South-Eastern Finland University of Applied Sciences, Finland; University of Turku, Finland.
University of Turku, Finland.
Nurs Ethics. 2020 Mar;27(2):514-526. doi: 10.1177/0969733019855748. Epub 2019 Jul 10.
Privacy is one of the key principles in health care and requires understanding of the cultural aspects of patients' privacy. In Western cultures privacy is focused on the individual, however, in some non-Western cultures, privacy is linked to the collectivism of the community or religion.
The objective of this study is to describe the factors related to the realisation of privacy of Somali refugees in health care by describing the factors related to the patient, healthcare professional and interpreter.
The data were collected from Somali refugees (N = 29) using a qualitative questionnaire and were analysed by deductive content analysis based on factors related to the patient, healthcare professional and interpreter.
Ethical approval was obtained from the University of Turku, and research permissions were obtained from all participating institutions.
Factors related to the patient were as follows: privacy was realised when the patient had self-determination; was able to act according to Somali culture; had knowledge and understanding of treatment; and trusted the healthcare professional. Factors related to the healthcare professional were as follows: the healthcare professional was expected to be of the same gender as the patient, act professionally, focus on the health issues, and to have knowledge and understanding of the Somali culture. Factors related to the interpreter were as follows: the presence and Somali background of the interpreter decreased privacy; the interpreter was expected to be of the same gender as the patient; to have competence and to behave professionally.
Gender congruence, professionalism and caring attitude and common understanding between the Somali patient and Finnish provider increase the privacy of Somali patients.
Somali patients' privacy can be improved by increasing healthcare professionals' understanding of Somali culture, acknowledging the importance of gender concordance in relation to healthcare professionals and interpreters, and the effect of the presence of the interpreter on patients' privacy.
隐私是医疗保健的关键原则之一，需要了解患者隐私的文化方面。在西方文化中，隐私关注个体，然而，在一些非西方文化中，隐私与社区或宗教的集体主义有关。
本研究的目的是描述与实现索马里难民在医疗保健中隐私相关的因素，通过描述与患者、医疗保健专业人员和口译员相关的因素来实现。
使用定性问卷从索马里难民（N=29）中收集数据，并根据与患者、医疗保健专业人员和口译员相关的因素进行演绎内容分析。
本研究获得了图尔库大学的伦理批准，并从所有参与机构获得了研究许可。
与患者相关的因素如下：当患者有自主权时，隐私得以实现；能够根据索马里文化行事；对治疗有知识和理解；并信任医疗保健专业人员。与医疗保健专业人员相关的因素如下：医疗保健专业人员应与患者性别相同，专业行事，关注健康问题，并对索马里文化有知识和理解。与口译员相关的因素如下：口译员的存在和索马里背景会降低隐私；口译员应与患者性别相同；具备能力并专业行事。
性别一致、专业精神和关怀态度以及索马里患者和芬兰提供者之间的共同理解增加了索马里患者的隐私。
通过提高医疗保健专业人员对索马里文化的理解、承认医疗保健专业人员和口译员性别一致的重要性，以及口译员的存在对患者隐私的影响，可以改善索马里患者的隐私。
