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首页> 外文期刊>Internal medicine journal >Between a rock and a hard place: exploring the conflict between respecting the privacy of patients and informing their carers.
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Between a rock and a hard place: exploring the conflict between respecting the privacy of patients and informing their carers.

机译：在坎and和艰难的地方之间：探索尊重患者隐私和告知护理人员之间的冲突。

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BACKGROUND: A patient's right to privacy is considered fundamental to medical care, with physicians assuming the role of guardian of the clinical information which is conveyed to the patient. However, as a patient's health declines, physicians are often challenged by the need to protect patient privacy while addressing the expectations of the patient's carers, who seek medical information to provide appropriate care at home. AIMS: This study sought to explore the expectations of patients, their carers and physicians regarding the communication of clinical information to carers. METHODS: Surveys were distributed in outpatient clinics at a metropolitan quaternary hospital, with responses from 102 patients and carers, as well as 219 medical staff. RESULTS: The expectations of patients and carers differed from those of medical staff. Physicians typically believed discussions with carers should begin following the patient's permission and at the patient's request. Patients and carers, however, believed information should be automatically offered or provided when questioned. Further, carers generally felt information updates should occur regularly and routinely, whereas physicians indicated updates should occur with prompting either by a major clinical change or in response to a carer's concern. CONCLUSION: Physicians should be aware that the expectations of patients and carers regarding information communication to carers may not match their own. Meanwhile, patients and carers should be made aware of the constraints upon physicians and should be encouraged to convey their preferences for information sharing. These tasks could be facilitated by the development of a prompt sheet to assist the clinical encounter.
机译：背景技术：患者的隐私权被认为是医疗服务的基础，医生承担着传达给患者的临床信息的监护人的角色。然而，随着患者健康状况的下降，在满足患者护理人员的期望的同时，经常需要保护患者隐私的挑战使医生面临挑战，护理人员寻求医疗信息以在家中提供适当的护理。目的：本研究旨在探讨患者，其护理人员和医师对与护理人员进行临床信息交流的期望。方法：调查在城市四级医院​​的门诊进行，来自102名患者和护理人员以及219名医护人员的回复。结果：患者和护理人员的期望与医护人员的期望不同。医生通常认为与护理人员的讨论应在患者的允许下并在患者的要求下开始。但是，患者和护理人员认为应该在询问时自动提供信息。此外，护理人员通常认为信息更新应该定期和例行进行，而医生指出更新应该通过重大临床变化或响应护理人员的关注而进行。结论：医师应意识到，患者和护理人员对与护理人员进行信息交流的期望可能与他们自己的期望不符。同时，应使患者和护理人员意识到对医生的限制，并应鼓励他们传达他们对信息共享的偏好。可以通过开发提示表来协助临床工作，从而简化这些任务。

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