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繁忙产科单位急诊科患者对隐私和保密的认知

Patients' perception of privacy and confidentiality in the emergency department of a busy obstetric unit.

作者信息

Hartigan Lucia, Cussen Leanne, Meaney Sarah, O'Donoghue Keelin

机构信息

Pregnancy Loss Research Group, Department of Obstetrics and Gynaecology, University College Cork, Cork, Ireland.

Cork University Maternity Hospital, Wilton, Cork, Ireland.

出版信息

BMC Health Serv Res. 2018 Dec 18;18(1):978. doi: 10.1186/s12913-018-3782-6.

Abstract

BACKGROUND

Privacy and confidentiality are central components of patient care and are of particular importance in obstetrics and gynaecology, where clinical situations of a sensitive nature regularly occur. The layout of the emergency department (ED) in maternity units is often not conducive to maintaining privacy.

METHOD

Our study aimed to discover if changing the environment could improve patients' experiences in the ED. We surveyed patients and asked specific questions about their perception of privacy in the ED. We then repeated the survey following renovations to the ED which involved replacing curtained patient areas with walled cubicles.

RESULTS

There were 75 pre-renovation surveys and 82 post-renovation surveys completed. Before the renovations took place, only 21% (n = 16) found their privacy to be adequate during their visit to the ED. However this rose to 89% (n = 73) post-renovation.

CONCLUSION

Our study showed that patients' perception of privacy and confidentiality significantly improved following refurbishment of the ED.

摘要

背景

隐私和保密是患者护理的核心要素,在妇产科尤为重要,因为该科室经常会出现敏感性质的临床情况。产科病房急诊科(ED)的布局往往不利于维护隐私。

方法

我们的研究旨在探究改变环境是否能改善患者在急诊科的体验。我们对患者进行了调查,并询问了他们对急诊科隐私情况的具体看法。然后,在急诊科进行翻新后,我们再次进行了调查,翻新内容包括将有帘子的患者区域换成有墙壁的小隔间。

结果

共完成了75份翻新前的调查问卷和82份翻新后的调查问卷。在翻新之前,只有21%(n = 16)的患者认为他们在急诊科就诊期间的隐私得到了充分保障。然而,翻新后这一比例上升到了89%(n = 73)。

结论

我们的研究表明,急诊科翻新后,患者对隐私和保密的认知有了显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9922/6299575/f35bd1691b73/12913_2018_3782_Fig1_HTML.jpg

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