Health professionals' knowledge and attitude towards patient confidentiality and associated factors in a resource-limited setting: a cross-sectional study.
Health professionals' knowledge and attitude towards patient confidentiality and associated factors in a resource-limited setting: a cross-sectional study.
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DOI：
10.1186/s12910-022-00765-0
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发表时间：
2022-03-14
影响因子：
2.7
通讯作者：
Chanie AF
中科院分区：
文献类型：
--
作者：
Tegegne MD;Melaku MS;Shimie AW;Hunegnaw DD;Legese MG;Ejigu TA;Mengestie ND;Zemene W;Zeleke T;Chanie AF
尊重患者的机密性是卫生专业人员的道德和法律责任，也是卓越护理的基石。这项研究旨在评估卫生专业人员在资源有限的情况下对患者保密的知识、态度和相关因素。以机构为基础的横断面研究在423名卫生专业人员中进行。采用分层抽样的方法选择研究对象，采用结构化的自我管理问卷进行数据收集。使用EPI-DATA版本4.6输入数据，并使用SPSS版本25进行分析。使用双变量和多变量的二元Logistic回归分析来衡量因变量和自变量之间的关联性。计算95%可信区间和P值的优势比，以确定关联强度并评价统计学意义。在410名参与者中，约59.8%的人[95%可信区间(54.8-68.8%)]和49.5%的受访者[95%可信区间(44.5-54.5%)]对专利保密有良好的知识和态度。男性(AOR = 1.63，95%CI[1.03~2.59])、接受过医德培训(AOR = 1.73，95%CI = [1.11~2.70])、面临伦理困境(AOR = 3.07，95%CI[1.07~8.79])是卫生专业知识走向患者保密的显著相关因素。接受过医德培训(AOR = 2.30，95%CI[1.42~3.72])、直接接触患者(AOR = 3.06，95%CI[1.12~8.34])、就诊次数多(AOR = 4.38，95%CI[2.46~7.80])、面临伦理困境(AOR = 3.56，95%CI[1.23~10.26])是医务人员对患者保密态度的显著影响因素。这项研究的结果表明，卫生专业人员对患者保密的态度有限，但对此有相对较好的了解。可以建议在进入医院之前和工作期间为卫生工作者提供持续的医德培训方案，以提高卫生专业人员对病人保密的知识和态度。网上版载有补充材料，可在10.1186/s12910-022-00765-0查阅。
Respecting patients’ confidentiality is an ethical and legal responsibility for health professionals and the cornerstone of care excellence. This study aims to assess health professionals’ knowledge, attitudes, and associated factors towards patients’ confidentiality in a resource-limited setting. Institutional based cross-sectional study was conducted among 423 health professionals. Stratified sampling methods were used to select the participants, and a structured self-administer questionnaire was used for data collection. The data was entered using Epi-data version 4.6 and analyzed using SPSS, version 25. Bi-variable and multivariable binary logistic regression analyses were used to measure the association between the dependent and independent variables. Odds ratio with 95% confidence intervals and P value was calculated to determine the strength of association and to evaluate statistical significance. Out of 410 participants, about 59.8% with [95% CI (54.8–68.8%)] and 49.5% with [95% CI (44.5–54.5%)] had good knowledge and favorable attitude towards patents confidentiality respectively. Being male (AOR = 1.63, 95% CI [1.03–2.59]), taking training on medical ethics (AOR = 1.73, 95% CI = [1.11–2.70]), facing ethical dilemmas (AOR = 3.07, 95% CI [1.07–8.79]) were significantly associated factors for health professional knowledge towards patients’ confidentiality. Likewise, taking training on medical ethics (AOR = 2.30, 95% CI [1.42–3.72]), having direct contact with the patients (AOR = 3.06, 95% CI [1.12–8.34]), visiting more patient (AOR = 4.38, 95% CI [2.46–7.80]), and facing ethical dilemma (AOR = 3.56, 95% CI [1.23–10.26]) were significant factors associated with attitude of health professionals towards patient confidentiality. The findings of this study revealed that health professionals have a limited attitude towards patient confidentiality but have relatively good knowledge. Providing a continuing medical ethics training package for health workers before joining the hospital and in between the working time could be recommended to enhance health professionals’ knowledge and attitude towards patient confidentiality. The online version contains supplementary material available at 10.1186/s12910-022-00765-0.
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影响因子：
2.7
作者：
Beltran-Aroca CM;Girela-Lopez E;Collazo-Chao E;Montero-Pérez-Barquero M;Muñoz-Villanueva MC
通讯作者：
Muñoz-Villanueva MC
影响因子：
--
作者：
Hosseini-Ghavam-Abad, Leila;Asghari, Fariba;Bigdeli, Shoaleh
通讯作者：
Bigdeli, Shoaleh
影响因子：
3.7
作者：
Beltran-Aroca, Cristina M.;Labella, Fernando;Girela-Lopez, Eloy
通讯作者：
Girela-Lopez, Eloy
影响因子：
4.1
作者：
Veerus, Piret;Lexchin, Joel;Hemminki, Elina
通讯作者：
Hemminki, Elina
影响因子：
3.5
作者：
Bartlett, Yvonne Kiera;Coulson, Neil S.
通讯作者：
Coulson, Neil S.