Patients' attitudes towards privacy in a Nepalese public hospital: a cross-sectional survey

Perception of Privacy: An Ethnocentric Study of Turkish Muslim Female Surgical Patients

PURPOSE

This study aimed to investigate the perception of privacy among Turkish Muslim female patients who have undergone surgery.

DESIGN

A descriptive-qualitative study design was employed.

METHODS

In-depth interviews were conducted with 10 study participants.

FINDINGS

The findings revealed three main themes and two subthemes. The main themes were physical privacy, the influence of culture, and responses to privacy violations. The subthemes pertained solely to responses to privacy violations and included behavioral and emotional responses.

CONCLUSIONS

The participants' perception of privacy was primarily focused on the physical aspects of privacy. Muslim and Turkish cultures played a significant role in shaping the patients' perception of privacy. The participants reported experiencing emotional and behavioral responses when their privacy was violated. This study reveals the perception of privacy among 10 Turkish Muslim female patients, emphasizing the significance of understanding and considering this perception in nursing care.

Organ Donation Willingness Among Asian Americans: Results from a National Study

Asian Americans are the fastest growing racial group in the USA, but their health disparities are often overlooked. Although their needs for transplantable organs are substantial, they have the lowest rates of organ donation per million compared to other Americans by race. To better understand Asian Americans' disposition toward organ donation, a self-administered survey was developed based on formative data collection and guidance from a Community Advisory Board composed of Asian American stakeholders. The instrument was deployed online, and quota sampling based on the 2017 American Community Survey was used to achieve a sample representative (N = 899) of the Asian American population. Bivariate tests using logistic regression and the chi-square test of independence were performed. Over half (58.1%) of respondents were willing to be organ donors. A majority (81.8%) expressed a willingness to donate a family member's organs, but enthusiasm depended on the family member's donor wishes. Only 9.5% of respondents indicated that the decision to donate their organs was theirs alone to make; the remainder would involve at least one other family member. Other key sociodemographic associations were found. This study demonstrates both the diversity of Asian Americans but also the centrality of the family's role in making decisions about organ donation. Practice and research considerations for the field are also presented.

The Parturient Women's Privacy Preservation in the Delivery Rooms: A Qualitative Study

Introduction: Parturient women's privacy preservation and respectful maternity care (RMC) in delivery room is an important principle in the high quality of midwifery care to achieve maternal satisfaction and positive childbirth experience. Hence, it is essential to make natural vaginal delivery (NVD) a positive experience and increase the mothers' satisfaction. This study aimed to investigate the privacy preservation of parturient women's in the delivery room. Methods: Using conventional content analysis, this qualitative study was conducted from June 2018 to December 2020 at two hospitals and three health centers in Shahroud, Iran. Purposeful sampling was employed and it was continued till data saturation through in-depth interviews with 37 participants. Results: The results of interviews with 21 women with NVD experience and 16 maternity health service providers resulted in the extraction of four themes including physical, spiritual-mental, informational, and social privacy. Conclusion: Various mechanisms were found to promote the privacy and satisfaction of parturient women in the delivery room. They included the necessity continuous education, monitoring about mother's privacy preservation and intervention to improve effective communication skills among staff in delivery rooms.

Perceptions and Experiences of Privacy Among Persons With an Ostomy Receiving Treatment and Care: A Mixed-Methods Study

PURPOSE

The aim of this study was to determine ostomy patients' experiences and opinions on protection of privacy during treatment and care.

DESIGN

Mixed-methods, descriptive correlational study.

SAMPLE AND SETTING

The study sample comprised 80 patients with an ostomy receiving treatment and care in a university hospital in Turkey.

METHODS

Data were collected using a form developed by the researchers based on literature review. The survey consisted of statements that examined demographic characteristics, experiences, and opinions of patients with an ostomy.

RESULTS

For participants, 64.8% (n = 35/54) defined privacy from a physical dimension, 64.1% (n = 25/39) suffered from ostomy-related psychosocial discomfort, 48.7% experienced ostomy-related discomfort mostly during nursing care (n = 19/39), 48.7% (n = 39/80) were uncomfortable when their ostomy was seen by others, Approximately 56.3% (n = 45/80) thought that they disturbed other patients and their families during ostomy care, and 46.3% (n = 37/80) stated that healthcare professionals discussed information about their ostomy when other patients and their families were present. In addition, 21.3% (n = 17/80) opined that the physical conditions of patient rooms failed to provide privacy. Analysis revealed no significant relationship between education levels and reading the Patient Rights Regulation (P = .129). Analysis also found no significant relationships between age (P = .086), marital status (P = .382), educational background (P = .143), hospitalization experience (P = .427), and satisfaction with perceptions of privacy when receiving ostomy care.

