Understanding Privacy in Occupational Health Services

Öğrenci Hemşirelerin Gözüyle Perinatal Kliniklerde Hasta Mahremiyeti: Nitel Bir Çalışma

Giriş: Hemşirelik öğrencilerinin hasta mahremiyetine duyarlı olması, onların meslek yaşamında profesyonel bir duruş sergilemesi açısından oldukça önemlidir. Amaç: Bu araştırmanın amacı, dördüncü sınıf hemşirelik öğrencilerinin perinatal kliniklerde hasta mahremiyetine yönelik görüşlerini belirlemektir. Yöntem: Bu araştırmada, fenomenolojik nitel yöntem uygulanmıştır. Araştırmanın örneklemini, 2019-2020 Eğitim-Öğretim Yılı Güz Döneminde dördüncü sınıfta öğrenim gören 25 öğrenci oluşturmuştur. Veriler, Aralık 2019- Mart 2020 tarihleri arasında yarı yapılandırılmış derinlemesine bireysel görüşme yöntemi ile toplanmıştır. Görüşmede elde edilen veriler, içerik analizi yoluyla çözümlenmiştir. Bulgular: Elde edilen veriler mahremiyetin tanımı, personelin hasta mahremiyetine yönelik tutumu mahremiyet ihlalinin hastaya yansıması hasta mahremiyetini korumada karşılaşılan güçlükler ve hasta mahremiyetini korumaya yönelik yapılması gerekenler şeklinde beş tema altında gruplandırılmıştır. Öğrencilerin çoğunluğu perinatal kliniklerde görev yapan personelin hasta mahremiyetini koruma konusunda özensiz davrandıklarını belirtmişlerdir. Öğrenciler, personelin hasta mahremiyeti konusunda eğitilmesi ve hastane ortamının fiziki koşullarında düzenleme yapılmasının mahremiyeti koruma konusunda faydalı olacağını söylemişlerdir. Sonuç: Perinatal sağlık hizmetlerinde mahremiyet üzerinde yeterince durulmayan oldukça önemli bir konudur. Bu araştırmada; öğrenci hemşirelerin hasta mahremiyeti konusunda farkındalıklarının yüksek olduğu, konuyla ilgili yeni çalışmalara gereksinim duyulduğu belirlenmiştir.

Development of the Perioperative Privacy Scale: A Validity and Reliability Study

PURPOSE

This study aims to develop the Perioperative Privacy Scale and test its validity and reliability.

DESIGN

This is a methodological study.

METHODS

This study was conducted with 298 patients who were hospitalized in surgical clinics in a university hospital, met the inclusion criteria, and agreed to participate in the study. The data were collected using a personal information form and the Perioperative Privacy Scale developed by the researchers. This methodological study was conducted between August 2019 and March 2020. The items of the scale were determined after a literature review and qualitative interviews with the patients. The draft version created to test the scale's content and face validity was reviewed by 11 experts (faculty members). Six items were omitted from the 37-item pool and revisions were made based on the experts' opinions and recommendations. Data analysis was conducted using the content validity index specially for content validity, and exploratory and confirmatory factor analyses for construct validity. Reliability was assessed using Cronbach's Alpha, Spearman Brown, and Guttman's coefficients.

FINDINGS

The content validity index of the 16-item scale was 0.87. The scale explained 63.37% of the total variance and consists of 3 subscales. The scale's Kaiser-Meyer-Olkin value was 0.89, Bartlett's test was χ² = 3834.2 (P < .05), and Anti-Image Correlation was between 0.74 and 0.97. The goodness of fit values showed that the scale was acceptable. Items and subscales were related with the scale and a three-factor structure was confirmed. Spearman-Brown was 0.87, Guttman Split-Half was 0.87, and Cronbach Alpha was 0.92 for the entire scale.

CONCLUSIONS

The Perioperative Privacy Scale is a short scale consisting of 16 items. It can be used in descriptive and experimental studies to assess the thoughts of inpatients in surgical clinics regarding privacy.

