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组织学习与患者权利如何相关:一项定性内容分析

How organizational learning is associated with patient rights: a qualitative content analysis.

作者信息

Heidari Shahin, Nayeri Nahid Dehghan, Ravari Ali, Sabzevari Sakineh

机构信息

Nursing Research Center, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, kerman, Iran.

Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Glob Health Action. 2016 Jul 26;9:30939. doi: 10.3402/gha.v9.30939. eCollection 2016.

DOI:10.3402/gha.v9.30939
PMID:27465289
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4963620/
Abstract

BACKGROUND

Nowadays, patient rights, particularly receiving favorable health care based on modern knowledge, informed consent, and privacy, are important issues in health care delivery systems. Organizational learning is considered an important factor influencing health care quality and patient rights. However, there is little evidence regarding this issue.

OBJECTIVE

The present study was conducted to explore the role of organizational learning in patient rights from clinical nurses' viewpoint.

DESIGN

This qualitative study was conducted through conventional content analysis. In total, 18 nurses who met the inclusion criteria participated in this study through purposive sampling with maximum variation. Data were gathered through 20 in-depth, semi-structured interviews, which continued until data saturation was achieved. Data collection also included constant and simultaneous comparative analyses.

RESULTS

Data analysis led to four major themes: conservation of patient safety, providing favorable care, being the patient's advocate, and informing the patients. All the participants believed that organizational learning could play a vital role in respecting patient rights and interests.

CONCLUSIONS

Participants believed that their efforts to conduct organizational learning, tried to improve respecting the patient rights via conservation of patient safety, trying to improve quality of care, being an advocate, and informing the patient. It would be appreciable if nursing managers honored the commitment of the nurses for learning, highlight their role as defenders of patient rights, and encourage them to initiate organizational learning.

摘要

背景

如今,患者权利,尤其是基于现代知识、知情同意和隐私获得良好的医疗护理,是医疗服务体系中的重要问题。组织学习被认为是影响医疗质量和患者权利的一个重要因素。然而,关于这个问题的证据很少。

目的

本研究旨在从临床护士的角度探讨组织学习在患者权利方面的作用。

设计

本定性研究通过传统内容分析法进行。共有18名符合纳入标准的护士通过最大差异目的抽样参与了本研究。通过20次深入的半结构化访谈收集数据,访谈持续进行直至达到数据饱和。数据收集还包括持续和同步的比较分析。

结果

数据分析得出四个主要主题:保护患者安全、提供良好护理、成为患者的代言人以及告知患者。所有参与者都认为组织学习在尊重患者权益方面可以发挥至关重要的作用。

结论

参与者认为他们开展组织学习的努力,试图通过保护患者安全、努力提高护理质量、成为代言人以及告知患者来更好地尊重患者权利。如果护理管理者认可护士的学习承诺,突出他们作为患者权利捍卫者的角色,并鼓励他们开展组织学习,那将是值得赞赏的。