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Rafati F, Abaszadeh F, Ghanatsaman FA, Mashayekhi F, Dastyar N. The justification and practice of the patient rights charter from the perspective of patients admitted to surgical wards during COVID-19 pandemic: evidence from Southern Iran. BMC Health Serv Res 2024; 24:875. [PMID: 39090619 PMCID: PMC11295588 DOI: 10.1186/s12913-024-11372-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2024] [Accepted: 07/29/2024] [Indexed: 08/04/2024] Open
Abstract
BACKGROUND Hospitals, as one of the core elements of healthcare service delivery, should pave the way for more efficient compliance with the Patient Rights Charter (PRC). The COVID-19 pandemic affected the interactions between healthcare providers and patients. The present study aimed to investigate the importance and practice of PRC from the perspective of hospitalized patients in surgical wards during the COVID-19 pandemic. METHODS The participants in this cross-sectional study were 355 patients who underwent surgery at Imam Khomeini Hospital in southern Kerman, Iran, in 2021. Data was collected by convenience sampling. The data in this study were collected using Justification and Practice of Patient Rights (JPPR). Data analysis was performed with SPSS-16 software using the Kruskal-Wallis, Wilcoxon, and Spearman correlation tests. RESULTS The total mean score for the justification of patient rights (PR) was 69.12 ± 58.44, which was significantly higher than the total mean score of PR practice (61.02 ± 1.32) (p < 0.001). In addition, the mean scores for all PR justification dimensions were significantly higher than the mean scores for PR practice (p < 0.05). A comparison of the dimensions of the PR justification showed service facilitation had the highest score and handling patient complaints had the lowest score. Furthermore, an analysis of the dimensions of PR practice indicated that handling patient complaints had the lowest score and other dimensions had the same score. CONCLUSION The results of this study showed that despite the great importance of PR from the patients' perspective, PR is not still practiced optimally. The findings from this study can have some clinical implications and help hospital managers to take measures to better adapt to the PRC with staff training and developing a strong policy to comply with the PRC, especially by paving the way for handling patient complaints.
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Affiliation(s)
- Foozieh Rafati
- Department of Nursing, Nursing and Midwifery School, Jiroft University of Medical Sciences, Jiroft, Iran
| | - Farzad Abaszadeh
- Clinical Education Research Center, Department of Medical Education, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Fatemeh Amiri Ghanatsaman
- Student Research Committee, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Fatemeh Mashayekhi
- Department of Nursing, Nursing and Midwifery School, Jiroft University of Medical Sciences, Jiroft, Iran
| | - Neda Dastyar
- Department of Nursing, Nursing and Midwifery School, Jiroft University of Medical Sciences, Jiroft, Iran.
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Kaplan A, Kaçmaz HY, Öztürk S. An Evaluation on the Attitude Toward Using Patient Rights and Satisfaction Levels in Emergency Department Patients. J Emerg Nurs 2024; 50:243-253. [PMID: 38127045 DOI: 10.1016/j.jen.2023.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Revised: 11/09/2023] [Accepted: 11/11/2023] [Indexed: 12/23/2023]
Abstract
INTRODUCTION In emergency health care services, patient satisfaction is one of the fundamental indicators of quality emergency care, making it essential to identify factors that can impact this component of care. This study aimed to determine emergency service patients' attitudes toward using patient rights, their satisfaction levels with emergency service, and related factors. METHODS The cross-sectional study was conducted with 382 patients who presented to the emergency department between November 2022 and March 2023. Data were collected using the Patient Description Form, the Emergency Department Patient Satisfaction Scale, and the Scale of Patient Rights Using Attitude. The study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist for reporting. RESULTS The mean score of the Emergency Department Patient Satisfaction Scale was 53.88 ± 6.88 (minimum score, 30; maximum score, 68), and the mean score of the Scale of Patient Rights Using Attitude was 108.89 ± 11.90 (minimum score, 73; maximum score, 135). As a result of the regression analysis, it was found that the Scale of Patient Rights Using Attitude scores and frequency of ED visits significantly contributed to the Emergency Department Patient Satisfaction Scale scores. Younger patients who had higher educational status presented to the emergency department more frequently and had chronic diseases were associated with positive attitudes about using patient rights and had higher levels of ED patient satisfaction (P < .001). DISCUSSION The study has provided valuable information for assessing the attitudes of ED patients toward exercising their patient rights and their satisfaction levels. Respect for patient rights and their effective utilization by patients can enhance the quality of ED services and increase patient satisfaction.
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Erdei Jávorné R, Nagy M, Molnár E, Máthé RZ, Tóth-Batizán EE, Konečná M, Zahatňanská M, Mydlárová Blaščáková M, Poráčová J, Sedlák V, Sántha Á. Health literacy and patient rights awareness in ethnic Hungarian mothers in Eastern Europe. Cent Eur J Public Health 2023; 31:S31-S39. [PMID: 38272476 DOI: 10.21101/cejph.a7894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Accepted: 11/28/2023] [Indexed: 01/27/2024]
Abstract
OBJECTIVES The paper proposes to identify the determinants of patients' rights awareness in mothers and to examine the relationship of health literacy with awareness of those rights. METHODS Our results are based on data from a convenience sample of 894 non-health professional ethnic Hungarian mothers from Hungary, Romania and Slovakia. Health literacy is measured with the HLS-EU-16 questionnaire. RESULTS Analysis of variance reveals a significant association of health literacy with patient rights awareness. Our results show that health literacy is the highest among patients who filed a complaint through formal channels and/or took legal measures to restore their rights upon violation. A logistic regression model is built to identify the likelihood of having high patient rights awareness, that is, acting formally for the restoration of rights upon infringement. The model controls for covariates. When controlled for covariates, the likelihood of having high patient rights awareness increases with age, and is higher for mothers with highest education, for inhabitants of larger towns, as well as for those with adequate health literacy. CONCLUSIONS The findings of our study have implications for health policy, as they reveal significant inequalities in patient rights culture.
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Affiliation(s)
- Renáta Erdei Jávorné
- Department of Health Methodology and Prevention, Faculty of Health Sciences, University of Debrecen, Nyiregyhaza, Hungary
| | - Melinda Nagy
- Department of Biology, Faculty of Education, J. Selye University Komarno, Komarno, Slovak Republic
| | - Eszter Molnár
- Department of Engineering, Lancaster University, Lancaster, United Kingdom
| | - Réka Zsuzsánna Máthé
- Department of Applied Social Sciences, Faculty of Technical and Human Sciences, Sapientia Hungarian University of Transylvania, Targu Mures, Romania
- University of Public Service, Europe Strategy Research Institute, Budapest, Hungary
| | - Emese Emőke Tóth-Batizán
- Department of Applied Social Sciences, Faculty of Technical and Human Sciences, Sapientia Hungarian University of Transylvania, Targu Mures, Romania
| | - Mária Konečná
- Department of Biology, Faculty of Humanities and Natural Sciences, University of Presov, Presov, Slovak Republic
| | - Mária Zahatňanská
- Institute of Pedagogy, Andragogy and Psychology, Faculty of Humanities and Natural Sciences, University of Presov, Presov, Slovak Republic
| | - Marta Mydlárová Blaščáková
- Department of Biology, Faculty of Humanities and Natural Sciences, University of Presov, Presov, Slovak Republic
| | - Janka Poráčová
- Department of Biology, Faculty of Humanities and Natural Sciences, University of Presov, Presov, Slovak Republic
| | - Vincent Sedlák
- Department of Biology, Faculty of Humanities and Natural Sciences, University of Presov, Presov, Slovak Republic
| | - Ágnes Sántha
- Department of Applied Social Sciences, Faculty of Technical and Human Sciences, Sapientia Hungarian University of Transylvania, Targu Mures, Romania
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Taymournejad A, Hosseini SM, Jafari M, Alimohammadzadeh K, Maher A. Identification of the factors affecting the referral system of veterans' health services: A scoping review. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2023; 12:255. [PMID: 37727409 PMCID: PMC10506785 DOI: 10.4103/jehp.jehp_69_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Accepted: 02/21/2023] [Indexed: 09/21/2023]
Abstract
Referral in the health system is a systematic process for the optimal allocation of resources and improves the access of people in need of treatment services. Considering the vulnerability of the veterans and more medical needs in this group, this study aims to identify the components that affect veterans' health services referral system. MEDLINE, Scopus, Web of Science, and ProQuest databases, the international military studies website, and key journals in the field of veterans' health services were searched with related keywords including "veteran," "referral system," and "health services" for the period from January 2000 to July 2022. Studies were screened and selected in accordance with the phases of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA) flow diagram 2020. Data extraction was done by two researchers independently and a thematic content analysis method was used to analyze the findings. Among 40,608 studies searched electronically and 16 studies searched manually, 19 studies that met the inclusion criteria were selected. The research method applied here is a combination of quantitative, qualitative, and mixed methods. The most important findings were extracted from the included studies and analyzed in three general categories: components related to the patient, service provider, and the structural-operational mechanisms of the referral system. The effective performance of the referral system for providing health services to veterans is influenced by the factors affecting components related to the patient, the service provider, and the structural-operational mechanisms of the referral system. Evaluating and improving each of these factors improve the performance of the referral system and provision of health services to veterans.
