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Abstract(Please copy/paste the abstract send to the congress) : |
1. Care systems and access, quality and economics
CHALLENGES TO PROVIDE EQUITY IN HEALTH CARE SERVICES IN IRAN
N. MOOHAMMADI 1,*, M. SHAMSHIRI 1, T. SADEGHI 1
1Nursing and Midwifery Faculty, The Department of Critical Care Nursing, Tehran University of Medical
Sciences, Tehran, Iran, Islamic Republic Of
Abstract Content: Although life expectancy has a progressive trend in Iran, like most of countries, poverty
and social inequality influence on Iranians’ quality of life and health. It is not surprising to find huge
variation in health status and the quality of life of Iranians within a specific province. For example, in
north and south areas of Tehran, the capital city of Iran, there is a 12-year gap between people life
expectancy within a 30 km radius of a single city. The low life expectancy in among people who lives in
south areas is often poverty that prevents their access to positive lifestyle and lack of access to health
care services. Reducing social inequalities in health and meeting human needs are two crucial issues in
Iran. The critical questions in this regards is “how does the Iranian health care system deal with social
inequalities in health and provision human needs in order to provide an equitable health services to
diverse communities?” The article emphasizes on two crucial issues of access and utilization in health
care in Iran.
Disclosure of Interest: N. Moohammadi Grant/ Research Support from: Principle Researcher, M. SHAMSHIRI
Conflict with: Co-researcher, T. SADEGHI Conflict with: Co-researcher
2. Direct care, patient safety
LISTEN TO LIVED EXPERIENCE OF IRANIAN BLIND PEOPLE: STEREOTYPICAL CARE OR
INEQUITABLE CARE IN CLINICAL SETTING
M. SHAMSHIRI 1, N. MOOHAMMADI 1, 2, 3,*, M. A. CHERAGHI 1, T. SADEGHI 1
1Nursing and Midwifery Faculty, The Department of Critical Care Nursing, 2Center for Nursing Research, 3Brian
and Spinal Cord Injury Research Centre, Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic Of
Abstract Content: Blinds or severe visually impaired clients are one of the literarily and socially
marginalized peoples. They have many problems in their daily life and continuously experience many
challenges as a consequences of their problem. Blind people are also marginalized in the nursing
literature and nurses usually provide a routine care to them. The purpose of this study was to
understand the lived experiences of blinds from being patient in hospital; to provide basic knowledge
about their lived experiences; and to contribute to nursing knowledge.
A hermeneutic phenomenological study used to conduct the study. A purposeful sampling method used
to recruit five participants (two female and three male participants) with age ranges of 35-55 who were
been in the hospital for an elective surgery. All of the interviews were audio-taped and verbatim
transcribed. The Van Mennen's methodical steps guide the researcher to understand the phenomenon.
The stories of participants revealed provided care in clinical setting is inappropriate to people who suffer
from vision impairment due to diverse needs of the participants. Three main themes, extracted from indepth
interviews with participants. These themes are inappropriateness of routine care, leak of a
discipline in provided care and having diverse needs.
Although Iranian nurses use a holistic approach to provide care for all of people in the hospital, the
participants’ stories reveals that the provided care was not appropriate for their diverse needs. Therefore,
they experience an inequitable care while they are in the hospital. Considering diverse needs of blinds in
the provision of care can help nurses to provide an appropriate care to this diverse group and prevent
inequity in health care system.
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Keywords of your Abstract : |
1. Keywords: Acess, Health Care System, Iran, Utilization
2. Keywords: Blind people, Iran, lived experience, Phenomenology |