Patient-centered care with the Patient Rights Charter approach: A qualitative study

Authors
1 Department of Hospital Administration Research Center, Sari Branch, Islamic Azad University, Sari, Iran
2 Department of health services management, Sari Branch, Islamic Azad University, Sari, Iran
3 Department of Biostatics, Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran
Abstract
Introduction

Patient-centered care is one of the major priorities of the health system to improve patient safety and satisfaction, but in many cases it is not provided in accordance with the Patient Rights Charter. Therefore, the present study aimed to design a patient-centered model of care with the approach of the Charter of Patient Rights in Arbitrary Hospitals of the Ministry of Health of Iran.

Materials and Methods

This study was a qualitative study. Participants included 21 expert managers and nurses, nursing managers of educational hospitals and selected hospitals. The method of data collection was in-depth interviews. The data were analyzed by qualitative content analysis.

Results

The process of data analysis led to the emergence of 6 themes. These themes were titled with nursing services management, information, resource and care, patient charter, patient safety, and spiritual care, each of them derived from categories, subcategories, and primary codes, which are described in detail in the article.

Conclusion

Paying attention to the dimensions of patient-centered care and the need to promote patient rights is one of the priorities of the health care system. It is recommended that the patient-centered model of care with the patient rights charter approach be used in order to provide better health care services and satisfy the patients.
Keywords

