Volume 3, Issue 1 (Winter 2016 -- 2017)                   JCCNC 2017, 3(1): 27-36 | Back to browse issues page

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Mousavi S M, Mohammadi N, Ashghali Farahani M, Hosseini A F. Observing Patients’ Rights and the Facilitating and Deterrent Organizational Factors From the Viewpoint of Nurses Working in Intensive Care Units. JCCNC. 2017; 3 (1) :27-36
URL: http://jccnc.iums.ac.ir/article-1-113-en.html
1- student Department of Critical Care Nursing, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
2- PhD Department of Critical Care Nursing, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. , mousavi534@gmail.com
3- phd Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
4- mrs Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Abstract:   (830 Views)

Background: The rights of patients admitted to the Intensive Care Units (ICUs) are threatened more than the ones admitted to other hospital wards due to the nature of ICU and special health conditions of the patients admitted such as lower consciousness and their need for invasive and noninvasive care practices. Awareness of obstacles and observance of patients’ rights are of particular importance. Therefore, the current study aimed at determining the observance of patients’ rights and the organizational facilitators and deterrents influence them from the viewpoint of nurses working in ICUs of educational and therapeutic centers affiliated to Iran University of Medical Sciences, Tehran, Iran.
Methods: The current descriptive, cross sectional study included 160 nurses working in ICU, surgery and general wards selected by the census method. Data collection instruments included the 3-section demographic characteristics questionnaire, the Client Observation Checklist (COC) as well as patient safety culture questionnaire. Data were analyzed using SPSS V. 21.
Results: Based on the results of COC, the client observation was 76.16% in the current study. The highest amount of satisfaction and desirable observance belonged to the information receipt axis (78.34%) and the lowest observance belonged to the selection and decision making axes (67.17%). The most important facilitating organizational and deterrent factors to observe the client’s rights were identified as reduction of working hours of nurses (96%), handling nurses’ amenities (94.6%), inappropriate nurse/patient ratio (92.6%), and lack of job security and mental safety in nurses (90.6%).
Conclusion: Several factors, such as inappropriate nurse/patient ratio, socioeconomic problems, working hours, and heavy workload in a limited time were among the factors influencing the quality of nursing practices, based on the charter of patients’ rights.

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Type of Study: Research | Subject: Special
Received: 2016/08/6 | Accepted: 2016/11/21 | Published: 2017/08/20