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Affiliation(s)
- Ahmad Taymournejad
- Health Services Management, North Tehran Branch, Islamic Azad University, Tehran, Iran
| | - Seyed Mojtaba Hosseini
- Health Services Management Department, North Tehran Branch, Islamic Azad University, Tehran, Iran
| | - Mehrnoosh Jafari
- Health Services Management Department, North Tehran Branch, Islamic Azad University, Tehran, Iran
| | - Khalil Alimohammadzadeh
- Health Services Management Department, North Tehran Branch, Islamic Azad University, Tehran, Iran
- Economic Policy Research Center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
| | - Ali Maher
- Department of Health Policy, Economics and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Thiyagarajan B, Jesiah S. Patients' awareness of their rights: A cross-sectional study exploring the Indian perspective. THE NATIONAL MEDICAL JOURNAL OF INDIA 2023; 36:187-191. [PMID: 38692624 DOI: 10.25259/nmji_234_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2024]
Affiliation(s)
- Bharathi Thiyagarajan
- Faculty of Management Sciences, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India
| | - Selvam Jesiah
- Faculty of Management Sciences, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India
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Comez YI. Retreatment Plan Success through Patient Health Awareness, Health Behavior, and Access to Doctor after a Focal Therapy Procedure for Prostate Cancer. Am J Health Behav 2023; 47:116-129. [PMID: 36945097 DOI: 10.5993/ajhb.47.1.13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/23/2023]
Abstract
Objective: The research aimed to investigate the retreatment plan success through patient health awareness, health behavior, and access to a doctor when patients have in-field or outfield recurrence after a focal therapy procedure for prostate cancer. This research is initiated because many men are victims of prostate cancer. Methods: The research collected data from patient's focal therapy clinics for their treatment of prostate cancer. The data for this research was collected with a longitudinal design because a complete procedure of patient treatment was required in this study. Results: The findings disclosed that prostate cancer patients' retreatment can be a success when they have health awareness and access to a doctor for focal therapy. The model developed in this research is a significant contribution to the literature on patient satisfaction and prostate cancer treatment. The research has contributed remarkable implications to the theory by presenting a newly developed relationship with empirical evidence based on patients' responses. Conclusion: The study has presented a roadmap for the practical treatment of prostate cancer patients and treatment success for the patient's treatment in the future. Some future recommendations are also reported for future investigation and work on prostate cancer and retreatment success.
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Awad MH, Ahmed MA, Osman SA, Alserhan HA, Bukhamsin NM, Ayid HA, Abuodeh NA. Multinational KAP Study: Patient Rights among Medical Students, 2023. OPEN JOURNAL OF PHILOSOPHY 2023; 13:668-680. [DOI: 10.4236/ojpp.2023.134042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/18/2024]
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Dessalegn K, Girma B, Oumer KE, Hunie M, Belete KG. Patients' awareness of their rights, associated factors and its practice by health professionals from a patient perspective among elective surgical patients at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: a cross-sectional study, 2021. BMJ Open 2022; 12:e060218. [PMID: 36428024 PMCID: PMC9703307 DOI: 10.1136/bmjopen-2021-060218] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVES To assess the patients' awareness of their rights, associated factors and the practice of these rights by the medical team from the patients' perspective at Tikur Anbessa Specialized Hospital.DesignAn institution-based prospective cross-sectional study was carried out. SETTING The research was conducted from January to May 2021 in a specialised hospital in central Ethiopia. PARTICIPANTS 392 people who had elective surgery were included in this study; 217 men and 175 women responded. Systematic random sampling was employed to choose the research subjects, and K (skip interval) was calculated using the 3-month surgical waiting list at the hospital. Patients under the age of 18, those with severe illnesses, those who were not inpatients, and those who had diagnosable mental conditions were not eligible. PRIMARY AND SECONDARY OUTCOME MEASURES A structured questionnaire was administered in a face-to-face interview by trained data collectors after surgery at the surgical ward and analysed by using SPSS V.24. Bivariate and multivariable regression analyses were used to identify the associated factors. A p<0.05 was used to judge the significance of the association. RESULT Patients' awareness about their rights was 76%. Educational level, place of residency and the number of hospital admission were significantly associated with patients' awareness. The majority (83.2%) of patients reported that health providers had poor practices regarding patient rights. CONCLUSION Most patients were unaware of most of their rights, and the majority of patients reported that healthcare providers did a poor job of protecting their patients' rights. To advance the application and understanding of patient rights, access to various facilities, patient and healthcare provider education programmes, and patient rights information technology must be improved.
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Affiliation(s)
| | - Betelihem Girma
- Department of Anesthesia, Addis Ababa University, Addis Ababa, Ethiopia
| | - Keder Essa Oumer
- Department of Anesthesia, Debre Tabor University, Debre Tabor, Ethiopia
| | - Metages Hunie
- Department of Anesthesia, Debre Tabor University, Debre Tabor, Ethiopia
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Putturaj M, Krumeich A, Nuggehalli Srinivas P, Engel N, Criel B, Van Belle S. Crying baby gets the milk? The governmentality of grievance redressal for patient rights violations in Karnataka, India. BMJ Glob Health 2022; 7:bmjgh-2022-008626. [PMID: 35623644 PMCID: PMC9150157 DOI: 10.1136/bmjgh-2022-008626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Accepted: 05/14/2022] [Indexed: 11/17/2022] Open
Abstract
Background Patient rights aim to protect the dignity of healthcare-seeking individuals. Realisation of these rights is predicated on effective grievance redressal for the victims of patient rights violations. Methods We used a critical case (that yields the most information) of patient rights violations reported in Karnataka state (South India) to explore the power dynamics involved in resolving grievances raised by healthcare-seeking individuals. Using interviews, media reports and other documents pertaining to the case, we explored the ‘governmentality’ of grievance redressal for patient rights violations, that is, the interaction of micropractices and techniques of power employed by actors to govern the processes and outcomes. We also examined whether existing governmentality ensured procedural and substantive justice to care-seeking individuals. Results Collective action was necessary by the aggrieved women in terms of protests, media engagement, petitions and follow-up to ensure that the State accepted a complaint against a medical professional. Each institution, and especially the medical professional council, exercised its power by problematising the grievance in its own way which was distinct from the problematisation of the grievance by the collective. The State bureaucracy enacted its power by creating a maze of organisational units and by fragmenting the grievance redressal across various bureaucratic units. Conclusion There is a need for measures guaranteeing accountability, transparency, promptness, fairness, credibility and trustworthiness in the patient grievance redressal system. Governmentality as a framework enabled to study how subjects (care-seeking individuals) are rendered governable and resist dominant forces in the grievance redressal system for patient rights violations.
