پژوهشکده زن و خانواده ــــــــــــــــــــــــــــــــــــــــــــــــــــــ مدیر مسئول: محمدرضا زیبایی نژاد مطالعات جنسیت و خانواده 2538-1938 12 4 2024 12 21 The Lived Experiences of Hospitalized Women Regarding the Violation of Body Boundaries تجربه زیسته زنان بستری‌شده در بیمارستان از نقض حریم بدن 109 136 237477 FA آسیه شریعتمدار گروه مشاوره دانشکده روانشناسی و علوم تربیتی دانشگاه علامه طباطبایی تهران 0000-0002-0830-7379 هادی محمدلو گروه مشاوره دانشکده روانشناسی و علوم تربیتی دانشگاه علامه طباطبایی تهران 0000-0002-0502-5616 ریحانه پهلوانی &#039;گروه مشاوره، دانشکده روانشناسی و علوم تربیتی، دانشگاه علامه طباطبایی تهران صدیقه باقری گروه مشاوره، دانشکده روانشناسی و علوم تربیتی دانشگاه علامه طباطبایی تهران بهینا اکبری گروه مشاوره دانشکده روانشناسی و علوم تربیتی دانشگاه علامه طباطبایی Journal Article 2025 02 19 <span style="font-size: 11.0pt; mso-bidi-font-size: 13.0pt; line-height: 95%; font-family: 'Arno Pro',serif; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: IRLotus; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA; mso-no-proof: yes;">Preserving bodily privacy is one of the foundational principles of ethics in medical sciences and a key pillar in delivering humane and dignified healthcare services. This concept not only pertains to physical aspects such as bodily coverage and personal space, but also includes respect for individual autonomy, informed consent, and the preservation of human dignity. In healthcare systems, observing bodily privacy plays a crucial role in fostering trust between patients and medical staff, reducing anxiety, and enhancing the quality of medical care. In the cultural and social context of Iran—where religious, ethical, and customary values strongly influence social interactions—bodily privacy holds particular sensitivity and significance. Many Iranian women, especially during hospitalization and surgical </span><span style="mso-bidi-language: AR-SA; mso-no-proof: yes;">procedures, face challenges arising from the conflict between medical requirements and cultural expectations regarding privacy. <span style="font-size: 11.0pt; mso-bidi-font-size: 13.0pt; line-height: 95%; font-family: 'Arno Pro',serif; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: IRLotus; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;">Accordingly, this study was conducted using a qualitative approach to examine the lived experiences of women regarding violations of bodily privacy in Iranian hospitals. By exploring their personal and concrete experiences, the study aims to reveal hidden dimensions of this issue and provide a foundation for policy reform and the advancement of professional ethics. This study employed a qualitative research method with a phenomenological approach. The participants included 13 married women, aged 25 to 60, residing in Tehran, who had experienced hospitalization and surgery within the past five years. Participants were selected purposefully, based on inclusion criteria. Data were collected through semi-structured interviews and analyzed using thematic analysis. The analysis showed that women’s experiences of bodily privacy violations in hospitals are multifaceted and complex. Inappropriate behaviors by some healthcare staff—such as disregard for verbal and behavioral boundaries, unauthorized entry into patient rooms, and neglect of patients’ bodily coverage and physical condition—were identified as significant human factors. Additionally, hospital infrastructure—such as shared rooms, lack of curtains or proper partitions, and insufficient facilities for maintaining privacy—were recognized as physical factors that exacerbate these violations. On the other hand, some patients accepted these violations due to fear of being denied medical services, lack of awareness of their rights, or normalization of privacy breaches. Nevertheless, some participants adopted strategies to confront these violations, including direct protest, requesting behavioral changes from staff, and using positive self-talk to reduce anxiety. Suggestions for external guarantees of bodily privacy included professional ethics training for healthcare personnel, development of operational guidelines, and continuous monitoring of patient rights compliance. The results of this study indicate that bodily privacy violations in hospitals are a serious and multilayered issue influenced by both human and structural factors. The lived experiences of hospitalized women reveal that such violations not only lead to feelings of shame, anxiety, and mistrust, but can also negatively affect the treatment and recovery process. Therefore, educating healthcare staff in professional ethics, raising patients’ awareness of their rights, and improving the physical infrastructure of medical facilities are essential measures for preserving human dignity and enhancing the quality of medical care. This study can serve as a basis for developing policies and practical programs in the field of medical ethics and patient rights.</span></span> حفظ حریم خصوصی بدن در حوزة اخلاق و علوم پزشکی و در مراکز بهداشتی - درمانی بسیار مهم است؛ ازاین‌رو این مطالعة کیفی با هدف بررسی تجربة زیستة زنان از نقض حریم بدن در بیمارستان انجام شد. روش تحقیق کیفی و از نوع پدیدارشناسی بود. مشارکت‌کنندگان ۱3 زن متأهل در سنین ۲۵ تا ۶۰ ساله و ساکن تهران بودند که در ۵ سال اخیر تجربة جراحی و بستری شدن در بیمارستان را داشته‌اند. داده‌ها با روش تحلیل مضمون، تجزیه‌وتحلیل شد و هشت مضمون اصلی شناسایی شد: «ادراک از مفهوم حریم بدن»، «عوامل انسانی نقض حریم بدن»، «عوامل فیزیکی نقض حریم بدن»، «دلایل نقض حریم و تداوم آن»، «دلایل پذیرش نقض حریم»، «راهبردهای تضمین بیرونی حفظ حریم»، «راهبردهای بیماران در برابر نقض حریم» و «پیامدهای نقض حریم». یافته‌های پژوهش نشان داد رفتار کادر درمان، ورود افراد به اتاق بیمار بدون اجازه و مشکلات فیزیکی بیمارستان‌ها نقض حریم بدن را تشدید می‌کند. بیماران از راهبردهایی مانند اعتراض قاطعانه و خودگویی مثبت برای مقابله با این نقض‌ها بهره می‌گیرند. این نتایج بر لزوم آموزش کادر درمان و آگاهی بیماران از حقوق خود تأکید دارد. https://www.jgfs.ir/article_237477_f124128f70e03a1cc39237e74c2f2d7a.pdf