References
1. Abedi, G., et al., 2017. Awareness and observance of patient rights from the perspective of Iranian patients: A systematic review and meta-analysis. Iranian Journal of Medical Sciences, 42(3), pp. 227-34. PMCID: PMC5429490 [PMID] [PMCID]
2. Almoajel, A. M., 2012. Hospitalized patients' awareness of their rights in Saudi governmental hospital. Middle-East Journal of Scientific Research, 11(3), pp. 329-35.
3. Amini, A., Tabrizi, J. S. & Shaghaghi, A., 2013. The status of observing patient rights charter in outpatient clinics of Tabriz University of Medical Sciences: Perspectives of health service clients. Iranian Journal of Medical Education, 13(7), pp. 611-22.
4. Arab, M., Zarei, A. & Hosseini, M., 2010. Awareness and observation of patients' rights from the perspective of patients: A study in university hospitals in Tehran. Journal of School of Public Health and Institute of Public Health Research, 8(2), pp. 77-86.
5. Astaraki, P., et al., 2016. Obsevance patients bills of rights from patients perspective in hospital of Khoramabad. Yafte, 17(1), pp. 5-14.
6. Babamahmoodi, F., et al., 2011. Observation of patient's right charter in Mazandaran teaching hospitals: Patients view. Iranian Journal of Medical Ethics and History of Medicine, 4(4), pp. 37-44.
7. Basiri Moghadam, K., et al., 2011. Health providers and patients' awarness on patient bill of rights and its observing rate in 22 Bahman Hospital. The Horizon of Medical Sciences, 17(1), pp. 45-54.
8. Buka, P., 2014. Patients' rights, law and ethics for nurses. Florida: CRC Press. doi: 10.1201/b13463 [DOI:10.1201/b13463]
9. Feyzipour, H., et al., 2016. Evaluation of the patients rights fasilitator factors, with an emphasize on the charter of patients'rights (A case study of nurses' attitudes in public hospitals of Urmia). Journal of Urmia Nursing and Midwifery Faculty, 14(8), pp. 692-701.
10. Gharibi, F., et al., 2014. Effective interventions on service quality improvement in a physiotherapy clinic. Health Promotion Perspectives, 4(1), pp. 61-7. doi: 10.5681/hpp. 2014.008
11. Ghodsi, Z. & Hojjatoleslami, S., 2012. Knowledge of students about patient rights and its relationship with some factors in Iran. Social and Behavioral Sciences, 31, pp. 345–8. doi: 10.1016/j.sbspro.2011.12.065 [DOI:10.1016/j.sbspro.2011.12.065]
12. Gonzalo, G., 2013. Human rights and informed consent in clinical practice: Beyond the right to health. Revista Peruana de Medicina Experimental y Salud Pública, 30(2), pp. 315-9. [PMID]
13. Habib, F. & Al-Siber, H., 2013. Assessment of awareness and source of information of patients' rights: A cross-sectional survey in Riyadh Saudi Arabia. American Journal of Research Communication, 1(2), pp. 1-9.
14. Hadian Jazi, Z. & Dehghan Nayeri, N., 2015. Barriers in the performance of patient's rights in Iran and appropriate offered solutions review article. Journal of Holistic Nursing And Midwifery, 24(4), pp. 69-79.
15. Ingram, R., 1998. The nurse as the patient advocate (monograph on the internet). Portsmouth: University of Portsmouth Pub.
16. Jouzi, H., et al., 2013. Investigate organizational factors associated with patient rights from viewpoint nurses and patients in educational hospitals affiliated to the Ilam University of Medical Sciences. Journal of Medical Ethics, 7(23), 141-60.
17. Kagoya, H. R. et al., 2013. Awareness of, responsiveness to and practice of patients' rights at Uganda's national referral hospital. African Journal of Primary Health Care & Family Medicine, 5(1). doi: 10.4102/phcfm.v5i1.491. [DOI:10.4102/phcfm.v5i1.491]
18. Kalroozi, F., Dadgari, F. & Zareiyan, A., 2010. Patients' satisfaction from health care group in patient's bill of right observance. Journal of Military Medicine, 12(3), pp. 143-8.
19. Khatooni, S., 2010. The rate of preserving patients' rights chart in state hospitals in Qazvin, Iran. Journal of Medical Rights, 3(11), pp. 171-88.
20. Komeili-Sani, M., et al., 2015. The relationship between nurses' clinical competency and job stress in Ahvaz university hospital, 2013. Journal of Clinical Nursing and Midwifery, 4(1), pp. 39-49.
21. Kuzu, N., Ergin, A. & Zencir, M., 2006. Patients' awareness of their rights in a developing country. Public Health, 120(4), pp. 290-6. doi: 10.1016/j.puhe.2005.10.014 [DOI:10.1016/j.puhe.2005.10.014]
22. Lukács, Á. & Feith, H. J., 2016. Betegjogok etnikai metszetben. Orvosi Hetilap, 157(18), pp. 712–7. doi: 10.1556/650.2016.30424 [DOI:10.1556/650.2016.30424]
23. Mastaneh, Z. & Mouseli, L., 2013. Patients' awareness of their rights: Insight from a developing country. International Journal of Health Policy and Management, 1(2), pp. 143–6. doi: 10.15171/ijhpm.2013.26 [DOI:10.15171/ijhpm.2013.26]
24. Merakou, K., et al., 2001. Satisfying patients' rights: A hospital patient survey. Nursing Ethics, 8(6), pp. 499–509. doi: 10.1177/096973300100800604 [DOI:10.1177/096973300100800604]
25. Moghaddam, M. N., et al., 2016. Awareness of patients' rights charter and respecting it from the perspective of patients and nurses: A study of limited surgical centers in Kerman city, 2013. Bioethics Journal, 4(11), pp. 31-56. doi: 10.22037/bj.v4i11.14179
26. Morgan, D. & Somera, P., 2014. The future shortage of doctoral prepared nurses and the impact on the nursing shortage. Nursing Administration Quarterly, 38(1), pp. 22–6. doi: 10.1097/naq.0000000000000001 [DOI:10.1097/NAQ.0000000000000001]
27. Nekoei Moghaddam, M., et al., 2014. Awareness of Patients' rights charter and respecting it from the perspective of patients and nurses: A study of limited surgical centers in Kerman city, Bioethics Journal, 4(11), pp. 31-56.
28. Noorian, K., et al., 2016. Comparison of operation room staffs and patients perspectives from "patient privacy" in the operating room. Journal of Clinical Nursing and Midwifery, 5(1), pp. 47-57.
29. Parsapoor, A., Bagheri, A. & Larijani, B., 2009. Patient rights in Iran. Journal of Medical Ethics and History of Medicine, 3, pp. 39-47.
30. Pérez Cárceles, M.D. et al., 2007. Actitudes de los médicos de familia hacia los derechos de los pacientes. Atención Primaria, 39(1), pp. 23–8. doi: 10.1157/13098275. [DOI:10.1157/13098275]
31. Reyes, H., et al., 2013. Incorporating human rights into reproductive health care provider education programs in Nicaragua and El Salvador. Revista Panamericana de Salud Pública, 34(1), pp. 54-9. [PMID]
32. Roudi Rashtabadi, O., Borhani, F. & Abbaszadeh, A., 2014. Awareness of patients' rights and observance and effective factors from nurses perspective in Kerman. History of Medicine Journal, 5(17), pp. 37-62.
33. Sarkhil, H., Darvishpoor-Kakhaki, A. & Borzabadi-Farahani, Z., 2013. Respecting patient's privacy in cardiac care units of Tehran selected hospitals. Iranian Journal of Cardiovascular Nursing, 2(2), pp. 40-7.
34. Vaskooei Eshkevari, K., Karimi, M., Asnaashari, H. & Kohan, N., 2009. [The assessment of observing patients' right in Tehran University of Medical Sciences' hospitals (Persian)]. Medical Ethics and History of Medicine, 2(4), pp. 47-54.

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