Abedian Kobra, Bagheri Nesami Masumeh, Shahhosseini Zohreh
Mazandaran University of Medical Sciences,Sari,Iran.
Glob J Health Sci. 2014 Nov 17;7(3):98-104. doi: 10.5539/gjhs.v7n3p98.
For patients' rights to be observed, first patients and health care providers should be aware of these rights. Nurses' lack of awareness of these rights leads to their inability to recognize patients' legal and ethical issues, and reduces the quality of provided services. This study was conducted to determine the effect of an education-based intervention on self-reported awareness and practice of nurses in observing patients' rights.
In this quasi-experimental study, awareness and practice of 90 nurses on Patient's Bill of Rights were examined in case and control groups, before, 2 and 4 weeks after an educational intervention program on. Participants were selected from teaching hospitals of Mazandaran University of Medical Sciences, Iran. Data was gathered using the valid and reliable 21-item questionnaire in a 3-point Likert scale during a 5-month period from October 2013 to March 2014. For data analysis, descriptive statistical methods, paired t-test, and repeated measure analysis of variance at significant level P<0.05 were used.
Participants' mean age and work experience were found 37.1 ± 5.71 years and 11.76 ± 5.99 years respectively. Mean scores of nurses' awareness and practice before intervention were 15.12 ± 2.19 and 9.13 ± 2.36, accordingly. Repeated measure analysis of variance test showed a significant difference in awareness and practice of nurses before and after intervention (P<0.001).
Enhancing nurses' awareness on Patient's Bill of Rights through revision of educational curriculum in nursing schools, together with considering appropriate relevant content in continuous education programs in health systems can lead to improved quality of nursing care services.
为了保障患者权利,首先患者和医疗服务提供者应了解这些权利。护士对这些权利缺乏认知,导致他们无法识别患者的法律和伦理问题,进而降低了所提供服务的质量。本研究旨在确定基于教育的干预措施对护士在遵守患者权利方面自我报告的认知和实践的影响。
在这项准实验研究中,对90名护士在教育干预项目实施前、实施后2周和4周时的病例组和对照组中关于《患者权利法案》的认知和实践情况进行了检查。参与者选自伊朗马赞德兰医科大学的教学医院。在2013年10月至2014年3月的5个月期间,使用有效且可靠的21项问卷(采用3点李克特量表)收集数据。数据分析采用描述性统计方法、配对t检验以及在显著水平P<0.05时的重复测量方差分析。
参与者的平均年龄和工作经验分别为37.1±5.71岁和11.76±5.99年。干预前护士的认知和实践平均得分分别为15.12±2.19和9.13±2.36。重复测量方差分析测试显示,干预前后护士的认知和实践存在显著差异(P<0.001)。
通过修订护理学校的教育课程提高护士对《患者权利法案》的认知,同时在卫生系统的继续教育项目中纳入适当的相关内容,可提高护理服务质量。