Patients' silence following healthcare staff's ethical transgressions

Patients' silence following healthcare staff's ethical transgressions
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DOI:
10.1177/0969733011423294
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发表时间:
2012-11-01
期刊:
影响因子:
4.2
通讯作者:
Swahnberg, Katarina
Swahnberg, Katarina
中科院分区:
医学2区
文献类型:
--
作者:
Bruggemann, A. Jelmer;Wijma, Barbro;Swahnberg, Katarina

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本研究的目的是调查患者在经历医疗保健中的虐待或错误事件后对医疗保健系统保持沉默的程度。访问瑞典妇女诊所的女性患者 (n = 530) 回答了违反医疗保健道德原则问卷 (TEP),该问卷旨在衡量患者以工作人员违反医疗保健道德原则的形式遭受的虐待经历。在所有患者中,63.6% 的患者曾在某个时候经历过工作人员违反道德原则的行为,许多人认为这些事件是虐待和错误的。在这些患者中,70.3% 的人对医疗保健系统至少对一项违规行为保持沉默。这种沉默意味着医疗保健系统失去了必要的反馈,不应自动解释为患者感到满意。
The aim of this study was to examine to what extent patients remained silent to the health care system after they experienced abusive or wrongful incidents in health care. Female patients visiting a women's clinic in Sweden (n = 530) answered the Transgressions of Ethical Principles in Health Care Questionnaire (TEP), which was constructed to measure patients' abusive experiences in the form of staff's transgressions of ethical principles in health care. Of all the patients, 63.6% had, at some point, experienced staff's transgressions of ethical principles, and many perceived these events as abusive and wrongful. Of these patients, 70.3% had remained silent to the health care system about at least one transgression. This silence is a loss of essential feedback for the health care system and should not automatically be interpreted as though patients are satisfied.