1. Watson J, Woodward T. Jean Watson’s theory of human caring. Nursing theories and nursing practice. 2010;3:351-69.
2. Weiner SJ, Schwartz A, Sharma G, Binns-Calvey A, Ashley N, Kelly B, et al. Patient-centered decision making and health care outcomes: an observational study. Annals of internal medicine. 2013;158(8):573-9.
3. Rathert C, Wyrwich MD, Boren SA. Patient-centered care and outcomes: a systematic review of the literature. MCRR. 2013;70(4):351-79.
4. Ng K, Leung GK, Johnston JM, Cowling BJ. Factors affecting implementation of accreditation programmes and the impact of the accreditation process on quality improvement in hospitals: a SWOT analysis. HKMJ. 2013;19(5):434-46.
5. Abbasi S, Tavakoli N, Moslehi M. Readiness of hospitals with quality management systems based on Joint Commission on accreditation standards. Health Information Management. 2012;9(4):502-12.
6. Mir-Habibi F, Salsali M, Nasrabadi T. “Short Comunication” The Effect of Clinical Nursing Services Accreditation Training on the Knowledge and Attitude of Nurses. IJN. 2017;30(109):80-7.
7. Epstein RM, Richard L. The Values and Value of Patient-Centered Care. Annals of Family Medicine 2011;9(2):100-4.
8. McCance T, McCormack B, Dewing J. An exploration of person-centredness in practice. Online J Issues Nurs 2011;16(2):44-54.
9. Brubakk K, Vist GE, Bukholm G, Barach P, Tjomsland O. A systematic review of hospital accreditation: the challenges of measuring complex intervention effects. Health Services Research. 2015;15(1):1-10.
10. Ghane G, Esmaeili M. Status of Patient-centered Care in Health System of Iran. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2019;4(3):1-5.
11. Kalhor M, Kaveii B, Samiee-Rad F. Evaluating patients awareness and satisfaction of implementing patients' rights charter at Kowsar Hospital in Qazvin. Journal of Study in Medical Sciences Education 2017;9(3):29-37.
12. Glaser BG, Strauss AL. The discovery of Graunded Theory Nnew York,Aldine, 1967.
13. Basir-moghadam K, Moslem M, Ajim Z, Jamal F. Knowledge of patients and health providers about patient rights and its implementation at one of the teaching hospitals Yes. (Horizon of knowledge. Journal of Gonabad University of Medical Sciences and Health Services 2010;17(1):54-64.
14. Fazlolahi M, Sanagoo A, Vakili M, Jouybari L. Evaluating the effect of primary nursing method on patients` and nurses` self-care knowledge, and patients` satisfaction level of care in open heart surgery. The J Urmia Nurs Midwifery 2016;14(7):580-92.
15. Feizi A, Mohammadi R, Nikravesh M. Factors Causing Patient’s Trust in Nurse from Patients’ Perspective. Journal of Iran University of Medical Sciences 2006;13(52):177-88.
16. Wan H, Hu S, Thobaben M, Hou Y, Yin T. Continuous primary nursing care increases satisfaction with nursing care and reduces postpartum problems for hospitalized pregnant women. Contemp Nurse 2011;37(2):149-60.
17. Gardetto N. Self-management in heart failure: where have we been and where should we go? J Multidiscip Healthc 2011;4:39-51.
18. Soleimani M, Negarandeh R, Bastani F. Exploring for self-care process in patients with Parkinson`s disease: a grounded theory study. Hayat, Journal of School of Nursing and Midwifery, Tehran University of Medical Sciences 2015;21(1):6-23.
19. Rafii F, Soleimani M, Seyedfatemi N. A model of patient participation with chronic disease in nursing care. Koomesh 2011;12(3):293-305.
20. Ravaghi H, et al. Patients 'Knowledge of Patients' Rights and Their Satisfaction with their Observance in General Teaching Hospitals of Tehran University of Medical Sciences. Journal of Health. 2016;7(1):27-35.
21. Khademi A, JolgehneJad A, Ahmadi Kahnali R, Heyrani A. Factors Influencing Hospital Supply Chain Resilience (A Qualitative Study). Hospital 2019;18(2):61-74.
22. Keyvanara M, Roholamin L. Comparison of Physical Space of Pediatric Wards in Isfahan Hospitals with Standards. Journal of Health Information Management 2008;4(1):123-33.
23. Cimellaro G, Malavisi M, Mahin S. Factor analysis to evaluate hospital resilience. ASCE-ASME Journal of Risk and Uncertainty in Engineering Systems, Part A. Civil Engineering. 2018;4(1):04018002.
24. Farsi nejad M, Bazmi M, Temori B, Resaneh S. Comparing the satisfaction of observing patients' rights in public and private hospitals in Tehran. Journal of Medical Ethics 2012;21(2):99-113.
25. Sajwani R, Shoukat S, Raza R, Shiekh M, Rashid Q, Siddique M, et al. Knowledge and practice of healthy lifestyle and dietary habits in medical and non-medical students of Karachi, Pakistan. J Pak Med Assoc. 2009;59(9):650-6.
26. Borjaliloo S, Shahidi S, Imami A. Care everyday experiences and spiritual well-being among the nurses of hospitals in Tehran. Psychology and Relirious. 2014;6(4):119-33.
27. Balboni M, Sullivan A, Enzinger A, EpsteinPeterson Z, Tseng Y, Mitchell C, et al. Nurse and physician barriers to spiritual care provision at the end of life. J Pain Symptom Manage 2014;48(3):400-10.
28. Gallison B, Xu Y, Jurgens C, Boyle S. Acute care nurses' spiritual care practices. J Holist Nurs 2013;31(2):95-104.
29. Davis K. Learning from high performance health systems around the globe. Invited testimony, US Senate Health, Education, Labor,and Pensions Committee Hearing on Health care coverage and access: Challenges and opportunities. New York: Commonwealth Fund. 2007.
30. Hummel L, Galek K, Murphy K, Tannenbaum H, Flannelly L. Defining spiritual care: an exploratory study. J Health Care Chaplain 2008;15(1):40-52.
31. Adib-Hajbaghery M, Saeadnejad Z. Barriers to Provide Patients Admitted to Hospitals in Kashan with Spiritual Care: Nurses’ Viewpoints. Med Ethics J 2016;10(37):49-60.
32. Oshvandi K, Amini S, Moghimbeigi A, Sadeghian E. The effect of spiritual care on death anxiety in hemodialysis patients with end-stage of renal disease: A Randomized Clinical Trial. Hayat, Journal of School of Nursing and Midwifery, Tehran University of Medical Sciences. 2018;23(4):332-44.
33. Anderson T, Watson M, Davidson R. The use of cognitive behavioural therapy techniques for anxiety and depression in hospice patients: a feasibility study. Palliat Med. 2008;22(7):814-22.