Culture of paternalism in the emergency department: a critical ethnographic study

The findings indicate the presence of an entrenched culture of paternalism in the emergency department-one that poses significant challenges to delivering humane and ethically grounded patient care. These results underscore the need to raise awareness among healthcare providers regarding the ethical dimensions of clinical interactions and to enhance their understanding of the social and legal issues related to patient care. Ultimately, such awareness can inform strategies to recognize and address structural barriers, promote respect for patient autonomy, and support adherence to patients' rights.

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Publication Details

Journal
BMC Health Services Research
Published
2025-08-12
DOI
https://doi.org/10.1186/s12913-025-13282-8
Citations
1
Primary Topic
Patient Dignity and Privacy
Type
article
Field-Weighted Citation Impact
1.88

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article

Culture of paternalism in the emergency department: a critical ethnographic study

Nayyereh Davoudi, Nematallah Fazeli, Phil Francis Carspecken, Mohammad Saeed Zokaei et al.
1 citations
BMC Health Services Research
Patient Dignity and Privacy
1.88
article

Culture of paternalism in the emergency department: a critical ethnographic study

Nayyereh Davoudi, Nematallah Fazeli, Phil Francis Carspecken, Mohammad Saeed Zokaei, Nahid Dehghan Nayeri
article en
1 citations

Abstract

The findings indicate the presence of an entrenched culture of paternalism in the emergency department-one that poses significant challenges to delivering humane and ethically grounded patient care. These results underscore the need to raise awareness among healthcare providers regarding the ethical dimensions of clinical interactions and to enhance their understanding of the social and legal issues related to patient care. Ultimately, such awareness can inform strategies to recognize and address structural barriers, promote respect for patient autonomy, and support adherence to patients' rights.

BMC Health Services ResearchVol. 25(1)
Mashhad University of Medical Sciences (IR), Allameh Tabataba'i University (IR), Institute for Cognitive Science Studies (IR), Iranshahr University (IR), Indiana University Bloomington (US), Institute for Humanities and Cultural Studies, Tehran University of Medical Sciences (IR)
Tehran University of Medical Sciences and Health Services
Openalex Percentile: Top 13%
Patient Dignity and Privacy
1.88
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