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Affiliation(s)
- Meena Putturaj
- Department of Health Ethics and Society, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands .,Health Equity Cluster, Institute of Public Health Bangalore, Bangalore, Karnataka, India.,Centre for Local Health Traditions and Policy, The University of Trans-Disciplinary Health Sciences and Technology, Bengaluru, Karnataka, India.,Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium
| | - Anja Krumeich
- Department of Health Ethics and Society, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
| | | | - Nora Engel
- Department of Health Ethics and Society, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
| | - Bart Criel
- Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium
| | - Sara Van Belle
- Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium
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Mahmoudi G, Asadi Abu Kheili M, Yazdani Charati J. Exploring health-care providers understanding and experiences of providing patient-centered care in hospitalized patients based on patient's bill of rights: A qualitative study. JOURNAL OF NURSING AND MIDWIFERY SCIENCES 2022. [DOI: 10.4103/jnms.jnms_38_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Tripathi PP, Kumawat V, Patidar GK. Donor's Perspectives on Blood Donation During Covid-19 Pandemic. Indian J Hematol Blood Transfus 2021; 38:536-545. [PMID: 34866812 PMCID: PMC8630517 DOI: 10.1007/s12288-021-01504-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Accepted: 11/20/2021] [Indexed: 11/25/2022] Open
Abstract
Covid-19 pandemic had affected transfusion services including recruitment of donors and blood donation camps activities. The blood donors may have concerns, confusion, and misleading rumours about blood donation during pandemic. People's priorities for blood donation may shift because of a dearth of necessities. It is important to identify factors which prevent or motivate blood donors during pandemic. This study was designed to understand blood donors' knowledge, attitudes, and perceptions during the Covid-19 pandemic. A descriptive cross-sectional study to assess donor’s knowledge, attitude, and perception regarding blood donation using self-administered 20 questions. The study duration was 4 months. A total 503 whole blood donors participated. The fear of infection and reduced blood donor motivation were observed to be the major deterrents of blood donation activity. Environment of blood donation area and travel to blood donation site were perceived two major sources of Covid-19 infection by participants. The top 3 motivational factor for blood donation were direct patient request to donate (30%), followed by family/ friends need and social media campaigns (26% each). Most donors (70.6%) were aware of importance of Covid-19 appropriate behaviour during current pandemic. The 67% donors felt that adequate Covid-19 preventive measures had been followed by the staff involved in blood collection. Based on the survey results, the inferences are that donors may harbour fear of infection and concerns for their safety, deterring blood donation. The direct appeal from a patient's relative to donate blood or a requirement in their family/friends and social media appeals emerge important factors to motivate donors. Travel facility arrangement may aide blood donation. Most of the donors are more than satisfied with the blood donation experience and are motivated to inform the transfusion services of any appearance of Covid-19 symptoms post donation. The donors were satisfied with the steps to reduce Covid-19 infection.
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Affiliation(s)
- Parmatma Prasad Tripathi
- Department of Transfusion Medicine and Haematology, National Institute of Mental Health and Neurosciences, Bengaluru, 560029 India
| | - Vijay Kumawat
- Department of Transfusion Medicine and Haematology, National Institute of Mental Health and Neurosciences, Bengaluru, 560029 India
| | - Gopal Kumar Patidar
- Department of Transfusion Medicine, All India Institute of Medical Sciences, New Delhi, 110001 India
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Al-Rebdi M, Rabbani U, Alqahtani SM. Are Patients Aware of Their Rights? A Cross-Sectional Study of Visitors to Three Primary Healthcare Centers in Riyadh, Saudi Arabia. Cureus 2021; 13:e19290. [PMID: 34900471 PMCID: PMC8648284 DOI: 10.7759/cureus.19290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/05/2021] [Indexed: 11/16/2022] Open
Abstract
Background and objective Patients' rights are an essential aspect of human rights. Thus, in Saudi Arabia, the Ministry of National Guard Health Affairs (MNGHA) established a Patients' Bill of Rights (PBR) and introduced it to the public about 30 years ago. This study aims to assess levels of awareness of PBR and to identify their information sources among visitors to primary healthcare centers (PHCCs). Methods This cross-sectional study included 358 visitors, aged 17 to 78, to three PHCCs at the National Guard Hospital in Riyadh, Saudi Arabia. The study was conducted between April and December 2017 using a self-administered questionnaire. The initial sample (convenience sampling) was refined to match the proportion of participants with the relative size of populations served by the centers. Descriptive statistics were used to determine the relationships between participants' demographic data and levels of awareness of patients' rights. Results Most participants (72.2%) were moderately aware of their rights, but the majority (65.3%) were unaware of the existence of the PBR. Healthcare providers were the main information source for patients' rights, although participants with the highest awareness scores obtained information from social media. Level of awareness was significantly associated with education, income, and regular hospital follow-ups. Conclusions The study results should motivate healthcare providers, stakeholders, and health organizations in Saudi Arabia to raise and maintain public awareness of patients' rights and to implement them.
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Affiliation(s)
- Muath Al-Rebdi
- Department of Family Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Unaib Rabbani
- Family Medicine Academy, Qassim Health Cluster, Qassim, SAU
| | - Saeed M Alqahtani
- Aviation Medicine Department, King Abdulaziz Medical City (KAMC) Ministry of National Guard Health Affairs, Riyadh, SAU
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Muhammad D, Jan A, Naz S. Assessment of hospitalized patients awareness of their rights: a cross-sectional descriptive study. Pan Afr Med J 2021; 38:157. [PMID: 33995764 PMCID: PMC8077673 DOI: 10.11604/pamj.2021.38.157.24824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2020] [Accepted: 07/29/2020] [Indexed: 11/27/2022] Open
Abstract
Introduction in this modern era and in the speedily changing atmosphere of health care, health care practice and patients has affected by many factors. These days, in many states the patient rights has become the pivot of the national attention in medical culture. Awareness of health rights is important to achieve the best level of health care. The study was aimed to assess the awareness of hospitalized patients about the rights. Methods a cross-sectional descriptive study was conducted in different wards of public sector tertiary care hospitals of Peshawar, over four months duration from February to May 2018. Hospitalized patients who were being admitted for at least two days from 17 to 70 years of age were included. Before asking the patients to answer the questionnaire, consent from the patients was acquired. A self-administered semi-structured questionnaire was adopted. Data analysis was done through SPSS version 22. Results among 200 participants 46% were male and 54% were female, 35.5% were from urban and 64.5% were from rural areas. Patients were less aware of their individual rights, like 65.5% of clients were not cognizant of the patients special bill of rights while 59% were aware to receive non-discriminatory and timely health services. Conclusion most of the clients were not conscious of their individual health rights. About half of the sample knew that the patients will receive respectful care and the patients will receive care in clean and medically safe environment.
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Affiliation(s)
- Dildar Muhammad
- Institute of Nursing Sciences, Khyber Medical University, Peshawar, Pakistan
| | - Anayat Jan
- Institute of Nursing Sciences, Khyber Medical University, Peshawar, Pakistan
| | - Sehrish Naz
- Institute of Nursing Sciences, Khyber Medical University, Peshawar, Pakistan
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Mirzoev T, Kane S, Al Azdi Z, Ebenso B, Chowdhury AA, Huque R. How do patient feedback systems work in low-income and middle-income countries? Insights from a realist evaluation in Bangladesh. BMJ Glob Health 2021; 6:e004357. [PMID: 33568396 PMCID: PMC7878124 DOI: 10.1136/bmjgh-2020-004357] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Revised: 12/21/2020] [Accepted: 01/20/2021] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Well-functioning patient feedback systems can contribute to improved quality of healthcare and systems accountability. We used realist evaluation to examine patient feedback systems at health facilities in Bangladesh, informed by theories of citizenship and principal-agent relationships. METHODS We collected and analysed data in two stages, using: document review; secondary analysis of data from publicly available web-portals; in-depth interviews with patients, health workers and managers; non-participant observations of feedback environments; and stakeholder workshops. Stage 1 focused on identifying and articulating the initial programme theory (PT) of patient feedback systems. In stage 2, we iteratively tested and refined this initial theory, through analysing data and grounding emerging findings within substantive theories and empirical literature, to arrive at a refined PT. RESULTS Multiple patient feedback systems operate in Bangladesh, essentially comprising stages of collection, analysis and actions on feedback. Key contextual enablers include political commitment to accountability, whereas key constraints include limited patient awareness of feedback channels, lack of guidelines and documented processes, local political dynamics and priorities, institutional hierarchies and accountability relationships. Findings highlight that relational trust may be important for many people to exercise citizenship and providing feedback, and that appropriate policy and regulatory frameworks with clear lines of accountability are critical for ensuring effective patient feedback management within frontline healthcare facilities. CONCLUSION Theories of citizenship and principal-agent relationships can help understand how feedback systems work through spotlighting the citizenship identity and agency, shared or competing interests, and information asymmetries. We extend the understanding of these theories by highlighting how patients, health workers and managers act as both principals and agents, and how information asymmetry and possible agency loss can be addressed. We highlight the importance of awareness raising and non-threatening environment to provide feedback, adequate support to staff to document and analyse feedback and timely actions on the information.
