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急诊科患者对隐私和保密的看法。

Emergency Department patient perceptions of privacy and confidentiality.

作者信息

Olsen Jon C, Sabin Brad R

机构信息

Department of Emergency Medicine, Lutheran General Hospital, 1775 West Dempster Street, Park Ridge, IL 60088, USA.

出版信息

J Emerg Med. 2003 Oct;25(3):329-33. doi: 10.1016/s0736-4679(03)00216-6.

Abstract

The study objective was to determine if Emergency Department (ED) patients experience breaches of privacy and confidentiality during their ED stay and to determine if the type of room in which the patient is placed affects privacy. We surveyed a convenience sample of ED patients at the conclusion of their ED stay regarding their privacy and confidentiality. Overall, 36% of patients overheard conversations with similar frequencies in walled and curtained rooms. The location of conversations overheard varied depending on the type of patient room, as curtained rooms allowed conversations from adjacent rooms to be overheard and walled rooms allowed more conversations from the hallway or nursing station to be overheard. Patients felt more comfortable giving their history and having physical examinations performed in walled vs. curtained rooms. Inappropriate or unprofessional comments by staff were heard by 1.6% of patients. Health care providers in the ED need to be aware of breaches in confidentiality and privacy, as our patients deserve respect of their privacy and confidentiality during their ED visit.

摘要

本研究的目的是确定急诊科(ED)患者在其急诊科停留期间是否经历过隐私和保密方面的侵犯,并确定患者所在房间的类型是否会影响隐私。我们在急诊科患者停留结束时,对其进行了关于隐私和保密的便利抽样调查。总体而言,36%的患者在有墙壁的房间和有帘子的房间里听到类似频率的谈话。 overheard谈话的位置因病房类型而异,因为有帘子的房间会让相邻房间的谈话被听到,而有墙壁的房间会让更多来自走廊或护士站的谈话被听到。患者在有墙壁的房间里讲述病史和接受体格检查时比在有帘子的房间里感觉更舒适。1.6%的患者听到了工作人员不适当或不专业的评论。急诊科的医疗服务提供者需要意识到保密和隐私方面的侵犯,因为我们的患者在急诊科就诊期间应得到对其隐私和保密的尊重。

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