Patient’s Rights in Iran and Iraq Al-Khafaji, Murtadha; Sajit, Noorh; Bazmi, Shabnam ...
International journal of medical toxicology and forensic medicine,
01/2022, Volume:
11, Issue:
4
Journal Article
Peer reviewed
Open access
Background: The aim of this study was to compare, review, and evaluate the studies on patients right in Iran and Iraq. Methods: This is a review study conducted by searching the Iranian and Iraqi ...databanks, such as Scientific Information Database (SID), Iranian Research Institute for Information Science and Technology, Iran Medex, Iraqi Academic scientific journals, and Google Scholar for both Iranian and Iraqi articles from 2002 to 2017 using the keywords, such as “Patient Rights”, “Patient Rights Charter”, “Patient Rights Observance”, “Iraq”, “Iran”, and “Patient Awareness and Rights”. Results: Of a total of 32 Iranian and Iraqi articles, only 25 articles met the aim of our study. Conclusion: The growing number of articles published indicates that from 1999 forwards, this topic began to attract the attention of Iranian researchers in a gradual manner, as for the Iraqi researchers, their attention has been attracted from 2013 onwards. Also, despite the poor knowledge of physicians about the patients’ rights in Iran, they have shown acceptable awareness and attitude regarding some patients’ rights. The same is true for Iraqi doctors and health care providers, but they have shown unsatisfactory consequences for some of the rights of Iraqi patients. Patient education through media and careful observation of the patient rights charter, and educating healthcare professionals, and developing professional training on patients’ legal rights by engaging them in educational sessions and lectures on patient rights is necessary. Adequate monitoring of practice according to the patient charter is strongly suggested.
Background: Patient's rights as one of the basic pillars in defining the standards of clinical services indicate that the patient's biopsychosocial and spiritual needs are met in the form of ...standards, rules, and regulations. This study aimed to evaluate the level of awareness and observance of patients' rights by nurses working in hospitals affiliated to Larestan University of Medical Sciences. Methods: In this descriptive cross-sectional study, 83 clinical nurses were recruited by convenience sampling method. To collect the research data, researcher-made questionnaires, including Patient's Rights Awareness and "Patient's Rights Observance were used. The reliability of the two parts of the questionnaire was reported using Cronbach's alpha coefficients as 0.51 and 0.69, respectively. The obtained data were analyzed in SPSS using descriptive and Chi-squared tests. Results: The knowledge of patient rights was poor, moderate, and good in 81.9%, 16.9%, and 1.2% of the nurses, respectively. Additionally, nurses’ performance regarding patients' rights was reported as moderate in 83.1%, poor in 13.3%, and good only in 3.6% of them. Chi-squared test results revealed that among the demographic variables, only gender and education were significantly correlated with the knowledge and practice of nurses regarding the observance of patients' rights (P<0.05). Conclusion: The study participants' knowledge of patients' bill of rights was poor, and their observance of patients' rights was moderate; thus, interventions should be performed to prevent the violations of patients' rights. Continuing education programs and in-service training about the observance of the patients' bill of rights should be considered more seriously.
Aim and Objective
To generate content for a new questionnaire, based on the 10 Principles of Dignity in Care.
Background
Older people in hospital are vulnerable and at risk of harm, including ...indignity. The 10 Principles of Dignity in Care, which undergird the United Kingdom's Dignity in Care Campaign, have been used to promote dignified care for older people in hospital. A 2006 recommendation of the campaign was to survey people on their experiences of dignity in care. To undertake such a survey, a questionnaire based on the 10 Principles of Dignity is required.
Design
Qualitative methods based on a modified Delphi technique, assessed against the CREDES checklist.
Methods
A Delphi panel of experts was convened that included: consumers, carers, clinicians, academics, policy experts and representatives from the National Dignity Council in the UK, Aboriginal people and people from culturally and linguistically diverse backgrounds.
Results
Fifty‐seven experts consented to participate, over the three rounds of Delphi panel deliberations (response rate: R1 n = 49, R2 n = 47 and R3 n = 44). The Delphi panellists were asked to rank, rewrite, relocate or remove items and suggest additional items, under each of the 10 Principles of Dignity in Care. The initial list of 93 items, generated from a review of the literature, existing questionnaires and drafted by the authors, was reduced to 87 items in Round 2 and 69 items in Round 3.
