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Building an ethical environment improves patient privacy and satisfaction in the crowded emergency department: a quasi-experimental study.
BMC Med Ethics. 2013 Feb 20; 14:8.BM

Abstract

BACKGROUND

To evaluate the effectiveness of a multifaceted intervention in improving emergency department (ED) patient privacy and satisfaction in the crowded ED setting.

METHODS

A pre- and post-intervention study was conducted. A multifaceted intervention was implemented in a university-affiliated hospital ED. The intervention developed strategies to improve ED patient privacy and satisfaction, including redesigning the ED environment, process management, access control, and staff education and training, and encouraging ethics consultation. The effectiveness of the intervention was evaluated using patient surveys. Eligibility data were collected after the intervention and compared to data collected before the intervention. Differences in patient satisfaction and patient perception of privacy were adjusted for predefined covariates using multivariable ordinal logistic regression.

RESULTS

Structured questionnaires were collected with 313 ED patients before the intervention and 341 ED patients after the intervention. There were no important covariate differences, except for treatment area, between the two groups. Significant improvements were observed in patient perception of "personal information overheard by others", being "seen by irrelevant persons", having "unintentionally heard inappropriate conversations from healthcare providers", and experiencing "providers' respect for my privacy". There was significant improvement in patient overall perception of privacy and satisfaction. There were statistically significant correlations between the intervention and patient overall perception of privacy and satisfaction on multivariable analysis.

CONCLUSIONS

Significant improvements were achieved with an intervention. Patients perceived significantly more privacy and satisfaction in ED care after the intervention. We believe that these improvements were the result of major philosophical, administrative, and operational changes aimed at respecting both patient privacy and satisfaction.

Authors+Show Affiliations

Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23421603

Citation

Lin, Yen-Ko, et al. "Building an Ethical Environment Improves Patient Privacy and Satisfaction in the Crowded Emergency Department: a Quasi-experimental Study." BMC Medical Ethics, vol. 14, 2013, p. 8.
Lin YK, Lee WC, Kuo LC, et al. Building an ethical environment improves patient privacy and satisfaction in the crowded emergency department: a quasi-experimental study. BMC Med Ethics. 2013;14:8.
Lin, Y. K., Lee, W. C., Kuo, L. C., Cheng, Y. C., Lin, C. J., Lin, H. L., Chen, C. W., & Lin, T. Y. (2013). Building an ethical environment improves patient privacy and satisfaction in the crowded emergency department: a quasi-experimental study. BMC Medical Ethics, 14, 8. https://doi.org/10.1186/1472-6939-14-8
Lin YK, et al. Building an Ethical Environment Improves Patient Privacy and Satisfaction in the Crowded Emergency Department: a Quasi-experimental Study. BMC Med Ethics. 2013 Feb 20;14:8. PubMed PMID: 23421603.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Building an ethical environment improves patient privacy and satisfaction in the crowded emergency department: a quasi-experimental study. AU - Lin,Yen-Ko, AU - Lee,Wei-Che, AU - Kuo,Liang-Chi, AU - Cheng,Yuan-Chia, AU - Lin,Chia-Ju, AU - Lin,Hsing-Lin, AU - Chen,Chao-Wen, AU - Lin,Tsung-Ying, Y1 - 2013/02/20/ PY - 2012/08/13/received PY - 2013/02/06/accepted PY - 2013/2/21/entrez PY - 2013/2/21/pubmed PY - 2013/8/21/medline SP - 8 EP - 8 JF - BMC medical ethics JO - BMC Med Ethics VL - 14 N2 - BACKGROUND: To evaluate the effectiveness of a multifaceted intervention in improving emergency department (ED) patient privacy and satisfaction in the crowded ED setting. METHODS: A pre- and post-intervention study was conducted. A multifaceted intervention was implemented in a university-affiliated hospital ED. The intervention developed strategies to improve ED patient privacy and satisfaction, including redesigning the ED environment, process management, access control, and staff education and training, and encouraging ethics consultation. The effectiveness of the intervention was evaluated using patient surveys. Eligibility data were collected after the intervention and compared to data collected before the intervention. Differences in patient satisfaction and patient perception of privacy were adjusted for predefined covariates using multivariable ordinal logistic regression. RESULTS: Structured questionnaires were collected with 313 ED patients before the intervention and 341 ED patients after the intervention. There were no important covariate differences, except for treatment area, between the two groups. Significant improvements were observed in patient perception of "personal information overheard by others", being "seen by irrelevant persons", having "unintentionally heard inappropriate conversations from healthcare providers", and experiencing "providers' respect for my privacy". There was significant improvement in patient overall perception of privacy and satisfaction. There were statistically significant correlations between the intervention and patient overall perception of privacy and satisfaction on multivariable analysis. CONCLUSIONS: Significant improvements were achieved with an intervention. Patients perceived significantly more privacy and satisfaction in ED care after the intervention. We believe that these improvements were the result of major philosophical, administrative, and operational changes aimed at respecting both patient privacy and satisfaction. SN - 1472-6939 UR - https://www.unboundmedicine.com/medline/citation/23421603/Building_an_ethical_environment_improves_patient_privacy_and_satisfaction_in_the_crowded_emergency_department:_a_quasi_experimental_study_ L2 - https://bmcmedethics.biomedcentral.com/articles/10.1186/1472-6939-14-8 DB - PRIME DP - Unbound Medicine ER -