Cultural Viewpoints of Nursing Students on Patient Privacy: A Qualitative Study

The purpose of this study was to determine the feelings, thoughts, perceptions and cultural standpoint of nursing students concerning patient privacy. This study was conducted as a qualitative descriptive design. The homogeneous sampling method, purposive sampling method for qualitative research samples, was used to determine the study group. Data were collected from 17 nursing students at a state university in Turkey. Individual semi-structured interviews were conducted, and content analysis was used to analyze data. Three main themes emerged from the data: perception of privacy, factors affecting patient privacy and suggested solutions. Four sub-categories emerged: religion, gender, culture and reassuring communication. The perceptions of many of the students relating to the concept of privacy coincided with the concepts of confidentiality and all kinds of information concerning the patient. It was seen that the most effective intervention among the students' solution proposals to ensure privacy was the necessity to make physical improvements in hospitals.

The Respect That Other Deserves: A Game Between Forces and Weaknesses in the Field of Health Care

Caring for people with diminished faculties and forms of disease and handicap that break down their personality places high demands on care staff. Anchored in a caring science with a holistic and humanistic approach, this article analyzes the trajectories of control that emerge in nurse care interactions. A suggested answer is the responsibility of the nurse to be aware of the power inequality, to recognize the potential for patients to feel intimidated, and to create a therapeutic alliance. The right use of power in the nurse-patient interaction guarantees that the patient's needs are foremost and the patient's vulnerability is sheltered.

An Exploratory and Comparative Evaluation on the Spatial Perception of Two Densities of Multioccupancy Hospital Rooms

OBJECTIVE

The objective of this article was to explore interior spatial qualifications on patient perception of two densities of multioccupancy hospital rooms.

BACKGROUND

The research setting of this study was the three- and six-person capacity hospital rooms used for treatment of patients at a large hospital in a major metropolitan city in Turkey.

METHOD

The subjects used in the study were randomly selected from among patients treated in the surgical medical sciences' departments of the hospital. Accordingly, a research questionnaire was applied to a total of 101 subjects.

RESULTS

Results have shown that the three-person rooms were assessed more positively for privacy, functional, and perceptual qualifications compared to the six-person rooms. An increase in the number of persons and interior units of rooms affects negatively the auditory privacy and privacy areas of other patients.

CONCLUSION

Consequently, although these rooms with different spatial sizes were very similar for concentration of persons and commodities, six-person rooms were perceived to be more crowded than three-person rooms.

Surgical patients' and nurses' opinions and expectations about privacy in care

The purpose of this study was to determine the opinions and expectations of patients and nurses about privacy during a hospital admission for surgery. The study explored what enables and maintains privacy from the perspective of Turkish surgical patients and nurses. The study included 102 adult patients having surgery and 47 nurses caring for them. Data were collected via semistructured questionnaire by face-to-face interviews. The results showed that patients were mostly satisfied by the respect shown to their privacy by the nurses but were less confident of the confidentiality of their personal data. It was found that patients have expectations regarding nursing approaches and attitudes about acknowledging and respecting patient autonomy and confidentiality. It is remarkable that while nurses focused on the physical dimension of privacy, patients focused on informational and psychosocial dimensions of privacy, as well as its physical dimension.

Sensitivity towards patient needs in the occupational health consultation

BACKGROUND

Many employers in Finland provide not only preventive health care but also primary care for their employees. This puts occupational health professionals (OHPs) in a dual role, which in turn raises questions about patient privacy.

AIM

To investigate occupational health nurses' (n = 140) and physicians' (n = 94) perceptions of privacy in caring relationships.

METHODS

A self-administered questionnaire was sent to 183 occupational health (OH) physicians and 183 OH nurses. Descriptive statistics and frequency tables were used to characterize the variables. The differences between nurses and physicians were determined with Pearson's chi-square tests and Fisher's exact tests.

RESULTS

Both nurses and physicians felt that physical, social, psychological and informational privacy was important in the OH setting. The duration of work experience did affect perceptions of privacy. One-third of respondents considered it good practice to take a full medical history from prospective employees as part of the pre-employment assessment. Over half of the OHPs found the currently valid requirements concerning patients' information privacy too strict in that they may in certain cases complicate the provision of care and treatment.

CONCLUSIONS

Tact and sensitivity are paramount when dealing with patient privacy. The aim of privacy, however, should not be to conceal information, but rather to prevent any harmful disclosure.