Building an ethical environment improves patient privacy and satisfaction in the crowded emergency department: a quasi-experimental study.
Building an ethical environment improves patient privacy and satisfaction in the crowded emergency department: a quasi-experimental study.
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DOI：
10.1186/1472-6939-14-8
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发表时间：
2013-02-20
影响因子：
2.7
通讯作者：
Lin TY
中科院分区：
文献类型：
--
作者：
Lin YK;Lee WC;Kuo LC;Cheng YC;Lin CJ;Lin HL;Chen CW;Lin TY
评价在拥挤的艾德环境中多方面干预对改善急诊科（艾德）患者隐私和满意度的有效性。进行了干预前后的研究。一个多方面的干预措施，实施了一所大学附属医院ED。干预制定的战略，以提高艾德患者的隐私和满意度，包括重新设计的艾德环境，流程管理，访问控制，工作人员的教育和培训，并鼓励伦理咨询。使用患者调查评估干预的有效性。在干预后收集合格性数据，并与干预前收集的数据进行比较。使用多变量有序逻辑回归，对患者满意度和患者隐私感知的差异进行预先定义的协变量调整。干预前和干预后分别对313例艾德患者和341例艾德患者进行结构式问卷调查。除治疗区域外，两组间无重要协变量差异。观察到患者对“他人无意中听到的个人信息”，“被不相关的人看到”，“无意中听到医疗保健提供者的不适当对话”以及“提供者尊重我的隐私”的感知有显着改善。患者对隐私和满意度的整体感知有显着改善。在多变量分析中，干预与患者对隐私和满意度的总体感知之间存在统计学显著相关性。通过干预措施取得了显著改善。干预后，患者对艾德护理的隐私和满意度明显提高。我们认为，这些改进是主要的哲学，行政和业务变化的结果，旨在尊重患者的隐私和满意度。
To evaluate the effectiveness of a multifaceted intervention in improving emergency department (ED) patient privacy and satisfaction in the crowded ED setting. A pre- and post-intervention study was conducted. A multifaceted intervention was implemented in a university-affiliated hospital ED. The intervention developed strategies to improve ED patient privacy and satisfaction, including redesigning the ED environment, process management, access control, and staff education and training, and encouraging ethics consultation. The effectiveness of the intervention was evaluated using patient surveys. Eligibility data were collected after the intervention and compared to data collected before the intervention. Differences in patient satisfaction and patient perception of privacy were adjusted for predefined covariates using multivariable ordinal logistic regression. Structured questionnaires were collected with 313 ED patients before the intervention and 341 ED patients after the intervention. There were no important covariate differences, except for treatment area, between the two groups. Significant improvements were observed in patient perception of “personal information overheard by others”, being “seen by irrelevant persons”, having “unintentionally heard inappropriate conversations from healthcare providers”, and experiencing “providers’ respect for my privacy”. There was significant improvement in patient overall perception of privacy and satisfaction. There were statistically significant correlations between the intervention and patient overall perception of privacy and satisfaction on multivariable analysis. Significant improvements were achieved with an intervention. Patients perceived significantly more privacy and satisfaction in ED care after the intervention. We believe that these improvements were the result of major philosophical, administrative, and operational changes aimed at respecting both patient privacy and satisfaction.
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影响因子：
6.2
作者：
Barlas, D;Sama, AE;Lesser, ML
通讯作者：
Lesser, ML
影响因子：
1.5
作者：
Olsen, JC;Sabin, BR
通讯作者：
Sabin, BR
影响因子：
6.2
作者：
Moskop, JC;Marco, CA;Derse, AR
通讯作者：
Derse, AR
影响因子：
2.7
作者：
Humayun, Ayesha;Fatima, Noor;Imam, Sardar Zakariya
通讯作者：
Imam, Sardar Zakariya
影响因子：
4.4
作者：
Mlinek, EJ;Pierce, J
通讯作者：
Pierce, J