医疗保健中的秘密及其后果:对工人经验的全面审查
Kiriaki Stewart1,2, David Evans1,2, Qunyan Xu1
1Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia.
Journal of advanced nursing
|March 31, 2025
概括
患者与医疗保健工作者分享敏感的秘密,包括医疗问题,性,虐待和生活选择. 这些披露会影响医疗保健体验,突出需要更好的支持策略.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 患者与医疗服务提供者的关系
- 隐私管理 隐私管理
背景情况:
- 医疗保健消费者向医疗保健工作者透露个人秘密.
- 了解这些披露的性质和影响对于改善患者护理和医疗保健工作者体验至关重要.
研究的目的:
- 探索当前关于患者向医疗保健工作者透露的秘密类型的知识.
- 检查这些私人披露对医疗保健工作者的体验的影响.
主要方法:
- 使用Arksey和O'Malley的五步框架进行了全面的范围审查.
- 针对1980年至2025年间发表的研究,搜索了8个电子数据库.
- 佩特罗尼奥的通信隐私管理理论指导了纳入标准.
主要成果:
- 包括76项研究,确定了四大类秘密:医疗问题,性,虐待和生活选择.
- 医疗保健工作者将披露视为特权或负担,制定策略来管理它们.
- 该审查强调了患者和医疗保健工作者的脆弱性,可能带来负面的健康结果.
结论:
- 患者向医疗保健专业人员披露一系列敏感信息.
- 需要进一步的研究来制定基于证据的指导方针来管理患者披露.
- 调查结果可以为医疗保健实践和未来关于敏感患者-提供者沟通的研究提供信息.
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