Journal of Qualitative Research in Health Sciences
Journal of Qualitative Research in Health Sciences

A Study of Clinical Justice in the Experiences of Patients, Nurses, and Nursing Students: A Qualitative Study

Document Type : Original Article

Authors

Homa Vejdani 1
hossein Mohsenipouya 2
faeze Azadi 1
Sanaz Fazeli 1
Arezou Bashghare 1
Yadollah Jannati 2
Akram Sanagoo 3
Leila Jouybari 3

1 BSc, Nurse, School of Nursing, Behshahr, Iran

2 Assistant Professor, Department of Nursing, Faculty of Nursing, Mazandaran University of Medical Sciences, Sari, Iran

3 Associate Professor, Department of Nursing, Faculty of Nursing & Midwifery, Golestan University of Medical Sciences, Gorgan, Iran

https://doi.org/10.22062/jqr.2021.193619.0
Abstract
Introduction: Reducing healthcare injustice is a moral imperative. People's benefits from these rights differ dramatically from one place to another. Understanding justice in medical care services has created many problems due to ambiguities. The present study aimed to explain the experiences and perspectives of nurses, patients, and nursing students about clinical justice.
Methods: This study was a qualitative one based on conventional content analysis. Semi-structured interviews with open-ended questions were used to collect data. Interviews were conducted with clinical nurses, nursing students, and hospitalized patients in hospitals of Behshahr (Mazandaran province). Purposive sampling was used and the interviews continued until data saturation was reached, and finally 73 (19 nursing students, 29 clinical nurses, and 25 hospitalized patients) participants entered the study. Interviews were recorded, and handwritten and then were coded and categorized based on conventional content analysis and themes were extracted.
Results: The analysis of data revealed four main themes including “equal treatment”, “good manners”, “care and attention”, and “clinical competence” and 9 subthemes including “ethnic discrimination”, “socioeconomic discrimination”, “unaccompanied patients”, “forgiveness”, “respect”, “attention to patients’ needs/problems”, “allocation of sufficient time”, “ability to prioritize” and “theoretical and practical competence”.
Conclusion: The findings of this study suggest that by equal treatment, avoiding ethnic and socioeconomic discrimination, paying attention to the patients' needs and treating them well, and enhancing the level of theoretical and practical skills, it is possible to help create justice in patient care.

Keywords

Justice
Clinic
Nurses
Patients
Nursing students
Qualitative study
  1. Moin M. Persian dictionary:Farhang Moin. Tehran: Amirkabir publications; 2014. [In Persian].
  2. Fatemi S, Moosavi S, Nikro R, Mohemkar-kherandish Exploration of medical sciences students and educational custodians view about educational equity in clinical environment. Research in Medical Education. 2016; 8‌(4):1-10 doi: 10.18869/acadpub.rme.8.4.1
  3. Yaya S, Bishwajit G, Shah V. Wealth, education and urban-rural inequality and maternal healthcare service usage in Malawi. BMJ Glob Health. 2016; 1(2):e000085. doi: 10.1136/bmjgh-2016-000085.
  4. Williams G, Hamm MP, Shulhan J, Vandermeer B, Hartling L. Social media interventions for diet and exercise behaviours: a systematic review and meta-analysis of randomised controlled trials. BMJ Open. 2014; 4(2):e003926. doi: 10.1136/bmjopen-2013-003926.
  5. Lane H, Sarkies M, Martin J, Haines T. Equity in healthcare resource allocation decision making: A systematic review. Soc Sci Med. 2017; 175:11-27. doi: 10.1016/j.socscimed.2016.12.012.
  6. Bermudez LG, Jennings L, Ssewamala FM, Nabunya P, Mellins C, McKay M. Equity in adherence to antiretroviral therapy among economically vulnerable adolescents living with HIV in Uganda. AIDS Care. 2016; 28 (2):83-91. doi: 10.1080/09540121.2016.1176681.
  7. Rozendo CA, Santos Salas A, Cameron B. A critical review of social and health inequalities in the nursing curriculum. Nurse Educ Today. 2017; 50:62-71. doi: 10.1016/j.nedt.2016.12.006.
  8. Li Z, Li M, Subramanian SV, Lu C. Assessing levels and trends of child health inequality in 88 developing countries: from 2000 to 2014. Glob Health Action. 2017; 10(1):1408385. doi: 10.1080/16549716.2017.
  9. Nikkhah Farkhani, Z., Rahimniya, F., Kazemi, M., Shrazi, A. An analysis of nurses ethical behavior toward persons accompanying a patient based on the theory of virtue ethics. J Qual Res Health Sci. 2015; 4(4):363-376. [In Persian].
  10. Ravaghi H, Salemi M, Behzadifar M, Mirghaed MT, Behzadifar M, Farhadi Z. Patients' satisfaction with medical emergency services in Iran from 2000 to 2017: A Systematic Review and Meta-Analysis. Iran Red Crescent Med J. 2018; 20:e58128. doi: 10.5812/ircmj.58128.
  11. Nasurdin AM, Nejati M, Mei YK. Workplace spirituality and organizational citizenship behaviour: Exploring gender as a moderator. S Afr J Bus Manag. 2013; 44(1):61-74. doi: 10.4102/sajbm.v44i1.148.
  12. Kim JY, Moon J, Han D, Tikoo S. Perceptions of justice and employee willingness to engage in customer‐oriented behavior. Journal of Services Marketing. 2004; 18(4):267-275. doi: 10.1108/08876040410542263.
  13. Azeem MM, Abrar M, Bashir M, Zubair A. Impact of organizational justice and psychological empowerment on perceived organizational performance: The mediating role of organizational citizenship behaviour. American Journal of Industrial and Business 2015; 5(05):272-280. doi: 10.4236/ajibm.2015.55029.
  14. Mahmoudi S, Hassani M, Aghlmand S. The relationship between organizational justice and organizational citizenship behavior among nurses (examining the mediating role of organizational commitment, organizational trust, and job satisfaction. Patient Saf Qual Improv. 2017; 5(2):513-20. doi: 10.22038/psj.2017.8544.
  15. Rakhshani Zabol F, Akbari O, Vagharseyyedin S A, Farajzadeh Z. The relationship between organizational jjustice and nurses’ job embeddedness in teaching hospitals. Avicenna J Nurs Midwifery Care. 2019; 27(3):156-162. doi: 30699/ajnmc.27.3.156.
  16. Fotoukian Z, Shahboulaghi FM, Khoshknab MF, Mohammadi E. Concept analysis of empowerment in old people with chronic diseases using a hybrid model. Asian Nurs Res (Korean Soc Nurs Sci). 2014; 8(2):118-27. doi: 10.1016/j.anr.2014.04.002.
  17. Khan JA, Ahmed S, MacLennan M, Sarker AR, Sultana M, Rahman H. Benefit incidence analysis of healthcare in Bangladesh-‌equity matters for universal health coverage. Health Policy Plan. 2017; 32(3):359-365. doi: 10.1093/heapol/czw131.
  18. Boccolini CS, de Souza Junior PR. Inequities in Healthcare utilization: results of the Brazilian National Health Survey, 2013. Int J Equity Health. 2016; 15(1):150. doi: 10.1186/s12939-016-0444-3.
  19. Durham W, Sykes C, Piper S, Stokes P. Conceptual frameworks and terminology in doctoral nursing Nurse Res. 2015; 23(2):8-12. doi: 10.7748/nr. 23.2.8.s3.
  20. Abudu-Birresborn D, McCleary L, Puts M, Yakong V, Cranley L. Preparing nurses and nursing students to care for older adults in lower and middle-income countries: A scoping review. Int J Nurs Stud. 2019; 92:121-134. doi: 10.1016/j.ijnurstu.2019.018.
  21. Ozturk H, Sayligil O, Musmul A, Acar NE. The perception of privacy in the emergency department: Medical faculty hospital as a case in point. Konuralp Tıp Dergisi. 2018;10(1):26-33. doi: 10.18521/ktd.356832.
  22. Stayt LC, Seers K, Tutton E. Patients' experiences of technology and care in adult intensive care. J Adv Nurs. 2015; 71(9):2051-61. doi: 10.1111/jan.12664.

