Hariharan et al., 2006)(1818 Hariharan S, Jonnalagadda R, Walrond E, Moseley H. Knowledge, attitudes and practice of healthcare ethics and law among doctors and nurses in Barbados. BMC Med Ethics. 2006;9:7:E7. doi: 10.1186/1472-6939-7-7 https://doi.org/10.1186/1472-6939-7-7...
)(Barbados) |
Exploration of physicians' & nurses' knowledge, attitudes and practice regarding healthcare ethics and law. |
Descriptive, quantitative study 64 staff nurses, 20 nurses-in-charge, 27 consultant physicians & 48 junior physicians RR: not reported. |
Structured questionnaire |
-20% reported low levels of knowledge on healthcare law system - 37% reported lack of knowledge regarding the hospital ethics committee. |
-10% perceived knowledge on ethics as non-important. -Positive attitudes were reported on PRs to confidentiality, consent for treatment procedures, freedom of decision-making, right to treatment regardless of patient's violent behavior -Negative attitudes were reported towards PR to fulfillment of personal wishes. |
Sources: Pre-graduate & orientation training, work, experience, lectures & seminars, personal study. |
CEBM/ (i), (iii), (vii), (ix), (xii): yes (ii), (iv), (v), (viii): can't tell (vi), (x), (xi): no |
Kim et al., 2008(2323 Kim YS, Yoo MS, Park JH. Korean nurses' awareness of patients' rights in hospitals. Korean J Med Ethics Educ. 2008;11(2):191-200. doi: 10.35301/ksme.2008.11.2.191 https://doi.org/10.35301/ksme.2008.11.2....
) (Korea) |
Exploration of nurses' awareness on "Patients' Bill of Rights" including the rights to autonomy, informed consent, privacy and confidentiality. |
Quantitative, cross-sectional design 618 nurses, RR: 88.3 %. |
Structured questionnaire |
-32.8% reported low levels of knowledge on the "Patients' Bill of Rights". |
50% had violated patients' privacy & confidentiality. |
Not addressed. |
CEBM/ (i)-(iii), (vii), (xii): yes (iv), (v), (viii): can't tell (vi), (ix)-(xi): no |
Mohammad Nejad et al., 2011(1919 Mohammad Nejad E, Begjani J, Abotalebi G, Salari A, Ehsani SR. Nurses awareness of patients rights in a teaching hospital. J Med Ethics Hist Med [Internet]. 2011 [cited 2019 Feb 21];4(2):1-6. Available from: http://jmehm.tums.ac.ir/index.php/jmehm http://jmehm.tums.ac.ir/index.php/jmehm...
) (Iran) |
Evaluation of knowledge level in nurses on PRs and related factors. |
Cross sectional study Random sample 156 nurses, RR: 100%. |
Structured questionnaire |
-58.33% displayed high knowledge level. -The highest knowledge level (95.5%) was about PR to privacy & confidentiality. - The lowest knowledge level (33.9%) was about PRs to information on the healthcare team, care costs and insurance coverage for other medical centers. -Knowledge level was associated with work experience (p=0.008). |
Not addressed. |
Sources: not addressed. 30%: no education on PRs. |
CEBM/ (i)-(iii): can't tell (iv)-(vii), (x), (xi): no (viii), (ix), (xii): yes |
Parsapoor et al., 2012(2424 Parsapoor A, Mohammad K, Malek Afzali H, Ala'eddini F, Larijani B. Necessity of observing patient's rights: a survey on the attitudes of patients, nurses and physicians. J Med Ethics Hist Med [Internet]. 2012 [cited 2019 Feb 21];5(2):1-9. Available from: http://jmehm.tums.ac.ir/index.php/jmehm http://jmehm.tums.ac.ir/index.php/jmehm...
) (Iran) |
Comparison of the attitudes of healthcare service consumers and healthcare providers regarding PRs. |
Descriptive, cross sectional design 143 nurses, RR: 61%. 143 patients, RR: 98.6%.82 physicians, RR: 27.5%. |
Structured, self-administered questionnaire |
Not addressed |
-Positive attitudes were reported towards PRs to confidentiality; provision of treatment without discriminations; access to information; freedom of decision-making on treatment issues; and formalsubmission of complaints. - Negative attitudes were reported on the PR to access medical records and information about medical errors. |
Not addressed. |
CEBM/ (i)-(iv), (viii): can't tell (v)-(vii), (x), (xi): no (ix), (xii): yes |
Iltanen et al., 2012(2020 Iltanen S, Leino-Kilpi H, Puukka P, Suhonen R. Knowledge about patients' rights among professionals in public health care in Finland. Scand J Caring Sci.2012;26(3):436-48. doi: 10.1111/j.1471-6712.2011.00945.x https://doi.org/10.1111/j.1471-6712.2011...