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Affiliation(s)
- Tolib Mirzoev
- Nuffield Centre for International Health and Development, University of Leeds, Leeds, UK
| | - Sumit Kane
- Nossal Institute for Global Health Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia
| | | | - Bassey Ebenso
- Nuffield Centre for International Health and Development, University of Leeds, Leeds, UK
| | | | - Rumana Huque
- Research and Development, ARK Foundation, Dhaka, Bangladesh
- Department of Economics, University of Dhaka, Dhaka, Bangladesh
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Observance of patients’ rights in emergency department of educational hospitals in south-east Iran. INTERNATIONAL JOURNAL OF HUMAN RIGHTS IN HEALTHCARE 2020. [DOI: 10.1108/ijhrh-09-2019-0072] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
Patient right is the most important ethical right in the hospital, which equally, belongs to every human kind. Observance of patient right is responsibility of all treatment staff when they offer treatment and care for patient. This study aims to investigate observance of patients’ rights in emergency department of educational hospitals in south-east Iran.
Design/methodology/approach
This study used a cross-sectional design and was conducted in four educational hospitals affiliated with the Kerman University of Medical Sciences in 2018. Using a two-section standard questionnaire of Patients’ Rights Charter, this study assessed patients’ rights observance using a census method, N = 382. The data from the questionnaire were analyzed using descriptive statistics including mean and standard deviations and analytic statistics such as Kolmogorov – Smirnov, ANOVA, t-test and Pearson test using SPSS 21.
Findings
Means of total score for observing all essentials of patients’ rights in emergency department of educational hospitals were at a moderate level (43.10 ±15.05) from the viewpoint of patients. The area of “providing health services based on respecting patient’s privacy and observing the essentials of secrecy and confidentiality” enjoying the highest mean score (86.89 ± 24.39), was at a good level compared to other areas. The area of “having access to effective complaint management system” showed the lowest mean score (23/85 ± 23/07) from the participants’ perspective proving a poor level. Between the patient rights observance and gender, education level, resident status and duration of hospitalization, a significant relationship was observed.
Originality/value
As regarded in this study, the degree of patients’ rights observance was moderate so, culture, paying attention to the rights of all stakeholders, identifying barriers and various factors, including the professional and environmental differences in the assessment of the need, should be considered by policymakers to design promotional and regulatory programs for improving the rights of the patient.
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Govasli L, Solvoll BA. Nurses' experiences of busyness in their daily work. Nurs Inq 2020; 27:e12350. [PMID: 32133740 DOI: 10.1111/nin.12350] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2019] [Revised: 02/12/2020] [Accepted: 02/14/2020] [Indexed: 11/30/2022]
Abstract
The purpose of this study is to explore and illuminate the phenomenon of busyness as experienced by nurses. The daily work of nursing practice is often characterized by a hectic pace in the execution of tasks. Previous research shows that busyness can potentially lead to a reduction in the quality of nursing. Little has been explored about nurses' own experiences of busyness. This study has a qualitative design. The method chosen is a phenomenological hermeneutical exploration of personal experiences. Results reveal that busyness is experienced as a disparity between perceived necessary tasks and time available to accomplish them. Busyness has an outer dimension of events and a dimension of internal processes. Busyness is experienced as acceptable to some extent, but feels strongly uncomfortable if important tasks remain undone. The intolerable busyness raises negative emotions, steals energy and weakens health. Coping with busyness seems to be a personal and individual struggle, even though health service enterprises are a collective matter.
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Affiliation(s)
- Laila Govasli
- Department Physical Medicine and Rehabilitation (FMR), The Hospital at Helgeland, Mo I Rana, Norway
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Al Anazi BD, Faraj F, Al Balawi MM, Al Anazi MD. The Awareness of Patients' Bill of Rights among Medical Interns and Medical Students at Tabuk University. Open Access Maced J Med Sci 2019; 7:2932-2939. [PMID: 31844460 PMCID: PMC6901845 DOI: 10.3889/oamjms.2019.785] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2019] [Revised: 07/14/2019] [Accepted: 07/15/2019] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Incorporating patient priorities and preferences into their healthcare can improve desirable proximal outcomes related to communication such as the patient feeling heard, understood, respected and engaged in their care, which can soften the negative effects of the illness and can help clinicians in decision-making. AIM To determine the level of awareness and knowledge of Patients' Bill of Rights and factors affecting it among undergraduate students and medical interns. METHODS This is a cross-sectional study carried out in Tabuk city among all medical interns doing their clinical rotations at Tabuk city (n = 70) as well as the 4th, 5th and 6th-year medical students, Tabuk University (n = 219). An English self-administered valid and reliable questionnaire, based on patients` Bill of Rights (PBR) document published by the Ministry of Health (MOH), Kingdom of Saudi Arabia (KSA) was utilised for data collection. RESULTS The study included 205 medical students and interns out of invited 289, giving a response rate of 70.9%. All were Saudis. Almost two-thirds (69.3%) reported hearing about patients` bill of rights. Among those who have heard about these rights, 40.2% gained their information from lectures whereas 16.2% gained the information from hospital posters. The total knowledge score about Patients` Bill of Rights ranged between 0 and 32 (out of a possible maximum of 34) with a mean ± SD of 24.6 ± 4.6 and median (IQR) of 25 (23-27). There was a significant positive correlation between student`s age and total score of knowledge of patients` bill of rights, Spearman`s correlation coefficient (r) = 0.18, p = 0.014. The mean rank of the total knowledge score was 83.98 among 4th-grade medical students and reached to 125.07 among medical interns, p = 0.003. CONCLUSION Overall awareness and Knowledge of the senior medical students and interns in the College of Medicine, Tabuk University regarding patients` rights age acceptable. However, some deficient issue needs to be improved.
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Affiliation(s)
- Bashayer Dhaifallah Al Anazi
- Department of Family Medicine, Family Medicine Residency Training Joint Program, King Salman Military Hospital, Tabuk, Saudi Arabia
| | - Fatma Faraj
- Department of Family Medicine, Consultant Family Medicine, Saudi and Arab Board Certified, King Salman Military Hospital, Tabuk, Saudi Arabia
| | - Maram Mohsen Al Balawi
- Department of Family Medicine, Family Medicine Residency Training Joint Program, King Salman Military Hospital, Tabuk, Saudi Arabia
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Sharifzadeh GR, Ghoddoosi-Nejad DJ, Behdani S, Haghgoshayie E, Siraneh Y, Hasanpoor E. Diabetes patients’ perspectives on the patients’ rights: evidence from east of Iran. INTERNATIONAL JOURNAL OF HUMAN RIGHTS IN HEALTH CARE 2019. [DOI: 10.1108/ijhrh-09-2018-0060] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
The Iranian patients’ rights charter defines patient rights as a reflection of fundamental human rights in the field of medicine and incorporates all elements of patient rights accepted in international texts. The purpose of this paper is to study the way in which diabetes patients’ rights are being exercised in everyday hospital practice in Birjand, Iran.
