Kwame Abukari, Petrucka Pammla M
College of Graduate and Postdoctoral Studies, University of Saskatchewan, Saskatoon, Canada.
College of Nursing, University of Saskatchewan, Regina Campus, Regina, Canada.
BMC Nurs. 2022 Mar 7;21(1):54. doi: 10.1186/s12912-022-00833-1.
The Sustainable Development Goals adopted by world leaders on September 25, 2015, aimed to end poverty and hunger, promote gender equity, empower women and girls, and ensure human dignity and equality by all human beings in a healthy environment. These development goals were premised on international human rights norms and institutions, thereby acknowledging the relevance of human rights in achieving each goal. Particularly, sustainable development goal 3, whose objective is to achieve universal health coverage, enhance healthy lives, and promote well-being for all, implicitly recognizes the right to health as crucial. Our focus in this paper is to discuss how promoting patients' rights and enhancing effective nurse-patient communication in the healthcare setting is a significant and necessary way to achieve universal health coverage. Through a critical review of the empirical research evidence, we demonstrated that enhancing patients' rights and effect nurse-patient communication will promote people-centered care, improve patients' satisfaction of care outcomes, increase utilization of care services, and empower individuals and families to self-advocate for their health. These steps directly impact primary healthcare strategies and the social determinants of health as core components to achieving universal health coverage. We argue that without paying attention to the human rights dimensions or employing human rights strategies, implementing the other efforts will be inadequate and unsustainable in protecting the poorest and most vulnerable populations in the achievement of goal 3.
2015年9月25日,世界各国领导人通过了可持续发展目标,旨在消除贫困与饥饿,促进性别平等,增强妇女和女童的权能,并在健康的环境中确保所有人的人类尊严和平等。这些发展目标以国际人权规范和机构为前提,从而承认人权在实现每个目标中的相关性。特别是可持续发展目标3,其目标是实现全民健康覆盖,增进健康生活,促进所有人的福祉,隐含地承认健康权至关重要。本文的重点是讨论在医疗环境中促进患者权利和加强有效的护患沟通如何是实现全民健康覆盖的重要且必要的途径。通过对实证研究证据的批判性回顾,我们证明,增强患者权利和有效的护患沟通将促进以患者为中心的护理,提高患者对护理结果的满意度,增加护理服务的利用率,并使个人和家庭能够自我倡导维护自身健康。这些步骤直接影响初级卫生保健战略以及作为实现全民健康覆盖核心组成部分的健康的社会决定因素。我们认为,如果不关注人权层面或不采用人权战略,那么在实现目标3的过程中,实施其他努力在保护最贫困和最脆弱人群方面将是不足且不可持续的。