Contextual factors affecting autonomy for patients in Iranian hospitals: A qualitative study

Hossein Ebrahimi, Efat Sagedhian, Naiemeh Seyedfatemi, Eesa Mohammadi Mohammadi, Maureen Crowley

Research output: Contribution to journalArticle

Abstract

Background: Consideration of patient autonomy is an essential element in individualized, patient-­centered, ethical care. Internal and external factors associated with patient autonomy are related to culture and it is not clear what they are in Iran. The aim of this study was to explore contextual factors affecting the autonomy of patients in Iranian hospitals.

Materials and Methods: This was a qualitative study using conventional content analysis methods. Thirty-­four participants (23 patients; 9 nurses'; 2 doctors) from three Iranian teaching hospitals, selected using purposive sampling, participated in semi-structured interviews. Unstructured observation and field notes were other methods for data collection. The data were subjected to qualitative content analysis and analysed using the MAXQDA-10 software.

Results: Five categories and 16 sub-categories were identified. The five main categories related to patients autonomy were:Intrapersonal factors, physical health status, supportive family and friends, communication style, and organizational constraints.

Conclusions: In summary, this study uncovered contextual factors that the care team, managers, and planners in the health field should target in order to improve patient autonomy in Iranian hospitals.
Original languageEnglish
Pages (from-to)261- 270
Number of pages10
JournalIranian Journal of Nursing and Midwifery Research
Volume21
Issue number3
Publication statusPublished - May 2016

Fingerprint

Patient-Centered Care
Iran
Teaching Hospitals
Health Status
Software
Nurses
Communication
Observation
Interviews
Health

Keywords

  • Autonomy
  • Chronic Disease
  • Hospitals
  • in-patients
  • Iran
  • nursing ethics
  • patient
  • personal autonomy
  • Qualitative Research
  • qualitative study

Cite this

Ebrahimi, H., Sagedhian, E., Seyedfatemi, N., Mohammadi, E. M., & Crowley, M. (2016). Contextual factors affecting autonomy for patients in Iranian hospitals: A qualitative study. Iranian Journal of Nursing and Midwifery Research, 21(3), 261- 270.
Ebrahimi, Hossein ; Sagedhian, Efat ; Seyedfatemi, Naiemeh ; Mohammadi, Eesa Mohammadi ; Crowley, Maureen. / Contextual factors affecting autonomy for patients in Iranian hospitals : A qualitative study. In: Iranian Journal of Nursing and Midwifery Research. 2016 ; Vol. 21, No. 3. pp. 261- 270.
@article{4d9faa6c320b423ca8896d9d0ac125a2,
title = "Contextual factors affecting autonomy for patients in Iranian hospitals: A qualitative study",
abstract = "Background: Consideration of patient autonomy is an essential element in individualized, patient-­centered, ethical care. Internal and external factors associated with patient autonomy are related to culture and it is not clear what they are in Iran. The aim of this study was to explore contextual factors affecting the autonomy of patients in Iranian hospitals.Materials and Methods: This was a qualitative study using conventional content analysis methods. Thirty-­four participants (23 patients; 9 nurses'; 2 doctors) from three Iranian teaching hospitals, selected using purposive sampling, participated in semi-structured interviews. Unstructured observation and field notes were other methods for data collection. The data were subjected to qualitative content analysis and analysed using the MAXQDA-10 software. Results: Five categories and 16 sub-categories were identified. The five main categories related to patients autonomy were:Intrapersonal factors, physical health status, supportive family and friends, communication style, and organizational constraints.Conclusions: In summary, this study uncovered contextual factors that the care team, managers, and planners in the health field should target in order to improve patient autonomy in Iranian hospitals.",
keywords = "Autonomy, Chronic Disease, Hospitals, in-patients, Iran, nursing ethics, patient, personal autonomy, Qualitative Research, qualitative study",
author = "Hossein Ebrahimi and Efat Sagedhian and Naiemeh Seyedfatemi and Mohammadi, {Eesa Mohammadi} and Maureen Crowley",
year = "2016",
month = "5",
language = "English",
volume = "21",
pages = "261-- 270",
journal = "Iranian Journal of Nursing and Midwifery Research",
issn = "2228-5504",
publisher = "Medknow Publications",
number = "3",

}

Ebrahimi, H, Sagedhian, E, Seyedfatemi, N, Mohammadi, EM & Crowley, M 2016, 'Contextual factors affecting autonomy for patients in Iranian hospitals: A qualitative study' Iranian Journal of Nursing and Midwifery Research, vol. 21, no. 3, pp. 261- 270.

Contextual factors affecting autonomy for patients in Iranian hospitals : A qualitative study. / Ebrahimi, Hossein; Sagedhian, Efat; Seyedfatemi, Naiemeh; Mohammadi, Eesa Mohammadi; Crowley, Maureen.

In: Iranian Journal of Nursing and Midwifery Research, Vol. 21, No. 3, 05.2016, p. 261- 270.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Contextual factors affecting autonomy for patients in Iranian hospitals

T2 - A qualitative study

AU - Ebrahimi, Hossein

AU - Sagedhian, Efat

AU - Seyedfatemi, Naiemeh

AU - Mohammadi, Eesa Mohammadi

AU - Crowley, Maureen

PY - 2016/5

Y1 - 2016/5

N2 - Background: Consideration of patient autonomy is an essential element in individualized, patient-­centered, ethical care. Internal and external factors associated with patient autonomy are related to culture and it is not clear what they are in Iran. The aim of this study was to explore contextual factors affecting the autonomy of patients in Iranian hospitals.Materials and Methods: This was a qualitative study using conventional content analysis methods. Thirty-­four participants (23 patients; 9 nurses'; 2 doctors) from three Iranian teaching hospitals, selected using purposive sampling, participated in semi-structured interviews. Unstructured observation and field notes were other methods for data collection. The data were subjected to qualitative content analysis and analysed using the MAXQDA-10 software. Results: Five categories and 16 sub-categories were identified. The five main categories related to patients autonomy were:Intrapersonal factors, physical health status, supportive family and friends, communication style, and organizational constraints.Conclusions: In summary, this study uncovered contextual factors that the care team, managers, and planners in the health field should target in order to improve patient autonomy in Iranian hospitals.

AB - Background: Consideration of patient autonomy is an essential element in individualized, patient-­centered, ethical care. Internal and external factors associated with patient autonomy are related to culture and it is not clear what they are in Iran. The aim of this study was to explore contextual factors affecting the autonomy of patients in Iranian hospitals.Materials and Methods: This was a qualitative study using conventional content analysis methods. Thirty-­four participants (23 patients; 9 nurses'; 2 doctors) from three Iranian teaching hospitals, selected using purposive sampling, participated in semi-structured interviews. Unstructured observation and field notes were other methods for data collection. The data were subjected to qualitative content analysis and analysed using the MAXQDA-10 software. Results: Five categories and 16 sub-categories were identified. The five main categories related to patients autonomy were:Intrapersonal factors, physical health status, supportive family and friends, communication style, and organizational constraints.Conclusions: In summary, this study uncovered contextual factors that the care team, managers, and planners in the health field should target in order to improve patient autonomy in Iranian hospitals.

KW - Autonomy

KW - Chronic Disease

KW - Hospitals

KW - in-patients

KW - Iran

KW - nursing ethics

KW - patient

KW - personal autonomy

KW - Qualitative Research

KW - qualitative study

M3 - Article

VL - 21

SP - 261

EP - 270

JO - Iranian Journal of Nursing and Midwifery Research

JF - Iranian Journal of Nursing and Midwifery Research

SN - 2228-5504

IS - 3

ER -