) (Finland) |
Investigation of knowledge level and associated factors on PRs among healthcare professionals. |
Cross sectional design Stratified random sampling. 191 healthcare professionals: 52 auxiliary nurses, 84 hospital nurses, 37 public health nurses & 18 physicians. Total RR: 66%. |
Structured questionnaire |
Close to 50% of AN and HN and also 30% of PHN had high to moderate self-evaluated knowledge level. Approximately 90.4% of AN and PHN and 95% of HN reported high self-evaluated importance of knowledge on PRs. Rights with the highest level of knowledge were access to decent health care and treatment and patient's self-determination, while rights with the lowest level of knowledge were access to information and patient ombudsman. |
Not addressed |
46.2% of AN and RN, 67.1% of HN and 62.2% of PHN had no education on the PRs topic. |
CEBM/ (i)-(iii), (viii), (ix), (xi), (xii): yes (iv), (v): Can't tell (vi), (vii), (x): no |
Abou- Zeina et al., 2013(1212 Abou-Zeina HA, Nouman AA, Zayed MA, Hifnawy T, Shabrawy EM, Tahlawy E. Patients' rights: a hospital survey in South Egypt. J Empir Res Hum Res Ethics. 2013;8(3):46-52. doi: 10.1525/jer.2013.8.3.46 https://doi.org/10.1525/jer.2013.8.3.46...
) (Egypt) |
Assessment of knowledge level, relevant sources and clinical practice on PRs among healthcare providers, patients and their companions. |
Cross sectional design 48 nurses, RR: 82.75%. 72 physicians, RR: 81.8%. 221 patients & 71 companions, RR: 84.93%. |
Structured, self-administered questionnaire. |
48% had poor knowledge. |
Not addressed. |
Sources: Undergraduate curriculum, colleagues, media, hospital brochures. |
CEBM/ (i)-(iii), (vii), (viii), (xii): yes (iv), (v): Can't tell (vi), (ix)- (xi): no |
Akca et al., 2014(1717 Akca SO, Akpinar YY, Habbani T. Knowledge and attitudes of nurses regarding patient rights: a Corum/Turkey sample. Rev Assoc Med Bras. 2015;61(5):452-57. doi: 10.1590/1806-9282.61.05.452 https://doi.org/10.1590/1806-9282.61.05....
) (Turkey) |
Investigation of nurses' knowledge and attitudes regarding PRs in order to design an educational program. |
Descriptive, cross-sectional design 939 nurses, RR: 97%. |
Structured, self-administered questionnaire. |
Low levels of knowledge regarding their advocacy role (77.8%). |
-Positive attitudes (< 97.1%) were reported about PR to receive care with no discriminations, in a safe, respectful, attentive and friendly environment. -Negative attitudes (35.8%) were reported towards PR to be protected by nurses and be alleviated from suffering even by means of euthanasia |
Sources: Hospital orientation training (75.9%), pre-graduate education (11.2%), books, media (TV), brochures, seminars. 92.3% had formal education on PRs. |
CEBM/ (ii), (iii), (vii), (ix), (xii): yes (iv), (v), (viii): can't tell (i), (vi), (x), (xi): no |
Sabzevari et al., 2016(2222 Sabzevari A, Kiani MA, Saeidi M, Jafari SA, Kianifar H., Ahanchian H, et al. Evaluation of patients' rights observance according to patients' rights charter in educational hospitals affiliated to Mashhad University of medical sciences: medical staffs' views. Electron Physician. 2016;8(10):3102-09. doi: 10.19082/3102 https://doi.org/10.19082/3102...
) (Iran) |
Investigation of PRs observance among healthcare providers in teaching hospitals. |
Cross-sectional design 30 nurses, 15 auxiliary nurses, 20 physicians & 15 medical students. Total RR: 100%. |
Self-administered questionnaire [(demographic data & Inventory of Patients' Rights Observance (IPRO)]. |
-The lowest knowledge level was reported on PR to have continuous access to lawyers (76.7%), to participate in treatment decision-making (63.3%) and have access to personal medical files (50%). |
- Positive attitudes were reported towards PRs to participate in treatment decisions (93.3%), and to privacy and confidentiality (73.3%). |
Not addressed. |
CEBM/ (i)-(iii), (vii)-(ix), (xii): yes (iv), (v): can't tell (vi), (x), (xi): no |
Sheikhtaheri et al., 2016(1515 Sheikhtaheri A, Jabali MS, Dehaghi ZH. Nurses' knowledge and performance of the patients' bill of rights. Nurs Ethics. 2016;23(8):866-76. doi: 10.1177/0969733015584967 https://doi.org/10.1177/0969733015584967...
