Volume 27, Issue 6 (1-2020)                   Avicenna J Nurs Midwifery Care 2020, 27(6): 441-450 | Back to browse issues page


XML Persian Abstract Print


1- Assistant Professor, Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
2- Assistant Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
3- Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran , @uswr.ac.ir
4- Associate Professor, Department of Nursing, Iranian Research Center on Aging, University of Social Welfare and Rehabilitation, Tehran, Iran
5- Professor, Behavioral Sciences Research Center, Life Style Institute, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Teheran, Iran
Abstract:   (5595 Views)

Introduction: In medical ethics, privacy is one of the main aspects of patient rights. Since the outcomes of respecting privacy as one of the dimensions of patient's rights are not clear, this study was performed to explore outcomes of observance for patient privacy in hospital.
Methods: This study was conducted with qualitative research approach and contractual content analysis method. Participants included 20 patients hospitalized in the internal and surgical wards of Tehran's hospitals who were selected based on purposeful sampling. Data was collected using semi-structured interviews. Then data was analyzed based on conventional content analysis method and using the MAXQDA 10 software.
Results: Analyzing the interviews with patients, 56 primary codes, 13 subcategories and 4 themes were extracted, which indicated the perception of participants for consequences of observance for privacy. These themes included: preservation and promotion of the dignity of the patient, compromise with the existing situation, health development and satisfaction.
Conclusion: The results of this study showed outcomes of observance for patient’s privacy. With the treatment team's awareness of these consequences, the patients' expectations are respected, which leads to the provision of favorable health care and patient satisfaction.

Persian Full-Text [PDF 417 kb]   (1499 Downloads) |   |   Extended Abstract (HTML)  (935 Views)  

The results of this study showed outcomes of observance for patient’s privacy. With the treatment team's awareness of these consequences, the patients' expectations are respected, which leads to the provision of favorable health care and patient satisfaction.


Type of Study: Original Research | Subject: Nursing
Received: 2019/03/30 | Accepted: 2019/07/14 | Published: 2019/08/28