Conclusions
A panel of experts were able to determine, based on their own judgement, and through consensus, the 69‐items and response categories to be included in the patient and carer versions of the Dignity in Care questionnaire, to progress to a pilot study.
Full text
Available for:
BFBNIB, FZAB, GIS, IJS, KILJ, NLZOH, NUK, OILJ, SAZU, SBCE, SBMB, UL, UM, UPUK, VSZLJ
Background and Objective: Respecting the patient's rights is one of the most important components of providing humanistic care and a priority in the field of medical ethics in Iran. Therefore, the ...charter of patients' rights in Iran was announced in 2009 as a practice guide in this field. This study was conducted with the aim of investigating the realization of patient rights from the viewpoint of doctors, nurses and patients hospitalized in selected departments of Shariati Hospital affiliated to Tehran University of Medical Sciences. Methods: This cross-sectional study was conducted in Tehran in 2016-2017 on 487 participants who were selected by convenience sampling method. The data collection tool was the questionnaire of patients' rights awareness. The scores obtained were based on the individual's point of view regarding the observance of the right in question and ranged from 1 (not observed at all) to 5 (completely observed). Findings: Based on the results of this study, doctors and nurses have reported less realization of patients' rights compared to patients. Patients, nurses and doctors, respectively, agree with the greater realization of patient rights in the areas of observance of justice (4.54±0.96), being polite to the patient (4.17±0.90), and quality of service in a scientific sense (3.37±0.85). In addition, patients reported less realization of patients' right in the areas of responsibility and accountability (3.03±1.59) (p=0.000), and nurses and doctors reported less realization of patients' rights in the areas of attention to the patient's well-being and comfort (3.45±0.99) and (2.48±0.84) (p=0.000). Conclusion: The findings of the study showed that, in general, the attitude of the patients indicated that the patient's rights were better fulfilled compared to the doctors and nurses. of course, the views of service receivers and service providers were different regarding the degree of compliance with different dimensions of patient rights in the hospital, and it is necessary to prioritize the views of patients as service receivers and main beneficiaries in the interventions, and the service providers should be informed about it and the solutions to solve the existing shortcomings should be identified and appropriate action should be taken to solve them.
Introduction: Respect for patients’ rights and observance of professional ethics standards improves medical services that will have an essential role in promoting patients’ health. Objective: This ...study aimed to determine the relationship between awareness of patient’s rights charter and professional ethics with patient’s rights charter observance. Materials and Methods: This analytical correlational study was performed on 285 staff members (196 nurses and 85 midwives) working in 2 hospitals affiliated to Alborz University of Medical Sciences, Iran, and 2 social security hospitals. They were selected using a stratified random sampling method. The study data were collected using the sociodemographic characteristics questionnaire, awareness and observance of the patient’s rights, and professional ethics charter questionnaires. Descriptive statistics and inferential statistics, including the independent t-test, Pearson correlation, Chi-square tests, and multivariate linear regression, were used for data analysis. Results: The Mean±SD ages of nurses and midwives were 36.2±8.3 and 37.5±7.9 years, respectively. The results also showed an association of professional ethics and awareness of patient’s rights charter with patient’s rights charter observance in both nurses (P=0.0001) and midwives (P=0.0001). Based on multivariate linear regression analysis, there were relationships between gender (B=-0.3; 95%CI; -2.0, 2.0; P=0.000), work experience (B=-0.6; 95%CI; -4.0, 3.0; P=0.000), marital and employment status (B=-3.2; 95%CI; -6.0, -0.0; P=0.045), in nurses and between job position (B=9.5; 95%CI; 5.4, 13.5; P=0.000), interest to work (B=-7.9; 95%CI; -11.5, -4.3; P=0.000), and income status (B=6.3; 95%CI; 3.3, 9.2; P=0.000), in midwives with Observance of the Charter of Patient Rights. Conclusion: It is possible to improve compliance with the charter of patient’s rights and its dimensions by strengthening the knowledge of nurses and midwives in this area and their professional ethics, which results in patient satisfaction in this area.