) (Iran) |
Evaluation of nurses' knowledge and adherence regarding PRs. |
Cross-sectional design 250 nurses, RR: 77.2 %. 300 patients, RR: 79.3%. |
Structured, self-administered questionnaire |
Factors associated with higher actual knowledge level on PRs were clinical experience longer than 10 years and higher education. |
-Acceptable degree of PRs protection during everyday clinical practice -The least popular PR was to access to personal medical records. |
Sources: Master's education, clinical environment. |
CEBM/ (i)-(iii), (vii)-(ix), (xii): yes (iv), (v): can't tell (vi), (x), (xi): no |
Utkualp et al., 2016(1414 Utkualp N, Yildiz H. Awareness and attitudes of nurses working in a university hospital on patients' rights. Int J Car Sci. 2016;9(1):185-97. Available from: http://www.internationaljournalofcaringsciences.org/ http://www.internationaljournalofcarings...
) (Turkey) |
Evaluation of nurses' knowledge and attitudes regrading PRs. |
Quantitative, descriptive design 211 nurses, RR: 56.8%. |
Structured questionnaire |
-79.1% reported adequate knowledge on PRs. |
- Positive attitudes were reported towards PR to privacy (99.1%), confidentiality (94.3%) and informed consent (82.5%). |
Sources: Pre-graduate education, hospital orientation program. |
CEBM/ (i), (ii), (vii), (ix), (xii): yes (iii)-(v), (viii): can't tell (vi), (x), (xi): no |
Ibrahim et al., 2017(1313 Ibrahim SA, Hassan MA, Hamouda SI, Abd Allah NM. Effect of patients' rights training sessions for nurses and patients. Nurs Ethics. 2017;24(7):856-67. doi: 10.1177/0969733015625365 https://doi.org/10.1177/0969733015625365...
) (Eqypt) |
Assessment of the effect of a training program on nurses' & patients' perceptions regarding PRs. |
Quasi-Experimental study Random sample. 97 nurses, RR: 100%. 135 patients, RR: 100%. |
Self-administered structured questionnaire |
41.8% in governmental hospitals and 38.1% in private hospitals had incorrect or incomplete knowledge regarding PRs. |
Not addressed. |
Sources: Nursing school curricula, training courses. |
CEBM/ (i), (ii), (vii)-(ix), (xii): yes (iii)-(v): can't tell (vi), (x), (xi): no |
Kolawole, 2017(2121 Kolawole IO. Nurses' perception and patients' validation of nurses' advocacy roles in promotion of surgical patients' safety and rights in three hospitals, Ibadan, Nigeria. West African J Nurs [Internet]. 2017 [cited 2019 Feb 21];28(1):66-84. Available from: https://www.worldcat.org/title/west-african-journal-of-nursing/oclc/70052832 https://www.worldcat.org/title/west-afri...
) (Nigeria) |
Assessment of nurses' and patients' perceptions regarding nurses' advocacy roles, with focus on promoting safety and rights of surgical patients. |
Quantitative, descriptive study Random sample. 219 nurses, RR: 100%. 25 surgical patients, RR: 100%. |
Structured, self-administered questionnaire |
89.8% had adequate knowledge about their advocacy role in promoting PRs. |
-91.8% reported positive attitudes towards advocacy in favour of patients - No relationship was found between nurses' knowledge level and guarding PRs. |
Not addressed. |
CEBM/ (i), (ii), (vii)-(ix), (xii): yes (iii)-(v): can't tell (vi), (x), (xi): no |
Abdalla et al., 2018(1616 Abdalla SM, Mahgoub EA, Abdelgadir J, Elhassan N, Omer Z. Operationalization of patients' rights in Sudan: quantifying nurses' knowledge. Nurs Ethics. 2018;26(7-8):2239-46. doi: 10.1177/0969733018787224 https://doi.org/10.1177/0969733018787224...
) (Sudan) |
Assessment of nurses' knowledge level regarding PRs. |
Descriptive, cross-sectional design 90 nurses, RR: 94.7%. |
Structured, self-administered questionnaire |
65.8% had an acceptable level of knowledge. |
Not addressed. |
Sources: Workplace, pre-graduate training, media |
CEBM/ (i)-(iii), (vii), (ix), (xii): yes (iv), (v), (viii): can't tell (vi), (x), (xi): no |