References
1. Dictionary COE. Oxford University Press. URL: http://oxforddictionaries com/(Дата обращения: . 2012.
2. Hasan Tehrani T, Seyed Bagher Maddah S, Fallahi-Khoshknab M, Ebadi A, Mohammadi Shahboulaghi F, Gillespie M. Respecting the privacy of hospitalized patients: An integrative review. Nurs Ethics. 2018:0969733018759832. [DOI:10.1177/0969733018759832] [PMID] [DOI:10.1177/0969733018759832] [PMID]
3. Hasan Tehrani T, Seyed Bagher Maddah S, Fallahi-Khoshknab M, Ebadi A, Mohammadi Shahboulaghi F. Perception of hospitalized patients regarding respect for privacy. IJNR. 2018;13(1):79-86. [DOI:10.21859/ijnr-130111] [DOI:10.21859/ijnr-130111]
4. Friedman LA. Patient experience of privacy while participating in group healthcare: A phenomenographic description (Doctoral dissertation, Boston College).
5. Griffin-Heslin VL. An analysis of the concept dignity. Accid Emerg Nurs. 2005;13(4):251-7. [DOI:10.1016/j.aaen.2005.09.003] [PMID] [DOI:10.1016/j.aaen.2005.09.003] [PMID]
6. Parsapoor A, Bagheri A. Larijani b.[Patient rights in Iran]. J Med Ethics Hist Med. 2009:39-47.
7. Sanjari M, edtal. The code of Nursing ethics Iran. J Med Ethics Hist Med. 2011;5(1):17-28.
8. Parsapour A, Bagheri A, Larijani B. Patients' Bill of Rights in Iran. J Med Ethics Hist Med. 2010;3:39-47.
9. Gafarimanesh H, rangbaran M. The importance of privacy in the urology patient from the patient's perspective. J Kermanshah Univ Med Sci. 2014;18(4):251-5.
10. Jahanpour F, Rasti R. Viewpoints of nurses and patients on paying respect to the privacy of patients in care. Journal of Mazandaran University of Medical Sciences. 2014 Apr 15;24(111):34-42.
11. Hajbaghery MA, Chi SZ. Evaluation of elderly patients' privacy and their satisfaction level of privacy in selected hospitals in Esfahan. Medical Ethics Journal. 2015;8(29):97-120.
12. Moore M, Chaudhary R. Patients' attitudes towards privacy in a Nepalese public hospital: a cross-sectional survey. BMC research notes. 2013 Dec 1;6(1):31. [DOI:10.1186/1756-0500-6-31] [PMID] [PMCID] [DOI:10.1186/1756-0500-6-31] [PMID] [PMCID]
13. Baillie L. Patient dignity in an acute hospital setting: a case study. International journal of nursing studies. 2009 Jan 1;46(1):23-37. [DOI:10.1016/j.ijnurstu.2008.08.003] [PMID] [DOI:10.1016/j.ijnurstu.2008.08.003] [PMID]
14. Serenko N, Fan L. Patients' perceptions of privacy and their outcomes in healthcare. International Journal of Behavioural and Healthcare Research. 2013 Jan 1;4(2):101-22. [DOI:10.1504/IJBHR.2013.057359] [DOI:10.1504/IJBHR.2013.057359]
15. Woogara J. Patients' rights to privacy and dignity in the NHS. Nursing Standard (through 2013). 2005 Jan 12;19(18):33. [DOI:10.7748/ns.19.18.33.s50] [PMID] [DOI:10.7748/ns.19.18.33.s50] [PMID]
16. Strauss LJ. Patient Privacy Impacts Quality. QualityJ of health care compliance. 2013;15(5):53-4.
17. Carpenter DR. Qualitative research in nursing: Advancing the humanistic imperative: Lippincott Williams & Wilkins; 2011.
18. Swan M. Emerging patient-driven health care models: an examination of health social networks, consumer personalized medicine and quantified self-tracking. International journal of environmental research and public health. 2009 Feb;6(2):492-525. [DOI:10.3390/ijerph6020492] [PMID] [PMCID] [DOI:10.3390/ijerph6020492] [PMID] [PMCID]
19. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse education today. 2004 Feb 1;24(2):105-12. [DOI:10.1016/j.nedt.2003.10.001] [PMID] [DOI:10.1016/j.nedt.2003.10.001] [PMID]
20. Polit DF, Beck CT. Essentials of nursing research: Appraising evidence for nursing practice: Lippincott Williams & Wilkins; 2013.
21. Eklöf N, Abdulkarim H, Hupli M, Leino-Kilpi H. Somali asylum seekers' perceptions of privacy in healthcare. Nursing ethics. 2016 Aug;23(5):535-46. [DOI:10.1177/0969733015574927] [PMID] [DOI:10.1177/0969733015574927] [PMID]
22. Rasmussen TS, Delmar C. Dignity as an empirical lifeworld construction-In the field of surgery in Denmark. International journal of qualitative studies on health and well-being. 2014 Jan 1;9(1):24849. [DOI:10.3402/qhw.v9.24849] [PMID] [PMCID] [DOI:10.3402/qhw.v9.24849] [PMID] [PMCID]
23. Manookian A, Cheraghi MA, Nikbakht Nasrabadi A, Peiravi H, Shali M. Nurses' lived experiences of preservation of patients' dignity. Iranian Journal of Medical Ethics and History of Medicine. 2014 May 15;7(1):22-33.