Design/methodology/approach
A cross-sectional study design was used in 2014. The sample size was estimated 150 patients, out of which 108 diabetes patients completed questionnaire. The questionnaire of diabetes patients’ perspectives on the patients’ rights was used to collect data. The questionnaire consists of 22 questions. Data entry and analysis were carried out using SPSS software (version 22). Descriptive and inferential statistics were calculated with all survey items and total scores, as well as demographic data.
Findings
The response rate was 72 percent. Overall, the mean score percentage of diabetes patients’ perspectives on the patients’ rights was 74.04± 8.4. Furthermore, statistical significant differences were found among diabetes patients in relation to patients’ perspectives on the patients’ rights according to highest level of education (F=16.52, p=0.002), their habitat(t=3.49, p=0.001), age groups (F=18.70, p=0.0001) and the duration of the disease (F=5.16, p=0.007). The results showed that no statistically significant differences were observed among diabetes patients in relation to diabetes patients’ perspectives on the patients’ rights according to their gender (F=1.57, p=0.12) and marital status (F=1.56, p=0.09).
Originality/value
Clinicians can provide care based on patients’ rights, and their knowledge of patients’ rights needs to be evaluated. Educational courses, leaflets, booklets and posters can be helpful in this regard. In addition, professional organizations and the Ministry of Health need to be more sensitive to this issue.
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Faraji A, Aryan A, Jafari F, Khatony A. Awareness of professional rules among Iranian nurses: a cross-sectional study. BMC Nurs 2018; 17:55. [PMID: 30574015 PMCID: PMC6299541 DOI: 10.1186/s12912-018-0324-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2017] [Accepted: 11/28/2018] [Indexed: 11/10/2022] Open
Abstract
Background One of the main responsibilities of professional nurses is protecting themselves against legal complications. Hence, they have to be sufficiently aware of the professional rules. This study examines the Iranian nurses’ awareness of professional rules. Methods A total of 260 nurses were randomly selected from among the nurses working at various wards and included in this cross-sectional descriptive analytical study. Data were collected using a researcher-made questionnaire. The collected data were then analyzed using descriptive (mean and frequency percentage) and inferential (Kolmogorov-Smirnov, Mann-Whitney U, and Kruskal-Wallis) statistics. Results The nurses’ mean awareness of professional rules was 28.3 ± 4.0 out of 37. There was a significant relationship between the mean awareness of the nurses and ward (p = 0.001). However, this relationship was not significant regarding demographic variables age, sex, marital status, job title, working experience, education and history of participation in retraining courses on professional rules. Conclusion A significant number of nurses were not adequately aware of professional rules, which can put them and their working organization at serious risks. Some measures such as holding web-based or in-person training courses and providing educational booklets and pamphlets can be helpful in this regard.
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Affiliation(s)
- Azam Faraji
- 1Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Amir Aryan
- 2Students Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Faranak Jafari
- 1Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Alireza Khatony
- 1Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
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Ye B, Wang X, Wang F, Zhang P, Cheng Y, Sun Y, Jiang H, Qin H, Liu A, Liu Y, Zhu X, Zhang N, Liang Y. Patients' sense of responsibility to healthcare providers and its predictors: A national cross-sectional survey in China. PLoS One 2018; 13:e0207361. [PMID: 30517118 PMCID: PMC6281211 DOI: 10.1371/journal.pone.0207361] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2018] [Accepted: 10/30/2018] [Indexed: 11/18/2022] Open
Abstract
Objectives To evaluate patients’ sense of responsibility to healthcare providers and to determine its predictors using on a national sample in China. Methods We conducted a national cross-sectional survey in China with a stratified cluster sample of patients treated in 77 hospitals between July 2014 and April 2015. Patients’ sense of responsibility to healthcare providers was measured with four questions assessing patients’ perceptions regarding their responsibilities to respect doctors, respect nurses, coordinate with health professionals, and comply with hospital rules. Predictors included patient sociodemographic characteristics and their past hospitalization experience. Results Small proportions of respondents reported that they perceived having no responsibility to respect doctors (8.9%), respect nurses (7.9%), comply with hospital rules (6.7%), or coordinate with health professionals (6.3%). Multivariate regression analyses showed that the strongest predictor of patients’ sense of responsibility to healthcare providers was patinets’ trust in health professionals, followed by patients’ education level. Familiarity with healthcare professionals and past hospitalization frequency were inversely associated with patients’ sense of responsibility to healthcare providers. Conclusions Although only a small proportion of the patients reported feeling no or low sense of responsibility to healthcare providers, the lack of respect and collaboration from these patients can negatively affect patient-provider relationships. Healthcare administrators need to communicate clearly with the patients and the public about the role of patients and the limitations of medicine in order to instill a sense of patients’ responsibility.
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Affiliation(s)
- Beizhu Ye
- Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Xinzi Wang
- International Baccalaureate Diploma Program; Wuhan British-China School, Wuhan, Hubei, China
| | - Fang Wang
- Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Ping Zhang
- Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Yao Cheng
- Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Yi Sun
- Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Hongwei Jiang
- Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Hua Qin
- Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Aiguo Liu
- Department of Pediatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Yang Liu
- Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Xi Zhu
- Department of Health Management and Policy, College of Public Health, the University of Iowa, Iowa City, Iowa, United States of America
| | - Naixing Zhang
- Department of Medical Administration, Health and Family Planning Commission of Shenzhen, Shenzhen, Guangdong, China
| | - Yuan Liang
- Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
- * E-mail:
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Mohammed ES, Seedhom AE, Ghazawy ER. Awareness and practice of patient rights from a patient perspective: an insight from Upper Egypt. Int J Qual Health Care 2018; 30:145-151. [PMID: 29300956 DOI: 10.1093/intqhc/mzx182] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2017] [Accepted: 12/08/2017] [Indexed: 11/14/2022] Open
Abstract
Objectives To assess the patients' awareness of their rights, the predictors of knowledge of patients' rights and the degree of adherence to these rights by the medical team from the patients' perspective. Design A cross-sectional study. Setting Minia University Hospital, Minia, Egypt. Participants Hospitalized patients in Minia University Hospital, from 1 January to 1 February 2017. Methods In total, 514 patients were interviewed during their hospital stay. Data were collected using a structured questionnaire that inquired about their knowledge of the patient rights and the level of practicing these rights from their point of view. Main outcome measures The awareness about different aspects of the patient rights was assessed by a mean knowledge score. Factors affecting the patients' awareness about their rights were evaluated. The extent to which physicians and nurses apply the patient rights from the patients' point of view was measured. Results About 76% of patients did not know that there is a charter of patient rights. The mean knowledge score of patient rights in this study was 7.2 ± 2.71 out of 14. Patients' education associated significantly with their knowledge score. The majority (98.1%) of interviewed patients stated that the medical team did not inform them about the available treatment choices. Conclusions The greater part of the patients was not aware of their rights at a satisfactory level. Health care providers should place more emphasis on increasing the patients' awareness about their rights and involve them in making decisions regarding their treatment choices. The Ministry of Health needs to be more sensitive to this issue.
