Olsen Douglas P, Dixon Jane Karpe, Grey Margaret, Deshefy-Longhi Terry, Demarest Jo Cecille
Center for Health Care Policy and Ethics, Yale School of Nursing, New Haven, CT 06536, USA.
J Am Acad Nurse Pract. 2005 Dec;17(12):527-34. doi: 10.1111/j.1745-7599.2005.00078.x.
This study explores and compares the privacy concerns of primary care nurse practitioners (NPs) and their patients.
Privacy concerns were identified in separate focus groups of NPs and patients, and then parallel survey instruments were designed and administered to 27 NPs and 185 of their patients. All subjects were recruited through APRNet, a regional practice-based research network of NPs in southern New England encompassing 58 practices.
Both groups demonstrated high levels of concern regarding privacy. While NPs and patients had similar levels of concern about most issues, there were some notable differences regarding breeches because of carelessness, disclosures for research, and which disorders require the most care in maintaining privacy.
These results allow NPs to anticipate patient privacy concerns and to enhance trust in the clinical relationship. These results also indicate the need to educate patients regarding privacy rights and expectations.
本研究探讨并比较初级护理执业护士（NP）及其患者对隐私问题的担忧。
在NP和患者的单独焦点小组中确定隐私问题，然后设计并向27名NP及其185名患者发放平行调查问卷。所有受试者均通过APRNet招募，APRNet是新英格兰南部一个基于实践的NP区域研究网络，涵盖58个医疗机构。
两组对隐私问题均表现出高度关注。虽然NP和患者对大多数问题的关注程度相似，但在因粗心导致的隐私泄露、用于研究的信息披露以及在维护隐私方面哪些疾病需要格外注意等方面存在一些显著差异。
这些结果使NP能够预见患者对隐私的担忧，并增强临床关系中的信任。这些结果还表明有必要对患者进行隐私权和期望方面的教育。
