Search

Background & Aim: The caregivers of hemodialysis patients experience a heavy caregiving burden. More caregiving pressure and burden has been reported of the women than men insofar as they are encountered with more physical and psychological problems. This paper explores the challenges faced by women living with husband on hemodialysis. Methods & Materials: The study followed a conventional content analysis method. The participants were selected through purposive sampling method in hospitals of Shahid Beheshti University of Medical Sciences, Tehran, Iran, in 2017-2018. The first author performed semi-structured, individualized interviews with 14 participants. Results: By analyzing the data, the main category "Immersing in problems" was extracted with two following categories: 1- Inadequate support network (subcategories: inadequate informational support, inadequate instrumental support, inadequate emotional support) and 2- Difficult coexistence with problems (subcategories: role overload, worry and anxiety, fear and hope for the future, suffering of frequent dialyses). Conclusion: The findings of the study showed that women living with the husband on hemodialysis have been encountered with challenges and numerous stressing factors in the course of caregiving. Given the challenges experienced by participants, telenursing and community health nurses can play an important role in eliminating the many problems of hemodialysis patients and their caregivers.

Background & Aim: Stress is a common phenomenon in nursing profession, but novice nurses usually experience more stress. This stress can result in job dissatisfaction and quitting the occupation. This study aimed to explore the novice nurses’ experience of stress at the beginning of their clinical practice. Methods & Materials: This study was conducted using a qualitative content analysis. The study population consisted of 17 novice nurses working in hospitals affiliated to Tehran University of Medical Sciences in Iran, selected through purposive sampling. Data were collected through semi-structured interviews. Results: Four themes and 7 categories emerged during data analysis. The extracted themes and categories consisted of (I) insufficient competency (inadequate knowledge, inadequate practical skills, inappropriate communication skills), (II) clinical workplace (workplace environment, workplace climate), (III) clients’ challenges (patient's physical and psychological status, family and relatives’ behavior), and (IV) colleagues' behaviors. Conclusion: Novice nurses expressed that they had high levels of stress in their first months of employment. The study showed various factors causing stress among participants which may result in quitting their work. Considering novice nurses’ experience of stress, and underlying factors, nursing managers can help to reduce novice nurses' stress and increase their motivation to continue their work.