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Accommodating autonomous; chronic patients’ meaning of autonomyin clinical setting in Iranian in-patients: A grounded theory study

Authors: Hossein Ebrahimi,EfatSadeghian,NayemehSeyedfatemi,EesaMohammadiand Azim Azizi

Int J Med Res Health Sci.443-454 | pdf PDF Full Text

The aim of this study was to explore autonomy in chronic patients in clinical settings of Iran. The present study was
performed in 2014 through a qualitative approach and the Grounded Theory with the participation of 34 persons
(23 patients, 9 nurses, 2 physicians) who were recruited through purposeful and theoretical sampling. The data
were collected through comprehensive interviews and observation of the hospitals in Tabriz and Hamadan, Iran.
The findings were analyzed with the MAXQDA10 sing the analysis method of Corbin and Strauss (2008). Data
analysis resulted in 5 main categories and one central category. The five main categories were exposure to
paternalism, attempts to express their opinions, attempts to prove their ability, attempts to shared decision-making
and attempts to self-determination. The central category was accommodating autonomous, which demonstrates the
perception of chronic patients of their autonomy during hospitalization. Generally, though changes in patients’
health and lives can create serious threats to their autonomy, patients comply with condition. By considering this
moral concept, medical teams can help patients enhance their autonomy during relationship.

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