Comparison of the auditory and visual privacy of emergency department treatment areas with curtains versus those with solid walls

Comparison of the auditory and visual privacy of emergency department treatment areas with curtains versus those with solid walls
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DOI:
10.1067/mem.2001.115441
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发表时间:
2001-08-01
影响因子:
6.2
通讯作者:
Lesser, ML
Lesser, ML
中科院分区:
医学1区
文献类型:
--
作者:
Barlas, D;Sama, AE;Lesser, ML

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研究目的:急诊科的设计和功能可能会允许侵犯隐私,这可能会对患者满意度和医疗护理产生不利影响。我们试图确定患者是否认为更少的隐私,在艾德治疗领域的窗帘比在房间里与固体walls.Methods:患者18岁及以上的大学医院艾德谁收到的照顾,在一个房间里与坚实的墙壁和门,窗帘区旁边的护士站,或窗帘区远离护士站进行了调查。患者回答了5点李克特量表的11个问题,关于隐私。用Kruskal-Wallis和Mann-Whitney检验确定面积之间的差异,P值小于0.05时被认为是显著的。结果:对108例艾德患者进行了结构化访谈。窗帘区域的人的反应是相似的。与那些在有墙的房间里的人相比,这些患者更经常地相信他们可以偷听别人,别人可以听到他们,看到他们,听到个人信息,看到他们身体的个人部位(P小于或等于0.04)。他们还认为整体隐私感较低(P < .01)。在所有接受调查的人中,85.2%的报告“很多”或11个完整的”尊重隐私的工作人员,和92.6%的经历至少尽可能多的隐私,因为他们的预期,没有差异areas.Conclusion:患者感知显着减少听觉和视觉隐私的艾德治疗领域的窗帘相比,一个房间的固体墙壁。建议在当前实践和未来的艾德设计和施工中考虑这些发现。
Study objective: The design and function of emergency departments may allow breaches of privacy that could adversely affect patient satisfaction and medical care. We sought to determine whether patients perceive less privacy in ED treatment areas with curtains than in rooms with solid walls.Methods: Patients 18 years and older at a university hospital ED who received care in a room with solid walls and a door, a curtained area next to the nurses' station, or a curtained area away from the nurses' station were surveyed. Patients responded on a 5-point Likert scale to 11 questions regarding privacy. Differences between areas were determined by using the Kruskal-Wallis and Mann-Whitney tests and were considered significant at P values of less than .05.Results: Structured interviews were conducted with 108 ED patients. Responses from those in the curtained areas were similar. Compared with those in the rooms with walls, these patients more often believed that they could overhear others and that others could hear them, view them, hear personal information, and view personal parts of their bodies (P less than or equal to .04 for all). They also perceived a lower overall sense of privacy (P < .01). Of all those surveyed, 85.2% reported "a lot of" or 11 complete" respect for privacy by the staff, and 92.6% experienced at least as much privacy as they expected, with no difference between areas.Conclusion: Patients perceive significantly less auditory and visual privacy in ED treatment areas with curtains compared with a room with solid walls. Consideration of these findings in current practice and in future ED design and construction is suggested.