan, in 2014. This study aims to decompose inequality in financial protection of Iranian households after the implementation of the Health Transformation Plan. Methods: The data of Statistical Center of Iran (SCI) Survey on Rural and Urban Households Income-Expenditure in 2015 to 2016 were used. The headcount ratio of catastrophic health expenditures was calculated. The corrected concentration index was estimated. The role of contributors on inequality in the exposure to catastrophic health expenditures among poor and nonpoor households was calculated using Farelie's model. Results: The headcount ratio of the exposure to catastrophic health expenditures in urban and rural households was 2.5% (2.43% - 2.64%) and 3.6% (3.48% - 3.76%), respectively. The difference in households' income levels was the main contributor in explaining the inequality in facing catastrophic health expenditures between poor and nonpoor households. [Correction added on 02 June 2018, after first online publication: The "Results" section of the Abstract of the published article has been correctly updated on this version.] CONCLUSION: Even after implementing the HTP, the headcount ratios of catastrophic health expenditure are still considerable. The results show that income is the greatest determinant of inequality in facing catastrophic health expenditure and in urban households.
Language	English
Publishing date	2018-03-24
Publishing country	England
Document type	Journal Article
ZDB-ID	632786-2
ISSN	1099-1751 ; 0749-6753
ISSN (online)	1099-1751
ISSN	0749-6753
DOI	10.1002/hpm.2517
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Article: Quality of care for patients with traction in shahid beheshti hospital in 2012.

Adib Hajbaghery, Mohsen / Moradi, Tayebeh

Archives of trauma research

2013 Volume 2, Issue 2, Page(s) 85–90

Abstract: Background: With increasing incidence of traumatic fractures, the use of orthopedic intervention such as traction has increased. Inappropriate traction care may cause substantial morbidity and delay the patient rehabilitation.: Objectives: This study ...

Abstract	Background: With increasing incidence of traumatic fractures, the use of orthopedic intervention such as traction has increased. Inappropriate traction care may cause substantial morbidity and delay the patient rehabilitation. Objectives: This study was conducted to evaluate the quality of care for patients with traction in the orthopedic unit of Kashan's Shahid Beheshti Hospital, Kashan, Iran. Patients and methods: This observational study was conducted on 100 patients with traumatic fractures of hip and femur bones who were admitted to Kashan Shahid-Beheshti Hospital during the first 6 months of 2012, and for whom skeletal or skin traction was performed. Data were collected using a checklist including questions about the personal characteristics and 23 items related to care for patients with tractions. These items were in three domains including caring while establishing traction, recording care and patient's education. Descriptive statistics were calculated and data were analyzed using the independent sample t-test and Pearson correlation coefficient. Results: The mean age of patients was 51.16 ± 23.28 years and 66% of them were male. In total, 47% of the patients were treated by skin traction and 53% by skeletal traction. The overall mean score of quality of care was 10.20 ± 2.64. Quality of establishing traction was good in 55% of patients, but the quality of care was poor in the domains of recording care (88%) and patient education (96%). Total mean of quality of care was significantly different between male and female patients (P < 0.02). Conclusions: The quality of care of patients with traction was not optimal. Therefore it is necessary to improve measures in this area.
Language	English
Publishing date	2013-08-01
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2710716-4
ISSN	2251-9599 ; 2251-953X
ISSN (online)	2251-9599
ISSN	2251-953X
DOI	10.5812/atr.9127
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Effects of a multimodal preparation package on vital signs of patients waiting for coronary angiography.

Adib Hajbaghery, Mohsen / Moradi, Tayebeh / Mohseni, Raheleh

Nursing and midwifery studies

2014 Volume 3, Issue 1, Page(s) e17518

Abstract: Background: Patients waiting for coronary angiography are often anxious and worried, experiencing considerable emotional problems before the procedure, which can result in an increase in blood pressure (BP), heart rate, respiratory rate and the ... ...

Abstract	Background: Patients waiting for coronary angiography are often anxious and worried, experiencing considerable emotional problems before the procedure, which can result in an increase in blood pressure (BP), heart rate, respiratory rate and the myocardial oxygen demand. Such maladaptive responses may not only increase the patients need for sedative drugs, but also could increase the length of post angiography hospitalization. Therefore, it is important to implement some supportive actions to decrease the patients' anxiety and to stabilize their vital signs before coronary angiography. Objectives: This study aimed to investigate the effects of a multimodal preparation package on vital signs of patients undergoing coronary angiography. Patients and methods: A matched trial was conducted on 66 patients waiting for coronary angiography. Patients were assigned in intervention (n = 33) and control (n = 33) groups. A multimodal preparation package was implemented in intervention group, two hours before angiography. The data collection instrument consisted of questions on demographic characteristics and a table for recording the patients' vital signs including systolic BP (SBP) and diastolic BP (DBP), heart rate, respiratory rate and body temperature. Vital signs were measured three times, the day before angiography, 30 minutes before and 30 minutes after the angiography, using a thermometer and a monitoring device. Data analysis was performed using the Kolmogo-Smirnov test, t test and Mann-Whitney U test. Results: From the total number of 66 patients, the 63.3% were male and married. No significant differences were observed between the mean of SBP and DBP and also the heart rate in the intervention and control groups, on the day before angiography. However, the mean SBP and DBP and heart rate of the intervention group were significantly lower compared to the control group, both 30 minutes before and 30 minutes after angiography. The intervention did not significantly change the respiration rate and temperature in the intervention group. Conclusions: The study showed that preparation package was effective in decreasing SBP and DBP, as well as heart rate. Therefore, using multimodal comprehensive preparation packages, such as the package used in the present report, is suggested.
Language	English
Publishing date	2014-04-17
Publishing country	Netherlands
Document type	Journal Article
ISSN	2322-1488
ISSN	2322-1488
DOI	10.17795/nmsjournal17518
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Quality of working life of nurses and its related factors.