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Affiliation(s)
- Eman Sameh Mohammed
- Department of Public Health and Preventive Medicine, Faculty of Medicine, Minia University Mainroad, Shalabyland, Minia 61511, Egypt
| | - Amany Edward Seedhom
- Department of Public Health and Preventive Medicine, Faculty of Medicine, Minia University Mainroad, Shalabyland, Minia 61511, Egypt
| | - Eman Ramadan Ghazawy
- Department of Public Health and Preventive Medicine, Faculty of Medicine, Minia University Mainroad, Shalabyland, Minia 61511, Egypt
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Iranian Women Perception of Patient’s Rights: Inpatients’ Attitude Toward Practice of the Iranian Charter. WOMEN’S HEALTH BULLETIN 2018. [DOI: 10.5812/whb.59463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Do patients know that physicians should be confidential? study on patients' awareness of privacy and confidentiality. J Med Ethics Hist Med 2018; 11:1. [PMID: 30258551 PMCID: PMC6150920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2017] [Accepted: 12/13/2017] [Indexed: 11/04/2022] Open
Abstract
Privacy and confidentiality are among the inalienable rights of every human being that contribute to preservation of a sense of reverence and dignity. The present study was conducted to examine patients' awareness of their entitlement to these important rights. This cross-sectional study was conducted on 200 patients in Tehran, Iran during the year 2010. Collected data included patients' demographics (age, gender, marital status, place of residence, and educational level), type of hospital ward, frequency of hospitalization, duration of hospital stay, and patients' awareness of privacy and confidentiality. Two trained interviewers gathered the data using a self-made questionnaire, which was specifically designed to assess patients' awareness of privacy and confidentiality. Validity and reliability of the questionnaire were determined using content validity and Cronbach's Coefficient Alpha (a = 0.7), respectively. To analyze data, patients were assigned to three categories of poor (0 ≤ scores ≤ 3), moderate (4 ≤ scores ≤ 7) and good (8 ≤ scores ≤ 10) levels of awareness. Statistical analysis was performed by SPSS software version 21. The results showed that 21% of the patients had poor, 72% moderate, and 7% good awareness of privacy and confidentiality, with a mean of 4.61 ± 1.63. In this study, 153 patients (76.5%) provided a correct definition of privacy, and 161 patients (80.5%) were aware of instances of privacy violation. In addition, a good level of awareness was found in 77 patients (38.5%) in terms of physician confidentiality, and in 158 patients (81.4%) regarding confidentiality of examination results and medical consultations. Our study results highlight the necessity to inform patients about the ethical and legal issues related to privacy and confidentiality, before or during admission.
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Lee SJ. An Empowerment Program to Improve Self-Management in Patients with Chronic Kidney Disease. ACTA ACUST UNITED AC 2018. [DOI: 10.7475/kjan.2018.30.4.426] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Suk Jeong Lee
- Professor, Red Cross College of Nursing, Chung-Ang University, Seoul, Korea
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Saber A, Tabatabaei SM, Akasheh G, Sehat M, Zanjani Z, Larijani B. Face and Content Validity of the MacArthur Competence Assessment Tool for the Treatment of Iranian Patients. Int J Prev Med 2017; 8:75. [PMID: 29026507 PMCID: PMC5634061 DOI: 10.4103/ijpvm.ijpvm_367_16] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2016] [Accepted: 07/08/2017] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND There is not a valid Persian tool for measuring the decision-making competency of patients. The aim of this study is to evaluate the face and content validity of the MacArthur Competence Assessment Tool for the treatment of Iranian Persian-speaking patients. METHODS To assess the validity of the Persian version of the tool, a self-administrated questionnaire was designed. The Lawshe method was also used for assessing each item. Content validity ratio (CVR) and content validity index (CVI) were used to assess the content validity quantitatively. According to the experts' judgment, questions with a CVR ≥0.62 and CVR <0.62 were maintainable and unmaintainable, respectively. RESULTS The questions were designed in a manner to achieve the desirable result (CVR ≥0.62). The CVI scale (S-CVI) and CVI (S-CVI/Ave) were 0.94 (higher than 0.79). Thus, the content validity was confirmed. CONCLUSIONS Since capacity assessments are usually based on physician's subjective judgment, they are likely to bias and therefore, with this suitably validated tool, we can improve judgment of physicians and health-care providers in out- and in-patient cases.
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Affiliation(s)
- Ali Saber
- PhD in Medical Ethics, Kashan University of Medical Sciences, Kashan, Iran
| | - Seyed Mahmoud Tabatabaei
- Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Godarz Akasheh
- Department of Psychiatry, Kashan University of Medical Sciences, Kashan, Iran
| | - Mojtaba Sehat
- Department of Epidemiology, Kashan University of Medical Sciences, Kashan, Iran
| | - Zahra Zanjani
- Department of Psychology, Medical Faculty, Kashan University of Medical Sciences, Kashan, Iran
| | - Bagher Larijani
- Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.,Endocrinology and Metabolism Research Center, Tehran University of Medical Sciences, Tehran, IR Iran
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Agrawal U, D'Souza BC, Seetharam AM. Awareness of Patients' Rights among Inpatients of a Tertiary Care Teaching Hospital- A Cross-sectional Study. J Clin Diagn Res 2017; 11:IC01-IC06. [PMID: 29207736 DOI: 10.7860/jcdr/2017/24961.10544] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2016] [Accepted: 05/17/2017] [Indexed: 11/24/2022]
Abstract
Introduction The rights of a patient are a set of rules of conduct which govern the interaction between the patients' and healthcare professionals. Every patient has a right to be informed about their rights and also the responsibility of the healthcare provider. Aim To assess awareness among inpatient about patients' rights at an academic accredited hospital. Materials and Methods A questionnaire based cross-sectional study was carried out among 350 patients admitted to the wards of a Tertiary Care Teaching Hospital. A 21-point questionnaire was developed based on standards of the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and patients' charter of rights and validated. This charter of rights is also displayed in the hospital for patient's awareness. Frequencies and percentages were depicted. Chi-square test was used for statistical analysis. Results Positive awareness among the patients ranged from 28% to 97.4%. Females were more aware of their rights than males for 11 out of the 21 patient rights items. Younger adults were more aware than any other age group participants. Participants who were admitted to wards of higher categories (deluxe rooms) had high degree of awareness about patients' rights and education. Patients from urban areas and higher educational status were more aware than patients coming from rural areas. Conclusion The study concludes that effective measures should be taken to improve the overall awareness not only among patients but also among different stakeholders in the healthcare delivery system. Readability of the patients' rights charter with good readability score, developing and distributing patient education materials in simple language about the rights and responsibilities to the patient and their family/relatives during their stay in the hospital or at the time of registration.Continuing nursing and medical education in medical teaching institutions and hospitals should focus on patients' rights and its importance, its need for awareness and its consequences should be taught to students and hospital staff. Patient Right Committee in the hospital should be established for supervision monitoring and observance of patients' rights.
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Affiliation(s)
| | - Brayal C D'Souza
- Assistant Professor, Department of Public Health, Manipal University, Manipal, Karnataka, India
| | - Arun Mavaji Seetharam
- Assistant Professor, Hospital Administration, Kasturba Hospital, Manipal, Karnataka, India
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Hifnawy T, Kobrosly S, Edwards H, Anwar M, Zahran D, Silverman H. Patients' attitudes and perceptions regarding research and their rights: a pilot survey study from the Middle East. EASTERN MEDITERRANEAN HEALTH JOURNAL = LA REVUE DE SANTE DE LA MEDITERRANEE ORIENTALE = AL-MAJALLAH AL-SIHHIYAH LI-SHARQ AL-MUTAWASSIT 2017; 23:461-468. [PMID: 28853129 PMCID: PMC5944347 DOI: 10.26719/2017.23.7.461] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2016] [Accepted: 11/16/2016] [Indexed: 11/09/2022]
Abstract
Ethical and regulatory oversight of research may be suboptimal in low- and middle-income countries. To determine patients' attitudes and perceptions toward research participation and perceptions of their rights, we recruited 202 participants from hospitals in Egypt, Lebanon, Saudi Arabia and Sudan and asked them to complete a questionnaire assessing attitudes and perceptions. Around 20% believed that doctors sometimes perform research on patients without their knowledge and 35% believed that if participants withdrew from the research they would not receive good medical care. Over 85% believed that they should have rights regarding confidentiality of data, free medical care if injured during the research and asking questions. Almost half believed they have a right to withdraw without penalty and around 75% believed they could make complaints without fear of harm. Those who were illiterate or unemployed were less likely to appreciate their rights compared with their counterparts.