24. Chadwick A. A dignified approach to improving the patient experience: Promoting privacy, dignity and respect through collaborative training. Nurse Education in Practice. 2012 Jul 1;12(4):187-91. [DOI:10.1016/j.nepr.2011.12.006] [PMID] [DOI:10.1016/j.nepr.2011.12.006] [PMID]
25. Chochinov HM, Hack T, McClement S, Kristjanson L, Harlos M. Dignity in the terminally ill: a developing empirical model. Social science & medicine. 2002 Feb 1;54(3):433-43. [DOI:10.1016/S0277-9536(01)00084-3] [DOI:10.1016/S0277-9536(01)00084-3]
26. Whitehead J, Wheeler H. Patients' experiences of privacy and dignity. Part 1: a literature review. British Journal of Nursing. 2008 Mar 27;17(6):381-5. [DOI:10.12968/bjon.2008.17.6.28904] [PMID] [DOI:10.12968/bjon.2008.17.6.28904] [PMID]
27. Akyüz E, Erdemir F. Surgical patients' and nurses' opinions and expectations about privacy in care. Nursing ethics. 2013 Sep;20(6):660-71. [DOI:10.1177/0969733012468931] [PMID] [DOI:10.1177/0969733012468931] [PMID]
28. Bäck E, Wikblad K. Privacy in hospital. Journal of Advanced Nursing. 1998;27(5):940-5. [DOI:10.1046/j.1365-2648.1998.t01-1-00576.x] [PMID] [DOI:10.1046/j.1365-2648.1998.t01-1-00576.x] [PMID]
29. Mazer SE. Lived-privacy: Understanding the variations in the ways patients make meaning of their privacy during hospitalization (Doctoral dissertation, Fielding Graduate University).
30. Johnson M. Notes on the tension between privacy and surveillance in nursing. OJIN: The Online Journal of Issues in Nursing. 2005 May 1;10(2).
31. Malcolm HA. Does privacy matter? Former patients discuss their perceptions of privacy in shared hospital rooms. Nursing Ethics. 2005 Mar;12(2):156-66. [DOI:10.1191/0969733005ne772oa] [PMID] [DOI:10.1191/0969733005ne772oa] [PMID]
32. DeVoe JE, Wallace LS, Fryer Jr GE. Measuring patients' perceptions of communication with healthcare providers: do differences in demographic and socioeconomic characteristics matter?. Health Expectations. 2009 Mar;12(1):70-80. [DOI:10.1111/j.1369-7625.2008.00516.x] [PMID] [PMCID] [DOI:10.1111/j.1369-7625.2008.00516.x] [PMID] [PMCID]
33. Kaiser K, Rauscher GH, Jacobs EA, Strenski TA, Ferrans CE, Warnecke RB. The import of trust in regular providers to trust in cancer physicians among white, African American, and Hispanic breast cancer patients. Journal of general internal medicine. 2011 Jan 1;26(1):51-7. [DOI:10.1007/s11606-010-1489-4] [PMID] [PMCID] [DOI:10.1007/s11606-010-1489-4] [PMID] [PMCID]
34. Association. AM. Code of medical ethics of the American Medical Association [Adobe Digital Editions version] www.ama-assn.org/ama/pub/physician-resources/medical-ethics/codemedical- ethics/code-medical-ethics.2015.
35. Sedaghani A. Evaluation of Health Care and Health Hospital standards. Fifth Edition ed. Tehran: Science and Art Publishing; 2014.
36. Abrahamnia M, Amerion A, Aziz A, Farahani M, Khadami V. Satisfaction rate of patients admitted to military hospitals from providing services. Journal of Military Medicine in the Pacific. 2011;12(2):101-5.
37. Farzianpour F, Foroushani AR, Sadeghi NS, Nosrati SA. Relationship between'patient's rights charter'and patients' satisfaction in gynecological hospitals. BMC health services research. 2016 Dec 1;16(1):476. [DOI:10.1186/s12913-016-1679-9] [PMID] [PMCID] [DOI:10.1186/s12913-016-1679-9] [PMID] [PMCID]
38. Aqajani M, dehghan nayeri N. Review of compliance with various aspects of the privacy of patients in the emergency department of the hospital, Tehran University of Medical Sciences. Journal of Medical Ethics and History of Medicine. 2010:59-69.
39. Marama T, Bayu H, Merga M, Binu W. Patient satisfaction and associated factors among clients admitted to obstetrics and gynecology wards of public hospitals in Mekelle town, Ethiopia: An Institution-Based Cross-Sectional Study. Obstetrics and gynecology international. 2018;2018. [DOI:10.1155/2018/2475059] [PMID] [PMCID] [DOI:10.1155/2018/2475059] [PMID] [PMCID]
40. Hajbaghery MA, Chi SZ. Evaluation of elderly patients' privacy and their satisfaction level of privacy in selected hospitals in Esfahan. Medical Ethics Journal. 2015;8(29):97-120.

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.