The Comparison between perspective of doctors, nurses and patients

Abstract

ABSTRACT Background and aim: Patient advocacy is one of the most controversial issues in nursing during recent two decades. The purpose of this study was to determine perspective of doctors, nurses and patients towards the advocacy role of nurses about patients in hospitals affiliated to Shahid Beheshti University of Medical Sciences. Materials and Methods: This descriptive- comparative study was conducted on a sample of 329 doctors and 345 nurses and 225 patients, selected by a multi-stage sampling method. Data were collected using a demographic questionnaire and a Nursing-Advocacy-Perspective-Scale. The content and construct validity as well as internal consistency and test-retest reliability method were assessed and confirmed beforehand. The data was analyzed using SPSS 16 and statistical tests at the significant level of P . [24 March 2010] -Negarandeh R (2005). Nursing and Patient advocacy: A Grounded Theory. PhD Dissertation in Nursing. Nursing and Midwifery School. Iran University of Medical Sciences. Tehran, Iran.(Persian) -Negarandeh R Oskoii F Ahmadi F et al (2005a). Patient advocacy properties. Journal of Zanjan University of Medical Sciences.13 (53) 29-38. (Persian) -Negarandeh R Oskoii F Ahmadi F et al (2005b). Nurses Experiences of Facilitators and Inhibitors in Patient advocacy. Journal of Iran University of Medical Sciences.12 (47) 175-186. (Persian) -O'Connor T and Kelly B (2005). Bridging the gap: a study of general nurses perceptions' of patient advocacy in Ireland. Nursing Ethics.12 (5) 453-467. -Parsapoor A et al (2010). Survey of patients, nurses and doctors attitude to regarding of cods of patients’ right in Tehran University of Medical Sciences Hospitals. Journal of Medical Ethics and History 3(1) 53-64. (Persian) -Rezaei Kargar F (2005). Advocacy: an important role for a nurse. Journal of Faculty of Nursing & Midwifery of Shaheed Beheshti.15 (48)11-19. (Persian) -Rushton CH (1995). Creating an ethical practice environment. Critical Care Nurse Clinics of North America.7 (2) 384- 397. -Sellin SC (1995). Out of a limb: a qualitative study of patient advocacy in institutional nursing. Nursing Ethics.2 (1) 19-29. -Shakeri-nia A (2009). Relationship Between doctor-patient and its role in satisfaction the patients' treatment. Journal of Medical Ethics and History.2 (3) 9-16. (Persian) -Snowball J (1996) Asking nurse about advocacy for patients "reactive" and "proactive" accounts. Journal of Advanced Nursing.24 (2) 67-75. -Sundin-Huard D and Fahy k (1999). Moral distress, Advocacy and burnout: theorizing the relationships. International Journal of Nursing Practice.5 (1) 8-13. -Vaartio H Leino-Kilpi H Suominen T et al. (2008). The content of advocacy in procedure pain care- patient and nurses perspective . Journal of Advanced Nursing. 64 (5) 504-513. -Vanaki Z (2002). Nursing support and its effect on satisfaction in cancer patients undergoing chemotherapy. PhD Dissertation of Nursing. Faculty of Nursing and Midwifery: Tarbiat Modares University.Tehran, Iran. (Persian) -Voskoii-ashkori kh (2008). [Evaluation of respected to patients' rights in hospitals affiliated to Tehran University of Medical Sciences]. Journal of Medical Ethics and History.2 (4) 47-53. (Persian) ... /5 ! = "E1P " 5 1391 ,& 77 / 22 ! /10 -Walsh K Kowanko I (2002). Nurse and patient perception of dignity. International Journal Practice. 8 (3)143-145. -Wheeler P (2000). Is advocacy at the heart of professional practice?. Nurse Standard.14 (36) 39-41. -Yaghmaei F (2009). Measuring Behavior in Research by Valid and Reliable Instruments. 2 nd Edition. Tehran. Publications of Shaheed Behshti Medical Sciences. (Persian) -Zokaie Yazdi S Mosaib Moradi J Mehran A et al (2002). Perspective of the nursing staff at hospitals affiliated to the Tehran University of Medical Sciences about the roles and activities of the nurses. Journal of Nursing and Midwifery. Tehran University of Medical Sciences (Hayat).16 (8)22-32. (Persian) Birrell J Thomas D Jones CA (2006). Promoting privacy and dignity for older patients in hospital. Nursing Standard. 20 (18) 41-46. -Blondeau D