Chronic Patients’ Autonomy in Iranian Hospitals: A Qualitative Study

Ebrahimi, Hossein; Sadeghian, Efat; Seyedfatemi, Naimeh; Mohammadi, Eesa

doi:10.1080/10508422.2015.1126525

Cited by 4 publications

(4 citation statements)

References 16 publications

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“…Our findings on collaborative care align with previous research suggesting that patient participation in decision-making and treatment implementation can lead to better healthcare services (Dobscha et al, 2009;Ebrahimi et al, 2017) increased selfsufficiency in self-care, and improved motivation, responsibility and participation in treatment, ultimately resulting in higher quality care (Alidina et al, 2021;Foroutani et al, 2014;Rakhshan et al, 2018).…”

Section: Discussionsupporting

confidence: 88%

Experiences of persons with multiple sclerosis of a collaborative care programme: A qualitative study

et al. 2023

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AimThis study aimed to explain the experiences of individuals with multiple sclerosis (MS) about the collaborative care programme.DesignThis qualitative study was conducted from July 2021 to March 2022.MethodsWe conducted this study with individuals with MS who participated in the collaborative care programme in Hamadan, Iran. A purposive sampling with maximum variety was applied to recruit patients until data saturation. Eventually, 18 patients consented and were interviewed using a semi‐structured interview guide. The transcriptions of audio‐checked interviews were analysed using a conventional content analysis approach of Graneheim and Lundman by MAXQDA 10, 2010 edition.ResultsThe study identified three main categories. that emerged from the participants' experiences of collaborative care: the ‘Beginning of Communication’, which included two subcategories, ‘Introduction and Acquaintance with Each Other’ and ‘Formation of Trust’; ‘Mutual Interaction’, which included three subcategories, ‘Dialogue’, ‘Mutual Goal Setting’ and ‘Mutual Agreement of Care Solutions’; and ‘Exchange of Targeted Behaviors’, which included six categories, Implementation of Strategies for ‘Nutritional Behaviors’, ‘Sleep and Rest’, ‘Constipation Relief’, ‘Promotion of Physical Activity and Exercise’, ‘Fatigue Reduction’ and ‘Stress Management’.ConclusionsThe findings highlight the statistically significant role of collaborative care in MS management. Utilizing these research findings can update the development of interventions based on collaborative care, which can provide appropriate support to individuals with MS.Patient or public contributionIndividuals with multiple sclerosis.

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Section: Discussionsupporting

confidence: 88%

Experiences of persons with multiple sclerosis of a collaborative care programme: A qualitative study

et al. 2023

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“…34 The findings of Ebrahimi et al study in Iran revealed that respect to patients' autonomy can be result in patients' physical/mental comfort, independence, adherence to treatment and selfconfidence. 35 However, the combination of sensory and motor deficits in stroke patients may adversely affect The study finding also showed a significant negative correlation between patients' self-perceived dignity and their perception regarding maintenance of the autonomy.…”

Section: Discussionmentioning

confidence: 69%

Iranian stroke patient’s perception of dignity, autonomy and privacy: a questionnaire survey

et al. 2016

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Background: Patients with stroke have many problems which may have adverse effects on opportunities for dignified care. So, any plans to improve the providing of dignified care in these patients need to identify the level of maintaining their dignity in hospital settings and its related factors in particular privacy and autonomy. Accordingly, the aim of this study was to recognize the level of self-perceived dignity and its relationships with the perception of respected autonomy and privacy among Iranian stroke patients.Methods: This descriptive-correlational study was undertaken among 166 patients with stroke admitted to a public educational centre affiliated to Ardebil University of Medical Sciences, Ardebil/Iran. They were selected using convenience sampling method. Patients’ levels of self-perceived dignity, autonomy and privacy were assessed using valid questionnaires. Results: The study findings showed a significant negative correlation between patients’ self-perceived dignity and autonomy. Also there was no significant relationship between patients’ self-perceived dignity and patients’ perception of protected privacy.Conclusions: According to the findings of this study respect to autonomy of patient increases the amount of patient dignity. But there isn’t this relationship about respect to the privacy of patient.

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“…[ 25 ] “Soft paternalism involves interfering with the liberty of someone who has compromised decision-making abilities, due to lack of information, immaturity, mental disability, or other factors.”[ 26 ] Soft paternalism in the Iran health system can be rooted in the guardianship of physicians and the health team for the patient. [ 27 ] In addition, in Iranian culture, families play a key role in the process of patient treatment and care. [ 28 ] Therefore, decisions are made by the family with the priority of saving the patient's life.…”

Section: Discussionmentioning

confidence: 99%

The shadow of paternalism on patient-centeredness in oncology nursing care: A barrier of health-care promotion

Taleghani

Farzi

Yazdannik

et al. 2022

J Edu Health Promot

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Chronic Patients’ Autonomy in Iranian Hospitals: A Qualitative Study

Cited by 4 publications

References 16 publications

Experiences of persons with multiple sclerosis of a collaborative care programme: A qualitative study

Experiences of persons with multiple sclerosis of a collaborative care programme: A qualitative study

Iranian stroke patient’s perception of dignity, autonomy and privacy: a questionnaire survey

The shadow of paternalism on patient-centeredness in oncology nursing care: A barrier of health-care promotion

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