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护士患者权利培训课程对护士和患者认知的影响。

Effect of patients' rights training sessions for nurses on perceptions of nurses and patients.

作者信息

Ibrahim Sanaa A, Hassan Mona A, Hamouda Seham Ibrahim, Abd Allah Nama M

机构信息

Port Said University, Egypt.

Tanta University, Egypt.

出版信息

Nurs Ethics. 2017 Nov;24(7):856-867. doi: 10.1177/0969733015625365. Epub 2016 Jan 27.

Abstract

BACKGROUND

Patients' rights are universal values that must be respected; however, it is not easy to put such values and principles into effect as approaches and attitudes differ from individual to individual, from society to society, and from country to country. If we want to reach a general conclusion about the status of patient rights in the world as whole, we should examine the situation in individual countries.

OBJECTIVE

To study the effect of training sessions for nurses about patients' rights on the perceptions of nurses and patients in two Egyptian hospitals.

METHODS

Quasi-experimental with pre- and posttest design was used in this study. Two groups of participants were included in the study: the first with 97 nurses and the second with 135 patients. A questionnaire sheet was used for nurses and patients to assess their perceptions about patients' rights before starting sessions. The training sessions were developed based on the baseline information gathered in the assessment phase and related literature. After the implementation of the sessions, a posttest was immediately conducted for nurses, while for patients the posttest was conducted 1 month after implementation to evaluate the effect of the nurses' training sessions on the patients' perceptions. The same tools were used in pretest and posttest. Ethical considerations: Written approval was sought and obtained from the administrators of the studied hospitals prior to conducting the study. Oral consent was obtained from nurses and patients willing to participate. Confidentiality and anonymity of the participants were strictly maintained through code numbers on the questionnaires.

RESULTS

The improvement in nurses' knowledge and perceptions about patients' rights after implementation of the training sessions was remarkable. Moreover, an improvement in patients' perceptions regarding their rights was reported.

CONCLUSION

Repetition of the training sessions is suggested to achieve continuous improvement. Provision of posters and booklets about a bill of patient rights within the hospitals and conduction of further study to examine nurses' performance and patients' satisfaction based on code of ethics are recommended.

摘要

背景

患者权利是必须得到尊重的普遍价值观;然而,由于个人、社会和国家之间的方法和态度各不相同,要将这些价值观和原则付诸实践并非易事。如果我们想对全球患者权利状况得出一个总体结论,就应该考察各个国家的情况。

目的

研究针对护士开展的患者权利培训课程对埃及两家医院护士和患者认知的影响。

方法

本研究采用带有前后测设计的准实验。研究纳入两组参与者:第一组有97名护士;第二组有135名患者。在培训课程开始前,使用问卷对护士和患者进行调查,以评估他们对患者权利的认知。培训课程是根据评估阶段收集的基线信息和相关文献制定的。课程实施后,立即对护士进行后测,而对患者的后测在实施1个月后进行,以评估护士培训课程对患者认知的影响。前后测使用相同的工具。伦理考量:在开展研究前,已向研究医院的管理人员寻求并获得书面批准。获得了愿意参与的护士和患者的口头同意。通过问卷上的编码严格保持参与者的保密性和匿名性。

结果

培训课程实施后,护士对患者权利的知识和认知有显著提高。此外,患者对自身权利的认知也有改善。

结论

建议重复开展培训课程以实现持续改进。建议在医院内提供关于患者权利法案的海报和手册,并开展进一步研究,根据道德规范来考察护士的表现和患者的满意度。

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