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Affiliation(s)
- Tamer Hifnawy
- Department of Public Health and Community Medicine, College of Dentistry, Taibah University, Saudi Arabia
- Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt
| | | | - Hillary Edwards
- University of Maryland School of Medicine, Baltimore, Maryland, United States of America
| | - Manal Anwar
- Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt
| | - Dalia Zahran
- Department of Public Health and Community Medicine, College of Dentistry, Taibah University, Saudi Arabia
- Faculty of Dentistry, Tanta University, Tanta, Egypt
| | - Henry Silverman
- University of Maryland School of Medicine, Baltimore, Maryland, United States of America
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Rahimi SA, Alizadeh M, Légaré F. Shared decision making in Iran: Current and future trends. ZEITSCHRIFT FUR EVIDENZ FORTBILDUNG UND QUALITAET IM GESUNDHEITSWESEN 2017; 123-124:52-55. [PMID: 28549749 DOI: 10.1016/j.zefq.2017.05.018] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
This paper describes the current situation of shared decision making (SDM) in the Iranian healthcare system, discusses barriers to implementation and gives future directions. What about policy regarding SDM? Although the Ministry of Health and Medical Education has enacted some legislation on informed consent and patients' rights, there is no policy specifically regarding SDM in Iran. What about decision support tools for patients? Although some Iranian researchers and clinicians have highlighted patients' desire to be informed and involved in decisions related to their health, there is no program to develop or evaluate decision support tools such as patient decision aids in Iran. What about professional interest and implementation? In spite of interest among some health professionals in SDM and increasing attention to patient involvement in decisions, very little has been done to train Iranian health professionals in SDM. There is also no clear strategy or policy to support SDM implementation within the national health system, and initiatives to promote SDM are in their infancy. What does the future look like? SDM's future in Iran seems promising. However, implementation of SDM will depend on strengthening collaborations among patients, health professionals, academics and policy makers, along with the Iranian government investing in promoting SDM.
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Affiliation(s)
- Samira Abbasgholizadeh Rahimi
- Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Université Laval, Quebec, QC, Canada; Canada Research Chair in Shared Decision Making and Knowledge Translation, Population Health and Practice-Changing Research Group, CHU de Québec Research Centre - Université Laval, Canada.
| | - Mahasti Alizadeh
- Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Iran; Department of Community and Family Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Iran
| | - France Légaré
- Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Université Laval, Quebec, QC, Canada; Canada Research Chair in Shared Decision Making and Knowledge Translation, Population Health and Practice-Changing Research Group, CHU de Québec Research Centre - Université Laval, Canada
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Unnikrishnan B, Trivedi D, Kanchan T, Rekha T, Mithra P, Kumar N, Kulkarni V, Holla R, Talish M. Patients' Awareness About Their Rights: A Study from Coastal South India. SCIENCE AND ENGINEERING ETHICS 2017; 23:203-214. [PMID: 27053261 DOI: 10.1007/s11948-016-9776-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2015] [Accepted: 03/18/2016] [Indexed: 06/05/2023]
Abstract
Respecting patients' rights is a fundamental aspect of providing quality healthcare. The present investigation attempts to explore the awareness among patients about their rights in a coastal township in India. A questionnaire-based cross-sectional study was carried out among 215 patients admitted to the wards of a tertiary care teaching hospital in Mangalore. Awareness among patients regarding their rights varied for various issues and ranged between 48.4 and 87.4 %. Awareness about patients' rights was independent of gender, socio-economic and educational status. Doctors were found to be the most common source of information for patient's about their rights in the study. Doctors must conform to the relevant legislations and involve patients in all aspects of healthcare. There is a need to increase awareness among patients about their rights to ensure informed decisions and better health care services.
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Affiliation(s)
- Bhaskaran Unnikrishnan
- Department of Community Medicine, Kasturba Medical College (Manipal University), Mangalore, Karnataka, India
| | - Divya Trivedi
- Kasturba Medical College (Manipal University), Mangalore, Karnataka, India
| | - Tanuj Kanchan
- Department of Forensic Medicine, Kasturba Medical College (Manipal University), Mangalore, 575 001, Karnataka, India.
| | - Thapar Rekha
- Department of Community Medicine, Kasturba Medical College (Manipal University), Mangalore, Karnataka, India
| | - Prasanna Mithra
- Department of Community Medicine, Kasturba Medical College (Manipal University), Mangalore, Karnataka, India
| | - Nithin Kumar
- Department of Community Medicine, Kasturba Medical College (Manipal University), Mangalore, Karnataka, India
| | - Vaman Kulkarni
- Department of Community Medicine, Kasturba Medical College (Manipal University), Mangalore, Karnataka, India
| | - Ramesh Holla
- Department of Community Medicine, Kasturba Medical College (Manipal University), Mangalore, Karnataka, India
| | - Mishaal Talish
- Kasturba Medical College (Manipal University), Mangalore, Karnataka, India
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Shirzadi SM, Raeissi P, Nasiripour AA, Tabibi SJ. Factors affecting the quality of hospital hotel services from the patients and their companions' point of view: A national study in Iran. JOURNAL OF RESEARCH IN MEDICAL SCIENCES 2016; 21:46. [PMID: 27904592 PMCID: PMC5122112 DOI: 10.4103/1735-1995.183987] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/20/2016] [Revised: 02/28/2016] [Accepted: 04/06/2016] [Indexed: 11/16/2022]
Abstract
Background: The hospitality design of a hospital is a complex process that depends on careful planning, systematic thinking, and consideration of various factors. This study aimed to determine the viewpoints of patients and their relatives on factors affecting hospital hotel services in Iran in 2015. The results of this study can be used to design a suitable model for the assessment and improvement of hospitality service quality. Materials and Methods: In this cross-sectional descriptive study, 10 hospitals of Iran were included. The subjects of the study included 480 patients and their companions from different internal and surgical wards. Simple random sampling method was performed at the hospitals, where patients were selected through stratified sampling based on hospital wards, and in each ward, through systematic sampling based on the bed numbers. A researcher-made questionnaire was used as the study tool which was developed through reviewing the literature and opinions of experts. Its internal reliability was determined based on Cronbach's alpha coefficient (α =0.85). Results: In reviewing the eleven aspects of hospital hotel services regarding the patients’ and their companions’ viewpoint, services related to all aspects, whether human, economic, operational, personnel identification, safety, health care services, physical, clinical welfare, cultural, patient guidance, or public welfare services, received mean scores of higher than three (out of five). Conclusion: The present study showed that in the patients’ and their companions’ viewpoint, factors affecting hospital hotel services in the country are very important. The tool used in this study can be a criterion for assessing the status of the hotel services of the country's major hospitals, so accordingly, the assessment and improvement of the existing conditions can be possible.
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Affiliation(s)
- Seyed Majid Shirzadi
- Department of Health Services Management, School of Medical Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran
| | - Pouran Raeissi
- Department of Health Services Research, School of Management and Medical Information Science, Iran University of Medical Sciences, Tehran, Iran
| | - Amir Ashkan Nasiripour
- Department of Health Services Management, School of Medical Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran
| | - Seyed Jamaleddin Tabibi
- Department of Health Services Management, School of Medical Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran
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HIV Stigma Toward People Living With HIV and Health Providers Associated With Their Care: Qualitative Interviews With Community Members in Egypt. J Assoc Nurses AIDS Care 2015; 27:188-98. [PMID: 26718817 DOI: 10.1016/j.jana.2015.11.007] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2015] [Accepted: 11/16/2015] [Indexed: 11/23/2022]
Abstract
We explored perceived HIV stigma by community members in a low-HIV-prevalence setting toward people living with HIV (PLWH) and physicians associated with HIV in order to develop operational stigma reduction recommendations for HIV referral hospitals. In-depth interviews (N = 30) were conducted with educated and less-educated men and women in Egypt. Thematic analysis was applied to identify drivers, manifestations, and outcomes of stigma. Stigma toward PLWH was rooted in values and fears, manifesting in reluctance to use the same health facilities as PLWH. Stigma toward physicians providing care for PLWH was caused by fear of infection and developed into unwillingness to use those physicians' services. Stigma toward physicians who refused to provide care was linked to perceptions of unethical behavior. HIV referral hospitals in low HIV prevalence settings could benefit from stigma reduction interventions with a special focus on addressing moral-based stigma and fear of casual transmission.