 

  1. Liu PC, Zhang HH, Zhang ML, Ying J, Shi Y, Wang SQ, Sun J. Retirement planning and work-related variables in Chinese older nurses: A cross-sectional study. J Nurs Manag. 2018; 26(2):180-191. doi: 10.1111/jonm.12532.
  2. Barnes DC, Ponder N, Hopkins CD. The impact of perceived customer delight on the frontline J Bus Res. 2015; 68(2):433-41. doi: 10.1016/j.jbusres.2014. 06.005.
  3. Dalpezzo NK. Nursing care: a concept analysis. Nurs Forum. 2009; 44(4):256-64. doi: 10.1111/j.1744-6198.00151.x.
  4. Rodgers BL, Jacelon CS, Knafl KA. Concept Analysis and the Advance of Nursing Knowledge: State of the Science. J Nurs Scholarsh. 2018; 50(4):451-459. doi: 10.1111/jnu.12386.
  5. Ramirez E, Schumann L, Agan D, Hoyt KS, Wilbeck J, Tyler D, Evans DD. Beyond competencies: Practice standards for emergency nurse practitioners-A model for specialty care clinicians, educators, and employers. J Am Assoc Nurse Pract. 2018; 30(10):570-578. doi: 10.1097/JXX.0000000000000139.
  6. Abbasi S, Masoudi R, Rabiei L, Shahbazi K. The effect of assertiveness program on clinical competence of intensive care Units nurses; a randomized clinical trial. Avicenna J Nurs Midwifery Care. 2019; 27(5):293-305. 10.30699/ajnmc.27.5.293
  7. Touchie C, ten Cate O. The promise, perils, problems and progress of competency-based medical education. Med Educ. 2016; 50(1):93-100. doi: 10.1111/medu.12839.
  8. Pretorius L, Ford A. Reflection for learning: teaching reflective practice at the beginning of university study. International Journal of Teaching and Learning in Higher Education. 2016; 28(2):241-53. doi: 10.4225/03/5817ff4917215.
  9. Mosadeghrad AM. Factors influencing healthcare service quality. Int J Health Policy Manag. 2014; 3(2):77-89. doi: 10.15171/ijhpm.2014.65.

 

Journal of Qualitative Research in Health Sciences
Volume 10, Issue 4
Autumn 2021
Pages 231-237

  • Receive Date 10 May 2019
  • Accept Date 13 September 2021

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