Determining the Attitudes of Nurses Working in Intensive Care Units towards Maintaining the Privacy of Patients: A University Hospital Example

Öz

Objective: The aim of this research was to determine the attitudes of nurses working in intensive care units maintaining the privacy of patients. Material and Methods: This research was planned as a descriptive and cross-sectional study. The sample consisted of 100 nurses working in the internal medicine and surgical intensive care units of a university hospital in the Marmara region of Turkey between November 2024 and March 2025, all of whom agreed to participate voluntarily. A Nurses’ Description Form and a Patient Privacy Scale were used to collect research data. Results: It was found that the nurses’ attitudes towards maintaining patient privacy were very positive (4.65±0.35), and that the highest score was obtained from the sub-dimension of bodily privacy (4.76±0.37). Significantly higher mean scores were found in the sub-dimension of sexually-related privacy of female nurses compared to male nurses, as well as in the overall Patient Privacy Scale mean scores and all its sub-dimensions for nurses who had read the patients’ rights management compared to those who had not (p<0.05). Conclusion: The research findings showed that intensive care nurses had a very positive attitude towards maintaining patient privacy, and that these attitudes were affected by their gender and their knowledge of regulations concerning patients’ rights.

Anahtar Kelimeler

• Intensive care
• nursing care
• patients’ rights
• privacy

Yoğun Bakımda Çalışan Hemşirelerin Hasta Mahremiyetinin Sağlanmasına Yönelik Tutumlarının Belirlenmesi: Bir Üniversite Hastanesi Örneği

Öz

Amaç: Bu araştırmanın amacı yoğun bakım ünitelerinde çalışan hemşirelerin hasta mahremiyetinin sağlanmasına yönelik tutumlarının belirlenmesidir. Gereç ve Yöntem: Bu çalışma, tanımlayıcı ve kesitsel tasarımda bir çalışma olarak planlandı. Araştırmanın örneklemini Kasım 2024-Mart 2025 tarihleri arasında Türkiye'nin Marmara bölgesindeki bir üniversite hastanesinin dahili ve cerrahi yoğun bakım ünitelerinde çalışan ve araştırmaya katılmayı gönüllü olarak kabul eden 100 hemşire oluşturdu. Araştırmanın verileri, Hemşire Tanıtım Formu” ve “Hasta Mahremiyet Ölçeği ile toplanıldı. Bulgular: Araştırmaya katılan hemşirelerin, hasta mahremiyetini sağlamaya yönelik tutumlarının çok yüksek (4,65±0,35) olduğu ve en yüksek puanı “bedensel mahremiyet” alt boyutundan (4,76±0,37) aldıkları saptanmıştır. Kadın hemşirelerin erkek hemşirelere göre cinsiyete ilişkin mahremiyet alt boyut puan ortalaması ile hasta hakları yönetmeliğini okuyan hemşirelerin Hasta Mahremiyet Ölçeği genel ve tüm alt boyut puan ortalamalarının, okumayan hemşirelere göre anlamlı derecede yüksek olduğu saptandı (p<0,05). Sonuç: Araştırma bulguları yoğun bakım hemşirelerinin hasta mahremiyetini sağlamaya yönelik tutumlarının çok yüksek olduğunu ve bu tutumlarının çeşitli faktörlerden etkilendiğini göstermiştir.

Anahtar Kelimeler

• hasta hakları
• hemşirelik bakımı
• mahremiyet
• Yoğun bakım

Kaynakça

1. Güleç B, Alkan A. Evaluation of patient privacy in intensive care units. Visionary E-Journal. 2024;15(44):1363-83. DOI:10.21076/vizyoner.1461107.
2. Karabey G, Kızıltan B, Sabancıoğulları S. Evaluation of pay attention on patient privacy of nurses who working in intensive care units and affecting factors. Ordu University Journal of Nursing Studies. 2023;6(1):123-32. DOI: 10.38108/ouhcd.1053595.
3. Tanrıkulu F, Erol F, Ziyai NY, Gündoğdu H, Karabulut B, Dikmen Y. Investigation of the evaluation of the nurses in patient privacy. Journal of Innovative Healthcare Practices. 2020;1(1):22-9.
4. Aktan GG, Eşer İ, Kocaçal E. The status of nurses’ protecting and maintaining patient privacy and affecting factors. Koç University Journal of Nursing Education and Research. 2019;16(4):301-5.
5. Xia Y, Chen Q, Zeng L, Guo Q, Liu H, Fan S, et al. Factors associated with the patient privacy protection behaviours of nursing interns in China: a cross-sectional study. Nurse Education in Practice. 2022 Nov;65103479. DOI: 10.1016/j.nepr.2022.103479.
6. Xiang D, Cai W. Privacy protection and secondary use of health data: strategies and methods. BioMed Research International. 2021;2021(1):6967166. DOI: 10.1155/2021/6967166.
7. Akar Y, Özyurt E, Erduran S, Uğurlu D, Aydın İ. Evaluation of patient confidentiality. Health Academicians Journal. 2019;6(1):18-24.
8. Gündüz N, Altıntaş S. Measuring the perception of hospital staff on the health quality standards towards patients’ confidentiality. Sağlıkta Performans ve Kalite Dergisi. 2019;16(1):11-30.

