Woogara Jay
European Institute of Health and Medical Sciences, University of Surrey, Guildford.
Nurs Stand. 2005;19(18):33-7. doi: 10.7748/ns2005.01.19.18.33.c3783.
To determine the extent to which patients' rights to privacy and dignity are respected in the NHS when judged against the seven factors of 'privacy and dignity' as outlined in the Essence of Care document (Department of Health (DH) 2001a).
An ethnographic methodology was used. Fieldwork took place over six months in three acute wards with surgical and medical patients in a large district NHS hospital, using non-participant observation, unstructured interviews with patients (n=55) and staff (n=12), and semi-structured interviews with patients (n=18) and staff (n=22). The culture and ward environment experienced by patients and staff in their everyday life were documented.
Medical and nursing staff had little awareness of the importance of the Human Rights Act 1998 and government documents about patients' privacy. They compromised the privacy and dignity of patients when judged against the Essence of Care benchmarks (DH 2001a).
Educationalists, doctors, nurses and other practitioners should promote the importance of patients' privacy and dignity within the NHS. This issue should be integrated into undergraduate and postgraduate healthcare curricula.
根据《护理精髓》文件(卫生部(DH)2001a)中概述的“隐私与尊严”的七个因素,确定在英国国家医疗服务体系(NHS)中患者的隐私和尊严权在何种程度上得到尊重。
采用人种志研究方法。在一家大型地区NHS医院的三个急症病房进行了为期六个月的实地调查,这些病房收治外科和内科患者,采用非参与观察法、对患者(n = 55)和工作人员(n = 12)进行无结构访谈,以及对患者(n = 18)和工作人员(n = 22)进行半结构访谈。记录了患者和工作人员在日常生活中所经历的文化和病房环境。
医护人员对1998年《人权法案》和政府有关患者隐私的文件的重要性认识不足。根据《护理精髓》基准(DH 2001a)判断,他们损害了患者的隐私和尊严。
教育工作者、医生、护士及其他从业者应在NHS内部宣传患者隐私和尊严的重要性。这个问题应纳入本科和研究生医疗保健课程。