Atoof Fatemeh, Eshraghian Mohammad Reza, Mahmoodi Mahmood, Mohammad Kazem, Rangraz Jeddi Fatemeh, Abootalebi Fatemeh
Department of Epidemiology and Biostatistics, Faculty of Health, Tehran University of Medical Sciences, Tehran, IR Iran.
Health Information Management Research Center, Kashan University of Medical Sciences, Kashan, IR Iran.
Nurs Midwifery Stud. 2015 Jun;4(2):e24755. doi: 10.17795/nmsjournal24755. Epub 2015 Jun 27.
In the recent decades, healthcare providers had a perspective of benevolent paternalism. Nowadays, the patients' role has changed and they have a significant obligation to participate in their caring decisions.
The current study aimed to investigate the involvement of patients and public in the patient safety and treatment process in hospitals affiliated to Kashan University of Medical Sciences, Kashan, Iran, 2013.
A cross-sectional study was conducted in the hospitals affiliated to Kashan University of Medical Sciences in 2013. Subjects included all of the 18 chief managers, 10% of nurses in each hospital, and 375 patients. Data collection instruments included a questionnaire and a checklist designed according to the research objectives. Data analysis was performed using the SPSS ver. 13. Descriptive statistics, percentage and frequencies, were calculated for all variables and analyzed by Chi-square test.
In the treatment process, 81 patients (21.61%), 50 nurses (80.6%) and 15 chief managers (83.3%) had awareness about Patient Bill of Rights. In patient Safety, 19.73% of the patients stated that hospitals received their feedbacks. Management activities were weak in evaluation. All of the six hospitals (100%) had a defined process to perform satisfaction surveys' quality improvement and patient authentication policy.
Patient and public participation in Kashan hospitals are not adhered well. As the patient has an important role in improving the quality of services, more use of mass media especially local newspapers, hospital websites, and training programs are suggested to inform both the patients and public on their rights and roles in improving the healthcare services.
在最近几十年里，医疗服务提供者秉持着善意家长主义的观念。如今，患者的角色发生了变化，他们在参与自身护理决策方面负有重大责任。
本研究旨在调查2013年伊朗卡尚医科大学附属医院中患者及公众在患者安全和治疗过程中的参与情况。
2013年在卡尚医科大学附属医院开展了一项横断面研究。研究对象包括18名医院院长、每家医院10%的护士以及375名患者。数据收集工具包括根据研究目标设计的问卷和清单。使用SPSS 13版进行数据分析。对所有变量计算描述性统计量、百分比和频率，并通过卡方检验进行分析。
在治疗过程中，81名患者（21.61%）、50名护士（80.6%）和15名医院院长（83.3%）了解患者权利法案。在患者安全方面，19.73%的患者表示医院收到了他们的反馈。管理活动在评估方面较为薄弱。所有六家医院（100%）都有进行满意度调查质量改进和患者认证政策的明确流程。
卡尚医院的患者及公众参与情况不佳。由于患者在提高服务质量方面具有重要作用，建议更多地利用大众媒体，尤其是当地报纸、医院网站和培训项目，向患者和公众宣传他们在改善医疗服务方面的权利和作用。
