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Showing 5 results for Rassouli
Nursing Teachers’ Perception of Role Strain: A Qualitative Study
Dr Shohreh Kolagari, Dr Mansoureh Zagheri Tafreshi , Dr Maryam Rassouli, Dr Amir Kavousi, Sharareh Kolagari,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Role Strain refers to the felt difficulty in fulfilling expectations, complying with the role obligations and balancing the various dimensions of roles. Role strain is a subjective state of distress experienced. The aim of this study was to explain nursing teachers’ perception of role strain. 
Material and Methods: This qualitative study was conducted in 2013, based on conventional content analysis. Using purposeful sampling, 21 nursing teachers were selected from schools of Nursing and Midwifery of the country. The data was collected through Semi-structured, in-depth interviews, and analyzed via content analysis using Granhiem and Landman (2004). The rigor and confirmability of the data were used by Guba and Lincoln criteria. Results: The data was summarized in sixteen subcategories and five main categories. Nursing teachers’ perception about role strain was placed in following categories: Duty interference, Work Overload, Clinical teaching problems, Educational system problems and Students’ problems. 
Conclusion: Given the work-related requirements and role obligations, we recommend that managers and health policy makers be careful about some protective strategies to reduce the role strain.

Feasibility study of using the magnet hospital model in improving quality of nursing care in Iran: An action research pilot study
Abbas Ebadi, Hadis Ashrafizadeh, Leila Khanali Mojen, Somayeh Mirzaie, Zeynab Kazemzadeh, Parastoo Ariamloo, Maryam Rassouli, Jeannine M. Brant ,
Volume 22, Issue 3 (9-2025)
Abstract
Background: Iran’s health system continues to face challenges in nursing care quality, highlighting the need to improve nursing-sensitive indicators. This pilot study evaluated the feasibility of implementing the Magnet Hospital Recognition Program to enhance nursing care quality in six Iranian university-affiliated hospitals.
Methods: An action research design was carried out from 2022 to 2024 in six hospitals selected by predefined inclusion criteria. The study comprised three stages. In stage one, investigators used a validated gap-analysis questionnaire to assess existing nursing service processes across five Magnet dimensions and developed targeted improvement plans. Stage two involved implementing interventions, including specialized training courses, development of a nursing management portal and managerial dashboard, compilation of care indicators, facilitation of advanced qualification licensing for nurses, and establishment of a collaborative research committee with the nursing faculty. In the third stage, program monitoring was conducted through quarterly field visits and progress reports. All data were collected via the gap-analysis tool.
Results: At baseline (Stage one), all centers scored zero in most Magnet dimensions, prompting the design of specific improvement programs. During stage two, organizational overview initiatives empowered managers and updated the nursing management portal. Empirical outcomes advanced through training in the nursing process, pain and wound management, patient satisfaction measurement, and structured patient education and follow-up. Transformational leadership efforts delivered a managerial information dashboard and systematic indicator tracking. Structural empowerment was achieved via professional qualification programs, and innovation was fostered through a joint research committee and human-resource planning. Stage three monitoring revealed that most pilot hospitals had progressed to level 1 (Planning and development) and a minority to level 2 (Full implementation), demonstrating measurable advancement toward Magnet standards.
Conclusion: The Deputy of Nursing’s “Outstanding Hospital” initiative successfully piloted Magnet-based improvements, notably enhancing patient satisfaction and standard adoption. Continued focus on evidence-based practice, professional growth, and the integration of telenursing is recommended for broader implementation.