Respecting human privacy creates holistic patient-oriented care. The aim of this study was to determine the hospitalized patients' viewpoints concerning their privacy observance. This descriptive, ...analytic and cross-sectional research administered on 370 patients that selected through the random-stratified sampling in an educational hospital in the Khorramabad in Iran in 2013-2014. Data collected by a questionnaire regarding observance of the patients' privacy by hospital staff, including physical-corporeal, psycho-mental, and informational domains. Data were gathered through constructed interview and analyzed with Independent t-test, One-way ANOVA and Pearson correlation statistical tests. The human privacy of the patients and its physical-corporeal and informational domains were sometimes observed, while the psycho-mental domain was often respected. The privacy observance was significantly lower for men (p=0.000), patients in the emergency department (p=0.000), and the patients who spoke with a local accent (p= 0.016). It seems necessary to train and reinforce the health care providers to respect patients' physical-corporeal and informational privacy consciously, to observe male patients' privacy and using better interpersonal communication skills in dealing with non-Persian language patients. It also seems the structure and design of emergency departments need to be revised in order to protect the privacy of the patients.
The aim: To research approaches to maintaining balance between social and personal interests in the sphere of human right to consent to medical interventions.
Materials and methods: The research is ...conducted with help of both general and special juridical methods of investigation. The empirical basis: an international legal acts; domestic laws of EU countries, the USA and other states; courts' decisions; statistics; juridical and medical articles.
Conclusions: Consent to medical interventions is an absolute right of mentally capable adults and restriction of this right is never too necessary for social interest except for limiting measures due to pandemic or psychiatric disorders threaten. Next of kin or guardian has the right to consent for minors or mentally disabled in their best interests.
In New Zealand, a patient's right to support is recognised as a legal right in Right 8 of the Code of Health and Disability Consumers' Rights. Support-people, such as family members, friends even ...religious leaders, often play a vital part of the care team for patients. The presence of a support-person can bring relief and comfort to a patient. However, COVID-19, District Health Boards severely restricted visits to hospital patients, and one even excluded all support-people unless there were exceptional and compassionate circumstances. This article explores whether the limitations placed on support-people and visitors' access to hospitals were proportionate and legally justifiable.
Over the past decade, hospitals in many countries, including Israel, have undergone an accreditation process aimed at improving the quality of services provided. This process also refers to the ...protection and promotion of patients' rights. However, reviewing the criteria and content included in this category in the Israeli context reveals definitions and implications that differ from those presented by the law - specifically the Patient's Rights Act 1995. Moreover, the rights included in it are not necessarily equally represented in other legislation.
This study seeks to examine the question of whether and to what extent the scope, contents, and definitions of patients' rights in the JCI Standards are similar to or different from patients' rights as they are addressed and protected in national legislation. The article provides a comparison and examination of the different regulatory frameworks of patients' rights, especially those in the accreditation of healthcare institution and legislation, analyzes the gaps between such frameworks, and suggests possible implications on our understanding of the concept of patients' rights.
The patients' right chapter in the accreditation process introduces and promotes the concepts of patient and family rights, increases the awareness and compliance of such concepts, and may create greater consistency in their introduction and application.
Discussion of the Israeli case not only demonstrates how regulatory frameworks are instrumental - for broader policy purposes, especially in the area of patients' rights and the rights of patients' families - but also calls for a more general examination of the concept of patients' rights in health policies and its contribution to the quality of health services. Reference to patients' rights in accreditation of healthcare institutions may promote and enhance this concept and contribute to the delivery of care, thereby complementing a lacuna in the law.
Observance of patients' rights is a significant indicator in evaluating the quality of healthcare services. The COVID-19 pandemic has become a global crisis and affected the interactions between ...healthcare providers and patients. This study examined the COVID-19 patients’ viewpoint about the observance of their rights by physicians and nurses. This study is a descriptive cross-sectional work of research conducted on the COVID-19 patients in Zanjan Province, Iran, in September 2020. The subjects were selected through convenience sampling, and data was collected using a two-section questionnaire consisting of a demographic characteristics survey and a Likert-type scale for evaluating patients' rights observance. The validity and reliability of the questionnaire were found to be acceptable, and the collected data was analyzed in SPSS v.26 using descriptive statistics, independent t-test, and ANOVA test. The mean score of observance of patients' rights was 69.60±7.36, representing a moderate level. The highest and lowest scores for the observance of patients' rights were related to the dimensions of courteous communication and responsibility, respectively. A significant relationship was found between the observance of patients’ rights and their marital status, health insurance, and education level (P<0.05). This study showed that the observance of the COVID-19 patients' rights has not been affected by the social agitation caused by this disease.
Full text
Available for:
IZUM, KILJ, NUK, PILJ, PNG, SAZU, UL, UM, UPUK
PDF