9. Özturk H, Bahçecik N, Özçelik KS. The development of the patient privacy scale in nursing. Nursing Ethics. 2014;21(7):812-28. DOI: 10.1177/0969733013515.
10. Çakır SK, Ertemür E. Determination of the status of surgical nurses to protect and maintain patient privacy. Gümüşhane University Journal of Health Sciences. 2023;12(3):1172-81. DOI: 10.37989/gumussagbil.1271042.
11. Hartigan L, Cussen L, Meaney S, O’Donoghue K. Patients’ perception of privacy and confidentiality in the emergency department of a busy obstetric unit. BMC Health Services Research. 2018;18:1-6. DOI: 10.1186/s12913-018-3782-6.
12. Aslan FE, Çınar F, Es M. Investigation of the Privacy consciousness of surgical nurses. Kocaeli Medical Journal. 2019;8(3):95-103.
13. FallahMortezaNejad S, Pourhabibi Z, Mashayekhipirbazari M, Delpasand K. Nursing students' attitude toward the importance of patient privacy. Nursing and Midwifery Studies. 2021;10(1):52-6. DOI: 10.4103/nms.nms_96_19.
14. Chan NS D, Choi KC, To M HY, KN Ha S, Ling G CC. Patient privacy protection among university nursing students: A cross-sectional study. Nursing Ethics. 2022;29(5):1280-92. DOI: 10.1177/09697330221085777.
15. Öztürk H, Torun Kılıç Ç, Kahriman İ, Meral B, Çolak B. Assessment of nurses’ respect for patient privacy by patients and nurses: A comparative study. Journal of Clinical Nursing. 2021;30(7-8):1079-90. DOI: 10.1111/jocn.15653.
16. Gencer A, Kumsar AK. The effect of perception of envıronmental stressors on sleep quality of patients treated in intensive care unit. Online Turkish Journal of Health Sciences. 2020;5(3):434-43. DOI: 10.26453/otjhs.694088.
17. Mersin S, Kahraman BB. Respect and privacy on dignity of intensive care patient and family. Journal of Intensive Care Nursing. 2019;23(1):50-6.
18. Olğun S, Türk G. The evaluation of the situations of protecting and maintaining patient privacy of intensive care nurses. Ordu University Journal of Nursing Studies. 2023;6(3):591-8. DOI: 10.30108/ouhcd.1217950.
19. Timmins F, Parissopoulos S, Plakas S, Naughton MT, De Vries JM, Fouka G. Privacy at end of life in ICU: A review of the literature. Journal of Clinical Nursing. 2018;27(11-12):2274-84. DOI: 10.1111/jocn.14279.
20. Aksoy M, Balcı Akpınar R. The relationship between patients’ perception of nursing care and nursing attitudes towards patient privacy in gynecology clinics. International Journal of Scientific Reports. 2020;6(12):508-13. DOI: 10.18203/issn.2454-2156.IntJSciRep20205030.
21. Arslan ET, Demir H. Attitudes of health workers related to patient confidentiality: a qualitative research. Bolu Abant İzzet Baysal Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2017;17(4):191-220.
22. Ceylan SS, Çetinkaya B. Attitudes towards gossip and patient privacy among paediatric nurses. Nursing Ethics. 2020;27(1):289-300. DOI: 10.1177/096973301984512.
23. Soydan NY, Cansiz SA, Aydoğan S, Bal T, Yalim NY. Concept of personhood and the principle of privacy in ıntensive care. Turkiye Klinikleri Medical Ethics, Law and History-Special Topics, 2016;2(1):1-11.
24. Zhang J, Shi MX, Niu JJ. Current situation and influencing factors of patient privacy protection among nursing interns. Journal of Nursing Science. 2021;36(07):4-8. DOI: 10.3969/j.issn.1672-1756.2018.01.011.
25. Öztürk H, Bahçecik N. Taking pains over patient privacy by nurses. Ege University Faculty of Nursing Journal. 2014;30(3):19-31.
26. Kim K, Han Y, Kim JS. Nurses’ and patients’ perceptions of privacy protection behaviours and information provision. Nursing Ethics. 2017;24(5):598-611. DOI: 10.1177/0969733015622059.
27. Liu X, Liao CL, He Y, Yilin L, Jingli C. Current status and influencing factors of patient privacy protection behavior of clinical nurses. Chinese Journal of Modern Nursing. 2021;27(22):3021–4. DOI: 10.3760/cma.j.cn115682-20210105-00049.
28. Candan M, Bilgili N. Evaluation of nurse and midwives’ opinions on patient privacy. Gazi Health Sciences Journal. 2018;3(3):34-43.
29. Yu M, Kim M. Neonatal nurse's professional self-concept and behavior to protect patient privacy. Journal of Korean Academy of Nursing Administration. 2012;18(4):424-33. DOI: 10.11111/jkana.2012.18.4.424.