Strategic Human Rights-Based Approach for Understanding Patient Safety in Selected Palestinian Hospitals in North West Bank رسالة ماجستير

Abstract

This study aimed to examine the level of understanding of patient safety in selected Palestinian hospitals in northern West Bank by employing a strategic HRBA by health professionals, considering the following axes: (Fairness, Equality, Respect, Dignity, Autonomy). A cross- sectional quantitative design was employed to achieve this aim. The researcher used the Arabic translated SOPS Hospital Survey 2.0 version (Survey lItems and Composite Measures questionnaire) as a means of collecting the necessary data and polling for the study sample. The questionnaire created by the Agency for Healthcare Research and Quality (AHRQ) was employed in this study in 2019, whereby (481) questionnaires were distributed to health professionals in 6 government hospitals in the northern West Bank, including (Rafidia Hospital, Khalil Suleiman Hospital, Thabet Thabet Hospital, Tubas Turkish Hospital, Darwish Nazzal Hospital, Yasser Arafat Hospital(. A total of )473( questionnaires were retrieved, with a response rate of )98%).

The researcher used the SPSS statistical program to analyze the data, and the results of the study showed an important and significant role in employing human rights principles in healthcare by health professionals in government hospitals in the north of west bank. The level of employing FREDA principles by health professionals was moderate for all principles, noting that the level of employing the principle of fairness fared best of all with (70.8%) percentage compared to the other principles.

While the results showed that the level of patient safety assessment in government hospitals was (55.6%). the results also indicate that there are some factors that violate the patients’ rights represented in the level of staffing and work pace by (56.3%), non- punitive response to errors by 64.7%(, and the hospital administration support for patient safety )66%). On the other hand, the

results showed that there is a correlation relationship between human rights principles and many

variables, but at a moderate rate like fairness factor is significant correlated with A6G_1 Extent of agreement with statements about your unit/work area staffing and work pace (In this unit, staff feel like their mistakes are held against them). The study recommends by providing a supportive and encouraging environment by the hospital administration and the MoH through financial incentives and providing the necessary resources. There is a need to improve some areas of PS culture in Palestinian government hospitals to ensure enhanced PS. Allocating an adequate budget to the MoH in order to provide financial and human resources and medical equipment. Developing the patient rights’ charter to ensure the patients’ rights and healthcare providers in the government

hospitals.