Comparing the actual and preferred viewpoint of patients about observation of their autonomy in the process of nursing care: A cross-sectional study in Iran, 2023
Background: Patient autonomy is a fundamental principle of nursing ethics and is prominently highlighted in the Code of Ethics for Nurses. However, there is a notable gap in the existing literature regarding patients' actual versus preferred perceptions of the respect for their autonomy within...
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Kashan University of Medical Sciences
2025-06-01
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| Series: | Nursing and Midwifery Studies |
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| Online Access: | https://nmsjournal.kaums.ac.ir/article_213904_cc2e3b573008a4a5d712746f69ae4974.pdf |
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| author | Nayereh Baghcheghi Hamid Reza Koohestani Mohammad Hasan Keshavarzi |
| author_facet | Nayereh Baghcheghi Hamid Reza Koohestani Mohammad Hasan Keshavarzi |
| author_sort | Nayereh Baghcheghi |
| collection | DOAJ |
| description | Background: Patient autonomy is a fundamental principle of nursing ethics and is prominently highlighted in the Code of Ethics for Nurses. However, there is a notable gap in the existing literature regarding patients' actual versus preferred perceptions of the respect for their autonomy within nursing care.Objectives: This study aims to compare patients' actual and preferred perspectives on the observation of their autonomy during nursing care.Methods: A cross-sectional analytical study was conducted on 231 patients hospitalized at an educational hospital in Saveh, Iran, from February to June 2023. Data were collected using a patient autonomy questionnaire developed by Lemonidou et al., (2003) which assessed two dimensions: information received and patient involvement in nursing care, in both preferred and actual versions. Data analysis was performed using SPSS software (version 22). Descriptive statistics, paired t-tests, independent t-tests, one-way ANOVA, and Pearson correlation coefficient tests were utilized.Results: The mean scores for the information received by patients regarding their actual and preferred viewpoints were 26.0±7.6 and 26.43 ± 6.43, respectively, with no significant difference observed. In contrast, the mean scores for patient involvement in nursing care were 22.29 ± 5.06 for the actual viewpoint and 24.51 ± 4.9 for the preferred viewpoint, revealing a significant difference (P<0.05). The most substantial gap between actual and preferred perspectives was noted in the item concerning "choosing pain relief methods" (P<0.05).Conclusion: The findings indicate that patients perceive their autonomy as insufficiently respected in nursing care, particularly in relation to decision-making about treatment options. Given the critical importance of autonomy in patient care, it is recommended that nurses receive enhanced training on ethical principles through in-service programs. This approach would better acknowledge and integrate patients' rights and preferences into their care. |
| format | Article |
| id | doaj-art-b36fd32ee7574087b8318dc041c2685d |
| institution | Kabale University |
| issn | 2322-1488 2322-1674 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Kashan University of Medical Sciences |
| record_format | Article |
| series | Nursing and Midwifery Studies |
| spelling | doaj-art-b36fd32ee7574087b8318dc041c2685d2025-08-20T03:36:09ZengKashan University of Medical SciencesNursing and Midwifery Studies2322-14882322-16742025-06-0114211011710.48307/nms.2025.486411.1505213904Comparing the actual and preferred viewpoint of patients about observation of their autonomy in the process of nursing care: A cross-sectional study in Iran, 2023Nayereh Baghcheghi0Hamid Reza Koohestani1Mohammad Hasan Keshavarzi2Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, IranSocial Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, IranClinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, IranBackground: Patient autonomy is a fundamental principle of nursing ethics and is prominently highlighted in the Code of Ethics for Nurses. However, there is a notable gap in the existing literature regarding patients' actual versus preferred perceptions of the respect for their autonomy within nursing care.Objectives: This study aims to compare patients' actual and preferred perspectives on the observation of their autonomy during nursing care.Methods: A cross-sectional analytical study was conducted on 231 patients hospitalized at an educational hospital in Saveh, Iran, from February to June 2023. Data were collected using a patient autonomy questionnaire developed by Lemonidou et al., (2003) which assessed two dimensions: information received and patient involvement in nursing care, in both preferred and actual versions. Data analysis was performed using SPSS software (version 22). Descriptive statistics, paired t-tests, independent t-tests, one-way ANOVA, and Pearson correlation coefficient tests were utilized.Results: The mean scores for the information received by patients regarding their actual and preferred viewpoints were 26.0±7.6 and 26.43 ± 6.43, respectively, with no significant difference observed. In contrast, the mean scores for patient involvement in nursing care were 22.29 ± 5.06 for the actual viewpoint and 24.51 ± 4.9 for the preferred viewpoint, revealing a significant difference (P<0.05). The most substantial gap between actual and preferred perspectives was noted in the item concerning "choosing pain relief methods" (P<0.05).Conclusion: The findings indicate that patients perceive their autonomy as insufficiently respected in nursing care, particularly in relation to decision-making about treatment options. Given the critical importance of autonomy in patient care, it is recommended that nurses receive enhanced training on ethical principles through in-service programs. This approach would better acknowledge and integrate patients' rights and preferences into their care.https://nmsjournal.kaums.ac.ir/article_213904_cc2e3b573008a4a5d712746f69ae4974.pdfperceptionpersonal autonomypatientsnursing careethics |
| spellingShingle | Nayereh Baghcheghi Hamid Reza Koohestani Mohammad Hasan Keshavarzi Comparing the actual and preferred viewpoint of patients about observation of their autonomy in the process of nursing care: A cross-sectional study in Iran, 2023 Nursing and Midwifery Studies perception personal autonomy patients nursing care ethics |
| title | Comparing the actual and preferred viewpoint of patients about observation of their autonomy in the process of nursing care: A cross-sectional study in Iran, 2023 |
| title_full | Comparing the actual and preferred viewpoint of patients about observation of their autonomy in the process of nursing care: A cross-sectional study in Iran, 2023 |
| title_fullStr | Comparing the actual and preferred viewpoint of patients about observation of their autonomy in the process of nursing care: A cross-sectional study in Iran, 2023 |
| title_full_unstemmed | Comparing the actual and preferred viewpoint of patients about observation of their autonomy in the process of nursing care: A cross-sectional study in Iran, 2023 |
| title_short | Comparing the actual and preferred viewpoint of patients about observation of their autonomy in the process of nursing care: A cross-sectional study in Iran, 2023 |
| title_sort | comparing the actual and preferred viewpoint of patients about observation of their autonomy in the process of nursing care a cross sectional study in iran 2023 |
| topic | perception personal autonomy patients nursing care ethics |
| url | https://nmsjournal.kaums.ac.ir/article_213904_cc2e3b573008a4a5d712746f69ae4974.pdf |
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