ArticleIranian journal of nursing and midwifery research
Contextual factors affecting autonomy for patients in Iranian hospitals: A qualitative study.
Article in Iranian journal of nursing and midwifery research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Factors Influencing Paternalistic Clinical Environment in Iran: An Exploratory Research Brief.Journal of patient experience · 2025Article
- The shadow of paternalism on patient-centeredness in oncology nursing care: A barrier of health-care promotion.Journal of education and health promotion · 2022Article
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Authors and funding
5 authors.
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Abstract
backgroundConsideration 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
methodsThis was a qualitative study using conventional content analysis methods. Thirty-four participants (23 patients, 9 nurses, and 2 doctors) from three Iranian teaching hospitals, selected using purposive sampling, participated in semi-structured interviews. Unstructured observation and filed notes were other methods for data collection. The data were subjected to qualitative content analysis and analyzed using the MAXQDA-10 software.
resultsFive categories and sixteen subcategories were identified. The five main categories related to patient autonomy were: Intrapersonal factors, physical health status, supportive family and friends, communication style, and organizational constraints.
conclusionsIn 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.
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