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Aazami S, Mozafari M. Development of a scale for the evaluation of patients' rights prerequisites at educational hospitals in Iran: a study using the Delphi technique. J Med Ethics Hist Med 2015; 8:12. [PMID: 27354900 PMCID: PMC4922313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2015] [Accepted: 07/05/2015] [Indexed: 11/10/2022] Open
Abstract
The patients' rights status is one of the essential elements in defining norms related to the concept of clinical governance system. In addition, the patients' rights status is an important index for quality of care offered in the health care system. However, the lack of a coherent instrument makes it difficult to evaluate patients' rights status in hospitals and clinics. The aim of this study was to develop an instrument for the evaluation of patients' rights prerequisites at educational hospitals in Iran. This study was conducted using the modified Delphi technique. In this study, 36 experts in the fields of law, medicine, and professional ethics were participated. The panel of experts participated in 3 rounds. First, experts were asked to judge some pre-identified items, and then, excluded items were judged again in the second round. At the end of the third round, all of the agreed items were included in the final list to form an evaluative scale on practice of patients' rights. Experts were asked to judge a total 171 items in 3 rounds. Around 31% (n = 53) of items obtained the panel's approval to be included in the final version of the scale. The experts' opinions were collected using face-to-face interviews and electronic email during a 6-month period of data collection from October 2013 to February 2014. This study developed a 53-item scale for evaluation of patients' rights prerequisites in educational hospitals in Iran. This scale was developed in 7 areas of commitments including university education, research, supervision, process management, physical structure, organizational policy, and human resources management. This study developed an evaluative scale to assess the practice of patients' rights in educational hospitals. The items in the final version of this scale were obtained from a consensus of experts and the instrument can be used to evaluate the context and prerequisites for practice of patients' rights in Iranian educational hospitals.
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Affiliation(s)
- Sanaz Aazami
- 1 Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
| | - Mosayeb Mozafari
- 1 Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.,Corresponding Author: Mosayeb Mozafari. Address: Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical sciences, Banganjab, Ilam, Iran. Tel/Fax: 00988432227123
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Barrera CR, Negrón CP, Barría RM, Méndez CA. Rights and duties policy implementation in Chile: health-care professionals' perceptions. Health Expect 2015; 19:1062-70. [PMID: 26281797 PMCID: PMC5054835 DOI: 10.1111/hex.12396] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/24/2015] [Indexed: 11/26/2022] Open
Abstract
Objective To explore the perceptions of health professionals in an integrated network of public provision of health services regarding the implementation of the Law on Rights and Duties of People in Chile. Method Qualitative descriptive study. A stratified qualitative sample of 53 professionals from five low complexity centres and one from a high complexity centre, all part of the integrated network of health services in Valdivia, Los Rios Region, Chile, were selected according to the criteria of an overall saturation of the explored dimensions. The information was gathered through a semi‐structured, in‐depth interview carried out after signing the informed consent. Data were analysed using an inductive approach of content analysis. Results Three categories emerged from the interviews: conceptualization and knowledge, factors influencing the implementation and recommendations for strengthening the implementation, and seven subcategories. It was highlighted that health professionals in the health‐care network perceived difficulties in implementing the Law on rights and duties of patients. Among them were the lack of knowledge about the Law, poor exposure and a lack of resources for its implementation. They suggested adapting the infrastructure of the institution and offering training as recommendations to improve the implementation of the Law. Conclusions There are hindering factors for the implementation of the Law related to organizational and professional gaps in the institutions providing health care.
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Affiliation(s)
- Constanza R Barrera
- Escuela de Enfermería, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | - Camila P Negrón
- Escuela de Enfermería, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | - R Mauricio Barría
- Instituto de Enfermería, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | - Claudio A Méndez
- Instituto de Salud Pública, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile.
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Zarea K, Maghsoudi S, Dashtebozorgi B, Hghighizadeh MH, Javadi M. The Impact of Peplau's Therapeutic Communication Model on Anxiety and Depression in Patients Candidate for Coronary Artery Bypass. Clin Pract Epidemiol Ment Health 2014; 10:159-65. [PMID: 25505931 PMCID: PMC4262794 DOI: 10.2174/1745017901410010159] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2014] [Revised: 09/24/2014] [Accepted: 09/18/2014] [Indexed: 11/22/2022]
Abstract
BACKGROUND AND OBJECTIVE Anxiety and depression are among the psychological disorders in heart surgeries. Establishing a simple communication is essential to reduce anxiety and depression. Hence, the objective of the present studywas to examine the impact of Peplau therapeutic communication model on anxiety and depression in patients, who were candidate for coronary artery bypass in Al-Zahra Heart Hospital, Shiraz during 2012-2013. METHODS This is a clinical trial in which 74 patients were randomly divided into intervention and control groups, each consisted of 37 patients. Anxiety and depression levels were assessed before, and two and four months after intervention using the Hospital Anxiety and Depression Scale (HADS). Seven therapeutic communication sessions were held in four stages. Data were analyzed with the SPSS (version 16) using analysis of covariance. RESULTS The mean anxiety and depression levels decreased in the intervention group after the therapeutic communication (p<0.01). Anxiety scores in the intervention group before and after intervention were 10.23 and 9.38, respectively. While the corresponding scores in the control group were 10.26 and 11.62, respectively. Depression scores in the intervention group before and after intervention were 11 and 9.13, respectively. The corresponding scores in the control group were 11.30 and 12.08, respectively. CONCLUSION The results demonstrated the positive role of therapeutic communication in reducing anxiety and depression of the patients. Therefore, the therapeutic communication is recommended as a simple, cost effective and efficient method in this area.
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Affiliation(s)
- Kourosh Zarea
- Chronic Disease Care Research Center, Nursing & Midwifery School, Ahvaz Jundishapur University of Medical Sci-ences, Ahvaz, Iran
| | - Solmaz Maghsoudi
- Alzahra heart charity Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Bahman Dashtebozorgi
- Chronic Disease Care Research Center, Nursing & Midwifery School, Ahvaz Jundishapur University of Medical Sci-ences, Ahvaz, Iran
| | | | - Mostafa Javadi
- Research Center for Nursing and Midwifery Care in Family Health, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
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El-Sobkey SB, Almoajel AM, Al-Muammar MN. Knowledge and attitude of Saudi health professions' students regarding patient's bill of rights. Int J Health Policy Manag 2014; 3:117-22. [PMID: 25197675 DOI: 10.15171/ijhpm.2014.73] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2014] [Accepted: 07/28/2014] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND Patient's rights are worldwide considerations. Saudi Patient's Bill of Rights (PBR) which was established in 2006 contained 12 items. Lack of knowledge regarding the Saudi PBR limits its implementation in health facilities. This study aimed to investigate the knowledge of health professions' students at College of Applied Medical Sciences (CAMS) Riyadh Saudi Arabia regarding the existence and content of Saudi PBR as well as their attitude toward its ineffectiveness. METHODS A 3-parts survey was used to collect data from 239 volunteer students participated in the study. Data were analyzed by descriptive and analytical statistics using SPSS. RESULTS RESULTS showed that although the majority of students (96.7%) believe in the ineffectiveness of patient's rights, half (52.3%) of them had perceptual knowledge regarding the existence of Saudi PBR and only 7.9% of them were knowledgeable about some items (1-4 items) of the bill. Privacy and confidentiality of patient was the most common known patient's rights. Students' academic level was not correlated to neither their knowledge regarding the bill existence or its content nor to their attitude toward the bill. The majority of the students (93%) reported that only one course within their curriculum was patient's rights-course related. About one quarter (23.4%) of the students reported that teaching staff used to mention patient's rights in their teaching sessions. CONCLUSION The Saudi health professions students at CAMS have positive attitude toward the ineffectiveness of patient's rights nevertheless they showed limited knowledge regarding the existence of Saudi PBR and its contents. CAMS curriculums do not support the subject of patient's rights.
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Affiliation(s)
- Salwa B El-Sobkey
- Department of Rehabilitation Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Alyah M Almoajel
- Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - May N Al-Muammar
- Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
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