Knowledge and attitudes of nurses regarding patient rights: a Corum/Turkey sample

Akca, Selen Ozakar; Akpinar, Yeliz Yelen; Habbani, Turgay

doi:10.1590/1806-9282.61.05.452

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ORIGINAL ARTICLES • Rev. Assoc. Med. Bras. 61 (5) • Sep-Oct 2015 • https://doi.org/10.1590/1806-9282.61.05.452 copy

Knowledge and attitudes of nurses regarding patient rights: a Corum/Turkey sample

Conhecimentos e atitudes das enfermeiras em relação aos direitos dos pacientes: exemplo de Corum, Turquia

Authorship SCIMAGO INSTITUTIONS RANKINGS

Summary

Objective:

patient rights are defined as the rules of conduct between the people who benefit from health services and the health institutions and personnel who provide them. As the protection and provision of these rights are closely related to the nursing trade, these professionals must have thorough knowledge about this issue. The purpose of this study was to evaluate the acquaintance and attitudes of working nurses in Corum/Turkey regarding patient rights and to create the basis for a planned educational program.

Methods:

sample selection was not performed in this study, but all nurses (n=939) who were working in the course of this study constituted the sample. Survey forms were used as data collection tools.

Results:

the study revealed that 92.3% had received education about patient rights, 2.2% had never heard anything about this term and 86.6% became aware of it through sources from outside of school. It was established that the attitudes of nurses regarding patient rights differ for every patient and that this rate ranges from 35.8 to 98.1%.

Conclusion:

there is a requirement for more studies on the subject of patient rights, as they play an important role in the development of health services. In that regard, patient rights centers should be established and carried out according to the foreseen model set by national and international health systems. Studies aiming to teach health personnel, patients and their relatives about patient rights must be carried out.

Keywords:
patient rights; nurses; patient satisfaction

Characteristics		n	%
Graduated from	Medical Vocational high school	232	24.7
	Vocational health high school (2 years)	262	27.9
	Nursing school (4 years)	320	34.1
	Nursing school associate degree	92	9.8
	Postgraduate and above	33	3.5
Marital status	Married	681	72.5
Marital status	Single	258	27.5
Number of children	None	273	29.1
	1	197	21.0
	2	360	38.3
	>2	109	11.6
Working unit	Clinic	669	71.2
	Policlinic	136	14.5
	Intensive care	134	14.3
Total working time (year)	≤ 5	275	29.3
	6-10	226	24.1
	11-15	169	18.0
	≥ 16	269	28.6
Did you receive an education regarding patient rights?	Yes	867	92.3
Did you receive an education regarding patient rights?	No	72	7.7
Where did you hear the term patient rights for the first time?	I have never heard it	21	2.2
	Book	23	2.4
	Television	44	4.7
	Internet	8	0.9
	School	105	11.2
	Hospital	713	75.9
	Brochure	13	1.4
	Seminar	12	1.3
Have you ever faced any problems concerning patient rights?	Yes	411	43.8
Have you ever faced any problems concerning patient rights?	No	528	56.2

