Kim Miok
Department of Nursing, Namseoul University, Cheonan, Korea.
Korean J Women Health Nurs. 2012 Dec;18(4):268-278. doi: 10.4069/kjwhn.2012.18.4.268. Epub 2012 Dec 31.
This study aims to determine obstetric and gynecologic (OBGY) nurses' perception and performance propecting patients' privacy, and to contribute to develop educational program and improve the quality of nursing care.
206 OBGY nurses in 6 hospitals using an electronic medical record or an order communicating system were chosen by convenience sampling and agreed to participate in the study. The questionnaire, explored 4 domains of privacy: direct nursing, linked business, patient information management, communication with relatives.
Perception and performance of protecting patient privacy averaged 4.29 (of 5) and 3.55 (of 5), respectively. Most nurses (94.2%) recognized the importance of protecting patient privacy, 80.1% received patient privacy education. There was a distinct difference between the perception and performance of protecting patient privacy of nurses. Performance of protecting patient privacy had a positive correlation with perception.
Proper performance of protecting privacy protection requires improving perception of each nurse on the patient privacy, and various efforts should be made to minimize the affect from external factors such as hospital environment. It is needed to educate nurses for patient privacy. It is also needed for medical organizations to improve their policies and facilities to ease the performance for privacy protection.
本研究旨在确定妇产科护士对患者隐私的认知和保护患者隐私的行为表现，并为制定教育计划和提高护理质量提供帮助。
采用便利抽样法，选取6家使用电子病历或医嘱通信系统的医院的206名妇产科护士，这些护士均同意参与本研究。该问卷探讨了隐私的4个领域：直接护理、关联业务、患者信息管理、与亲属沟通。
保护患者隐私的认知和行为表现平均得分分别为4.29分（满分5分）和3.55分（满分5分）。大多数护士（94.2%）认识到保护患者隐私的重要性，80.1%的护士接受过患者隐私教育。护士在保护患者隐私的认知和行为表现之间存在明显差异。保护患者隐私的行为表现与认知呈正相关。
要正确地保护隐私，需要提高每位护士对患者隐私的认知，并应做出各种努力，以尽量减少医院环境等外部因素的影响。有必要对护士进行患者隐私方面的教育。医疗机构也需要改进其政策和设施，以方便隐私保护工作的开展。