Moradi, Tayebeh / Maghaminejad, Farzaneh / Azizi-Fini, Ismail

Nursing and midwifery studies

2014 Volume 3, Issue 2, Page(s) e19450

Abstract: Background: Nurses as the largest group of health care providers should enjoy a satisfactory quality of working life to be able to provide quality care to their patients. Therefore, attention should be paid to the nurses' working life.: Objectives: ... ...

Abstract	Background: Nurses as the largest group of health care providers should enjoy a satisfactory quality of working life to be able to provide quality care to their patients. Therefore, attention should be paid to the nurses' working life. Objectives: This study aimed to investigate the quality of nurses' working life in Kashans' hospitals during 2012. Materials and methods: This cross-sectional study was conducted on 200 nurses during 2012. The data-gathering instrument consisted of two parts. The first part consisted of questions on demographic information and the second part was the Walton's quality of work life questionnaire. Data were analyzed using the SPSS software. For statistical analysis T test and one way ANOVA were used. Results: The results of the study showed that 60% of nurses reported that they had moderate level of quality of working life while 37.1% and 2% had undesirable and good quality of working life, respectively. Nurses with associate degrees reported a better quality of working life than others. A significant relationship was found between variables such as education level, work experience, and type of hospital with quality of working life score (P < 0.05). No significant differences were observed between quality of working life score of nurses with employment status (P = 0.061), salary (P = 0.052), age, gender and marital status (P > 0.05). Conclusions: Nurses' quality of work life was at the moderate level. As quality of work life has an important impact on attracting and retaining employees, it is necessary to pay more attention to the nurses' quality of work life and its affecting factors.
Language	English
Publishing date	2014-06-15
Publishing country	Netherlands
Document type	Journal Article
ISSN	2322-1488
ISSN	2322-1488
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The Barriers to Achieve Financial Protection in Iranian Health System: A Qualitative Study in a Developing Country.

Naghdi, Seyran / Moradi, Tayebeh / Tavangar, Fateh / Bahrami, Giti / Shahboulaghi, Mohammadi / Ghiasvand, Hesam

Ethiopian journal of health sciences

2016 Volume 27, Issue 5, Page(s) 491–500

Abstract: Background: The move to universal health coverage and consequently health promotion is influenced by political, socio-economic and other contextual factors in a country. Iran, as a developing country with an upper-middle national income, has developed ... ...

Abstract	Background: The move to universal health coverage and consequently health promotion is influenced by political, socio-economic and other contextual factors in a country. Iran, as a developing country with an upper-middle national income, has developed policies to achieve universal health coverage through financial protection. This study aims to investigate barriers to develop financial protection as a requirement to achieve universal health coverage. Materials and methods: This qualitative study was conducted using 20 in-depth interviews with experts in social welfare, health insurance and financing. The framework analysis method was used to analyze the data. Results: The results have been categorized in three major themes that were extracted from ten sub-themes. The major themes included the political, social and economic context of the country, the context and structure of healthcare system and dimensions of UHC. Conclusion: Achieving financial protection as a long-term objective should be considered as a priority among Iranian policy makers that requires an inter-sectoral collaboration with a defined in-charge body. Health policy makers in Iran should develop a more comprehensive benefits package for diseases and health conditions with catastrophic consequences. They also should develop a plan to cover the poor people.
MeSH term(s)	Developing Countries ; Financing, Personal ; Health Expenditures/legislation & jurisprudence ; Health Policy/economics ; Health Policy/legislation & jurisprudence ; Humans ; Iran ; National Health Programs/economics ; Politics ; Poverty/economics ; Poverty/legislation & jurisprudence ; Qualitative Research ; Socioeconomic Factors ; Universal Health Insurance/economics ; Universal Health Insurance/legislation & jurisprudence
Language	English
Publishing date	2016-08-02
Publishing country	Ethiopia
Document type	Journal Article
ZDB-ID	2705970-4
ISSN	2413-7170 ; 2413-7170
ISSN (online)	2413-7170
ISSN	2413-7170
DOI	10.4314/ejhs.v27i5.7
Database	MEDical Literature Analysis and Retrieval System OnLINE

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