Improving patient privacy and confidentiality in one regional Emergency Department – a quality project

Calleja, Pauline & Forrest, Louise (2011) Improving patient privacy and confidentiality in one regional Emergency Department – a quality project. Australasian Emergency Nursing Journal, 14(4), pp. 251-256.

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Background: Patient privacy and confidentiality (PPaC) is an important consideration for nurses and other members of the health care team. Can a patient expect to have confidentiality and in particular privacy in the current climate of emergency health care? Do staff who work in the Emergency Department (ED) see confidentiality as an important factor when providing emergency care? These questions are important to consider.

Methods: This is a two phased quality improvement project, developed and implemented over a six month period in a busy regional, tertiary referral ED.

Results: Issues identified for this department included department design and layout, overcrowding due to patient flow and access block, staff practices and department policies which were also impacted upon by culture of the team, and use of space.

Conclusions: Changes successful in improving this issue include increased staff awareness about PPaC, intercom paging prior to nursing handover to remove visitors during handover, one visitor per patient policy, designated places for handover, allocated bed space for patient reviews/assessment and a strategy to temporarily move the patient if procedures would have been undertaken in shared bed space. These are important issues when considering policy, practice and department design in the ED.

Impact and interest:

3 citations in Scopus
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ID Code: 46814
Item Type: Journal Article
Refereed: Yes
Keywords: Patient privacy, confidentiality, handover, emergency department, culture
DOI: 10.1016/j.aenj.2011.05.002
ISSN: 1574-6267
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Nursing not elsewhere classified (111099)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Nursing
Copyright Owner: Copyright 2011 Elsevier Ltd.
Copyright Statement: NOTICE: this is the author’s version of a work that was accepted for publication in Australasian Emergency Nursing Journal. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Australasian Emergency Nursing Journal, VOL 14, ISSUE 4, 2011, DOI 10.1016/j.aenj.2011.05.002
Deposited On: 03 Nov 2011 23:43
Last Modified: 07 Nov 2011 20:00

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