Woogara Jay
EIHMS, University of Surrey, Guildford GU2 7TE, UK.
Nurs Ethics. 2005 May;12(3):273-87. doi: 10.1191/0969733005ne789oa.
The UK Government published various circulars to indicate the importance of respecting the privacy and dignity of NHS patients following the implementation of the Human Rights Act, 1998. This research used an ethnographic method to determine the extent to which health professionals had in fact upheld the philosophy of these documents. Fieldwork using nonparticipant observation, and unstructured and semistructured interviews with patients and staff, took place over six months in three acute care wards in a large district NHS trust hospital. Applying the principles of phenomenology and grounded theory, the data were analysed and the contents organized into 11 key categories, leading to the formulation of a privacy model. The level of intrusion into patients' privacy by health professionals was measured against the benchmarking of the 'dignity and privacy' factors contained in the Department of Health's The essence of care document and Article 8(2) of the Human Rights Act. The findings established that patients had little privacy in the wards, and that the terms 'privacy of the person' and 'dignity' are interrelated.
英国政府发布了各种通知,以表明在1998年《人权法案》实施后尊重国民保健制度(NHS)患者隐私和尊严的重要性。本研究采用人种志方法来确定医疗专业人员实际上在多大程度上秉持了这些文件的理念。在一家大型地区NHS信托医院的三个急症护理病房进行了为期六个月的实地调查,采用非参与观察法,并对患者和工作人员进行了无结构和半结构化访谈。运用现象学和扎根理论的原则,对数据进行了分析,并将内容整理成11个关键类别,从而形成了一个隐私模型。根据卫生部《护理的本质》文件以及《人权法案》第8条第2款中包含的“尊严和隐私”因素基准,衡量了医疗专业人员对患者隐私的侵犯程度。研究结果表明,患者在病房里几乎没有隐私,而且“人身隐私”和“尊严”这两个术语是相互关联的。