Development of strategies to enhance nurses' compliance with patients’ rights to ensure that the services provided at healthcare facilities are in line with patients’ rights

The study aimed to develop strategies to enhance nurses’ compliance with patients’ rights in the selected health facilities of the Capricorn District, Limpopo Province, South Africa. This multi-approach, four-phase study, consisting of a scoping review and a qualitative, descriptive, and explorative study with a contextual design and a consensus-building approach, aimed to develop strategies to enhance nurses' compliance with patients' rights in the Capricorn district of the Limpopo Province, South Africa. The study was conducted in the Capricorn District of Limpopo Province, South Africa, across four health facilities and in four phases. A scoping review was conducted in the first phase. In the second phase, data were collected through face-to-face interviews with 28 nurses and analysed using Tesch’s open coding technique to explore nurses’ awareness of their roles in ensuring patients’ rights compliance. The third phase focused on developing strategies to enhance nurses’ compliance with patients’ rights using five focus group discussions (FGDs) with non-clinical nurses, specialist nurse consultants, and nurse managers. The data from these discussions underwent thematic analysis to identify actionable strategies. The fourth and final phase involved validating the strategies through an e-Delphi technique with experts, and the data were analysed using descriptive statistics.

本研究旨在制定策略，以提升南非林波波省摩羯座行政区（Capricorn District）选定卫生机构内护理人员对患者权利的依从性。本研究为多途径、四阶段研究，涵盖范围综述（scoping review）与采用情境化设计、共识构建方法的质性描述性探索性研究，核心目标为提升南非林波波省摩羯座行政区内护理人员对患者权利的依从性。本研究于南非林波波省摩羯座行政区内的四家卫生机构开展，共分为四个阶段。第一阶段开展范围综述。第二阶段通过与28名护理人员进行面对面访谈收集数据，并采用特斯克（Tesch）开放式编码技术进行分析，以探究护理人员对自身在保障患者权利依从性方面所扮演角色的认知水平。第三阶段聚焦于制定提升护理人员患者权利依从性的策略，邀请非临床护士、专科护理顾问及护理管理者开展五场焦点小组讨论（Focus Group Discussions, FGDs），对讨论所得数据进行主题分析以识别可操作策略。第四阶段即最终阶段，通过电子德尔菲（e-Delphi）技术邀请专家对所制定的策略进行验证，并采用描述性统计方法对数据进行分析。