Impact of palliative care on the quality of life and patient satisfaction in cancer patients: A before-and-after quasi-experimental study
Shima Sadat Aghahosseini , Maryam Karami , Maryam Rassouli, Mohammad Esmaeil Akbari , Hamideh Ebrahimi , Kazem Najafi ,
Volume 22, Issue 3 (9-2025)
Abstract
Background: Palliative care is a holistic approach aimed at enhancing the quality of life for patients with cancer. Given the rising number of cancer patients in Iran, its significance has become increasingly apparent. This study investigates the effect of palliative care on the quality of life and satisfaction of patients with cancer.
Methods: This before-and-after quasi-experimental study was conducted in 2024 on 320 patients with breast, tongue, stomach, thyroid, osteosarcoma, and colon cancer at a teaching hospital in Tehran, Iran. Participants were selected through convenience sampling based on eligibility criteria, including being over 18 years of age, having literacy, being able to speak Persian, and being psychologically stable. The quality of life and life satisfaction of patients were assessed before and after participation in a structured palliative care program. The intervention consisted of six two-hour palliative care sessions, delivered over two months. Data were collected using the Satisfaction with Life Scale (SWLS) and the EORTC QLQ-C30 Quality of Life Questionnaire. Data analysis was conducted using SPSS software, version 26, and a paired t-test was employed for statistical evaluation.
Results: The results indicated that the participants had a mean age of 50.67 years, with a standard deviation of 13.23 years. After receiving palliative care, the overall quality of life score, along with its dimensions (except for emotional functioning, sore throat, and diarrhea), showed a significant improvement (P < 0.001, Cohen’s d = 2.36). Moreover, the intervention led to a significant improvement in patients' life satisfaction, with a p-value of less than 0.001 and a Cohen’s d of 1.01.
Conclusion: The study findings demonstrated that palliative care services, typically provided to individuals nearing the end of life, enhanced the quality of life for cancer patients. Policymakers should prioritize support for patients, and healthcare managers must collaborate to improve and provide palliative care services with qualified personnel, especially nurses.
 

Bridging the gap in palliative care nursing training: The emerging role of virtual and innovative learning models in Middle Eastern countries
Hadis Ashrafizadeh , Salem Said Al Touby , Maryam Rassouli ,
Volume 23, Issue 1 (5-2026)
Abstract
Palliative care is a critical component of Universal Health Coverage and a key approach for reducing serious health-related suffering; however, major educational gaps persist among nurses across the Eastern Mediterranean Region. Although nurses deliver palliative care in hospitals, communities, and homes, many report insufficient knowledge, skills, and confidence, especially in end-of-life communication, complex symptom management, and psychosocial–spiritual support. These gaps are driven by limited curricular integration, shortages of trained faculty, resource constraints, and scarce post-graduation training. Digital and virtual education models (e.g., Project ECHO, web-based modules, and virtual simulation/VR) offer scalable solutions by improving access, reducing time and cost barriers, and strengthening competence and self-efficacy. These models need to fit local health‑system capacities and the cultural and religious norms of Middle Eastern communities, especially around family‑centered decisions and sensitive conversations. Continued investment in faculty training, technology, and mentorship is essential for bringing culturally responsive virtual palliative care education into nursing programs.

Reframing cancer care equity: The expanding role of oncology nursing in low- and medium-HDI settings
Salem Said Al Touby , Hadis Ashrafizadeh , Mitra Hekmatafshar , Annie Young , Maryam Rassouli ,
Volume 23, Issue 1 (5-2026)
Abstract
Substantial inequities in cancer care persist across countries and population groups with lower levels of human development. Although very high- and high-Human Development Index (HDI) settings often report higher cancer incidence and comparatively lower mortality, low- and medium-HDI countries experience lower recorded incidence but disproportionately higher mortality-to-incidence ratios. This pattern reflects delayed diagnosis, restricted access to treatment, workforce shortages, and fragile health systems. This narrative policy paper examines how oncology nurses can contribute to reducing these inequities across the cancer care continuum in low- and medium-HDI settings. Drawing on evidence from nursing practice, health systems research, and cancer control initiatives, we emphasize the roles of oncology nurses in prevention, early detection, treatment, survivorship, and palliative care. Key contributions include health education, community-based screening, patient navigation, symptom management, psychosocial support, and culturally responsive end-of-life care. The paper also discusses innovative and scalable service-delivery models, including task-sharing approaches, nurse-led early detection initiatives, case management, telemedicine, and international capacity-building partnerships. Despite their strategic importance, oncology nurses remain constrained by limited access to specialized education, inadequate policy recognition, workforce shortages, burnout, and insufficient locally generated evidence. Addressing these barriers requires sustained investment in oncology nursing education, leadership development, research capacity, and supportive health policies. Strengthening oncology nursing is therefore a practical and potentially high-impact strategy for expanding access to care, improving service continuity, and advancing cancer care equity in resource-constrained settings.

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