Clinical Nurses’ Experiences of Discrimination Against Patients: A Qualitative Study in Iran

Abstract

Background:

Any form of discrimination directly opposes the ethical principles and values of the nursing profession. Discriminatory care is a major moral challenge to healthcare systems around the world.

Objective:

This study aimed to explore clinical nurses’ experiences of discrimination against patients.

Methods:

This qualitative study used a conventional content analysis approach. Thirteen nurses were selected through purposive sampling from various clinical units at public and private hospitals in Iran. Data collection was conducted through semi-structured interviews, and data analysis was performed using Granheim and Lundman’s 5-step method.

Results:

The study identified 3 main themes and 6 subthemes. These include “duplicity in the application of organizational rules” (comprising differences in providing hospitalization and patient accommodation services and ignoring organizational regulations in providing welfare services), “inequality in relationship with patients” (encompassing disregard for ethical considerations in patient relationships and differential physical presence at the patient’s bedside), and “differences in the delivery of care and treatment services” (involving neglecting patients’ needs in care provision and expediting the provision of interdisciplinary services).

Conclusion:

This study underscores that discrimination in health care extends beyond direct patient care, infiltrating physical, material, and even intangible aspects such as communication style and patient attention. To combat this pervasive issue, nurses must receive comprehensive education about the various forms of discrimination. By implementing both immediate and long-term strategies, including policies and programs, we can work toward creating a more inclusive and respectful healthcare environment for all.