Rights	Agree	Disagree
Patients should benefit from the activities that are promoting healthy life and preventive health services in accordance with the principles of justice and fairness.	96.5	3.5
He/she must receive friendly, courteous, compassionate health care services by showing respect, care and attention.	97.1	2.9
He/she must receive health care in an environment where all kind of hygienic conditions are provided; all noisy and uncomfortable factors shall be eliminated.	96.7	3.3
Patient has the right to benefit from any kind of health care services that are required by conditions.	96.7	3.3
Patient should receive service without taking into account race, language, religion or creed, sex, political opinion, philosophical belief, economic or social status.	97.6	2.4
He/she should receive health care services in a safe environment.	98.1	1.9
Patients may require that he/she, family or relatives to be informed about health status, except for mandatory situations related to public health.	96.2	3.8
He/she must be able to accept visitors in accordance with the principles and procedures, which are determined by the institutions and organizations.	96.0	4.0
Patients may require companion within the possibilities of health institutions and organizations and if it is deemed appropriate by the physician.	96.3	3.7
In case of violation of rights, he/she has the right to be able to use complaints and lawsuits and any application within the framework of legislation	89.0	11.0
Patients have the right to receive diagnosis, treatment and care in compliance with medical needs, and they also have right to refuse it.	94.0	6.0
He/she has the right to choose and change health institutions if necessary.	96.6	3.4
Patients must get all kind of health service in an environment that is suitable for confidentiality.	95.8	4.2
Medical intervention may be performed without patient consent in cases where health measures should be taken if it concerns public health and medical necessity.	90.3	9.7
Patients may demand all kind of information related to their health status, verbally or in writing.	92.3	7.7
In any medical intervention, patient's consent must be obtained and he/she should benefit from services within the frame of the consent.	92.5	7.5
The patient should be informed of any attempt related to him/her.	93.4	6.6
He/she can refuse or stop the treatment.	92.4	7.6
They can fulfill their religious obligations, within the frame of the measures taken by the administration and the extent of the organization's capabilities.	94.8	5.2
In case of worsen situation that can increase the illness by corrupting the morale, the diagnosis can be hidden.	81.7	18.3
Health care personnel are obliged to protect the patient’s health, relieve his/her suffer and must be able to do any attempt including euthanasia.	35.8	64.2
Physician and other personnel who provide health services have the right to learn their duties and titles, including identification information, and should be able to elect and change the service personnel.	74.0	26.0
The advocacy role of nurses in patient rights gives them the responsibility to advocate in the patient's best interest when patient rights are violated or ignored in health care system.	77.8	22.2
Nurses have to contact the patient and his/her family for the benefit of the patient, with the purpose of aiding and carrying out communications in this context.	86.6	13.4
Nurses must be adequate in terms of knowledge, skills and values, and should renew and improve himself/herself in case of change and it should be reflected in practice.	95.2	4.8
Nursery education must be organized in a way that nurses can maintain adequate and qualified services in changing society.	95.0	5.0
Nurses play many roles at the same time: taking care of patients, advising, giving emotional support and protecting the rights of patient.	91.7	8.3
The advocacy role of nurses is defined in health system as an independent role like a policy maker role in order to defend patient rights when they are violated or ignored.	80.8	19.2

Characteristics		N	± SD	F	p
Graduated from	Medical vocational high school	232	0.88 ± 0.18	x2	0.714
	Vocational health high school (2 years)	262	0.90 ± 0.16	0.285
	Nursing school (4 years)	320	0.90 ± 0.14
	Nursing school associate degree	92	0.91 ± 0.88
	Post graduate and above	33	0.92 ± 0.79
Marital status	Married	681	0.90 ± 0.18	0.197	0.019^* * p < 0.05,
Marital status	Single	258	0.88 ± 0.20
Number of children	None	273	0.88 ± 0.18	0.293	0.065
	1	197	0.92 ± 0.11
	2	360	0.90 ± 0.14
	> 2	109	0.88 ± 0.19
Working unit	Clinic	669	0.89 ± 0.16	0.218	0.363
	Policlinic	136	0.89 ± 0.15
	Intensive care	134	0.91 ± 0.13
Total working time (year)	≤ 5	275	0.89 ± 0.17	0.287	0.105
	6-10	226	0.91 ± 0.11
	11-15	169	0.91 ± 0.14
	≥ 16	269	0.88 ± 0.17
Did you receive an education regarding patient rights?	Yes	867	0.90 ± 0.15	0.100	0.986
Did you receive an education regarding patient rights?	No	72	0.89 ± 0.18
Where did you hear the term patient rights for the first time?	I have never heard it	21	0.80 ± 0.27	0.480	0.000^ p < 0.01
	Book, seminar, brochure	48	0.87 ± 0.28
	Television, internet	52	0.85 ± 0.21
	School	105	0.90 ± 0.13
	Hospital	713	0.90 ± 0.14
Have you ever faced any problems concerning patient rights?	Yes	411	0.90 ± 0.16	M-W-U 0.192	0.032^* * p < 0.05,
Have you ever faced any problems concerning patient rights?	No	528	0.89 ± 0.15
Total		939	0.96 ± 0.15

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[1] *Correspondence: Address: Samsun Cad., 96 Corum – Turkey Postal code: 1259 Phone: +903642230732 Fax: +9036422230730selenozakar@hotmail.com selenozakar@gmail.com selenozakar@hitit.edu.tr