CONCLUSION

Patients with an ostomy reported physical and psychosocial problems concerning privacy, felt uncomfortable about the way information on their ostomy was discussed, and thought that physical conditions were not suitable for ostomy care. We recommend that healthcare professionals be provided with more training on psychosocial problems and privacy for patients with ostomy and that institutional policies and procedures be developed to address patients' problems.

The perception of territory and personal space invasion among hospitalized patients

Objectives

1) To identify the patient’s perception of invasion of territorial and personal space and 2) to evaluate whether personal characteristics, housing conditions and characteristics of the hospital unit affect this perception.

Methods

Analytical, cross-sectional and quantitative study. An adapted version of the “Anxiety Due to Territory and Space Intrusion Questionnaire” was applied with patients hospitalized in the internal medicine and maternity wards and in the ward for patients with private health insurance of a university hospital in the state of São Paulo.

Results

The sample consisted of 300 patients. The mean total score of the questionnaire administered was 143.58 (SD = 18.88). The mean subscale scores for territorial space and personal space invasion were 89.10 (SD = 15.29) and 54.48 (SD = 10.58), respectively. The invasion of territorial space differed significantly between patients with and without children (p = 0.02) and for the number of people living in the residence (p < 0.01).

Conclusions

Attitudes of the nursing staff, such as touching the patient’s possessions without permission and exposing the patient, caused discomfort and violated patient privacy. Patients who were lonelier and had more privacy at home perceived greater invasion of their territorial space by the nursing professionals.

Informational Privacy in the Recovery Room-Patients' Perspective

PURPOSE

To describe patients' perceptions of informational privacy and factors promoting it in the recovery room.

DESIGN

A descriptive semistructured qualitative interview study.

METHODS

The study was conducted in 2013, and the data were analyzed with inductive content analysis. Adult surgical recovery room patients (n = 17) were recruited with purposive sampling at the Department of Ear, Nose and Throat diseases in a university hospital in Finland.

FINDINGS

Informational privacy was described as control of patients' health information maintained by the health care professionals and the patients. Informational privacy was especially important in relation to other patients. Health care professionals and patients' attitude, behavior, and knowledge of informational privacy, barriers of hearing and seeing, societal rules, and the electronic patient data system promoted informational privacy.

CONCLUSIONS

Informational privacy in relation to other patients could be improved in the recovery room, for example, by developing patient health information transmission and architectural solutions.

Enhancing international medical graduates' communication: the contribution of applied linguistics

CONTEXT

International medical graduates (IMGs) make up one-third of the Australian medical workforce. Those from non-English-language backgrounds can face cultural and communication barriers, yet linguistic support is variable and medical educators are often required to provide feedback on both medical and communication issues. However, some communication difficulties may be very specific to the experiences of IMGs as second language users.

OBJECTIVES

This interdisciplinary study combines perspectives from applied linguistics experts and clinical educators to address IMGs' difficulties from multiple dimensions and to enhance feedback quality.

METHODS

Five video-recorded patient encounters with five IMGs were collected at Launceston General Hospital. Three clinical educators gave quantitative and qualitative feedback using the Rating Instrument for Clinical Consulting Skills, and two applied linguistics experts analysed the data for language, pragmatic and communication difficulties. The comparison of the educators' language-related feedback with linguistic analyses of the same interactions facilitated the exploration of differences in the difficulties identified by the two expert groups.

RESULTS

Although the clinical educators were able to use their tacit intuitive understanding of communication issues to identify IMG difficulties, they less frequently addressed the underlying issues or suggested specific remedies in their feedback.

CONCLUSIONS

This pilot study illustrates the effectiveness of interdisciplinary collaboration in highlighting the specific discourse features contributing to IMG communication difficulties and thus assists educators in deconstructing their intuitive knowledge. The authors suggest that linguistic insights can therefore improve communications training by assisting educators to provide more targeted feedback.