Student nurses' views regarding disclosure of patients' confidential information

Matlakala, Mokgadi C.; Mokoena, Joyce

doi:10.1080/20786204.2011.10874138

Cited by 6 publications

(7 citation statements)

References 7 publications

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“…Confidentiality as a component of patient autonomy is known to influence the healthcare practitioner–patient relationship (Matlakala & Mokoena 2011 :484). The importance of confidentiality dates back to the Hippocratic and Florence Nightingale eras (Pinsky 2012 :298–299; Wagner & Whaite 2010 :229) and should be part and parcel of the healthcare practitioner’s etiquette and professionalism.…”

Section: Discussionmentioning

confidence: 99%

Why do women not return for CD4 count results at Embhuleni Hospital, Mpumalanga, South Africa?

Nzaumvila

Mabuza

2015

curationis

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BackgroundAccording to the South African Policy and guidelines for the implementation of the PMTCT programme of 2008, all pregnant women who tested HIV-positive also had to have their CD4 count measured in order to inform the option of Prevention of Mother-to-Child Treatment (PMTCT): to be put on lifelong treatment or to be placed on temporary PMTCT. They were required to return for the results within two weeks, but some did not return, implying that they did not benefit from the programme. This study was conducted to establish their reasons for not returning.ObjectivesTo explore the reasons given by women attending antenatal care for not returning for the results of their CD4 count done for PMTCT at Embhuleni Hospital and satellite clinics, Mpumalanga.MethodsThe study was a qualitative study using the free-attitude interview technique. Women who had not returned for their results were traced and interviewed on their reasons for not returning. Interviews were conducted in Siswati, audio-taped, transcribed verbatim and translated into English for analysis. Data saturation was reached by the eighth participant. A thematic analysis was conducted.ResultsThe themes that emerged were: participants were not informed about the PMTCT process; poor service delivery from the healthcare practitioners; unprofessional healthcare practitioners’ conduct; shortages of medication in the healthcare facilities; fear of social stigma; and poor patient socioeconomic conditions.ConclusionThe reasons for not returning were mainly based on participants’ experiences during consultations at the healthcare centres and their perceptions of the healthcare practitioners. Healthcare practitioners should adhere to the tenets of professionalism in order to address this problem.

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Section: Discussionmentioning

confidence: 99%

Why do women not return for CD4 count results at Embhuleni Hospital, Mpumalanga, South Africa?

Nzaumvila

Mabuza

2015

curationis

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“…By browsing the PACS without a reason, HPs may access data of patients not assigned to them and thus breach confidentiality (Matlakala & Mokoena, 2011). In this study, 7% of participants admitted to browsing the PACS work list for no valid purpose; and 67% of the participants accessed data of patients not assigned to their care ( Table 4).…”

Section: Results and Findingsmentioning

confidence: 93%

Reasons for Picture Archiving and Communication System (PACS) data security breaches: Intentional versus non-intentional breaches

Mahlaola

Dyk

2016

Health SA Gesondheid

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a b s t r a c tBackground: The Picture Archiving and Communication System (PACS) has led to an increase in breached health records and violation of patient confidentiality. The South African constitution makes provision for human dignity and privacy, virtues which confidentiality seeks to preserve. Confidentiality thus constitutes a human right which is challenged by the use of technology.Humans, as managers of information technology, constitute the weakest link in safeguarding confidentiality. Nonetheless, it is argued that most security breaches are nonintentionally committed by well-meaning employees during routine activities.Objective: The purpose of this article is to explore the nature of and reasons for confidentiality breaches by PACS users in a South African context.Methods: A closed-ended questionnaire was used to collect quantitative data from 115 health professionals employed in a private hospital setting, including its radiology department and a second independent radiology department. The questionnaire sought to explore the attitudes of participants towards confidentiality breeches and reasons for such behaviour.Results: Breach incidences were expressed as percentage compliance and classified according to the nature and reasons provided by Sarkar's breach classification. Cross tabulations indicated a statistical significance (p < 0.00) between the expected and observed confidentiality practices of participants and also the adequacy of training, system knowledge and policy awareness. Conclusion:Our study supports previous findings that, in the absence of guidelines, most security breaches were non-intentional acts committed due to ignorance. Of concern are incidents in which sensitive information was intentionally shared via social media.© , 2004). According to the literature, the use of information technology (IT) introduces new risks of compromising confidential data to an extent not possible with paper records (Griffith, 2015). In the past, the breach of confidentiality involved access to paper and film records, which were often stored in a central location making it difficult to compromise the principles of confidentiality. Despite this benefit, the paper system imposed disadvantages that became an impediment to the continuity of patient care because the records could be easily misplaced and thus difficult to retrieve resulting in delayed medical treatment (Beach & Oates, 2014). To address this limitation, advances in IT led to the development of a digital storage modality for radiology data (radiographs and reports) known as PACS.h e a l t h s a g e s o n d h e i d 2 1 ( 2 0 1 6 ) 2 7 1 e2 7Although PACS is inherently a radiology archiving system, it can be used in various other sections within a hospital. PACS allows for the remote and instant access to radiology data by a multidisciplinary complement of HPs who are based in different locations within a hospital setting, and thus data of the same patient may be accessed simultaneously by different HPs (Bolan, 2013). PACS has contributed to i...

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“…[20] The lessons learned are congruent with literature that healthcare practitioners seem to be aware of their duty to keep patient information but practical application poses a number of challenges. [3] There are moral issues that affect the nurses in their practice, with reference to sharing information. However, quality of communication and information sharing between ICU nurse and the family could play an important role on the recovery of patient.…”

Section: Discussionmentioning

confidence: 99%

“…The safety of the patient should be considered before disclosure. [3] This means that the ICU nurses should ask the patient what information should be shared, with which family members as long as it is in the patient's best interest. When confidential information is shared it should be relevant, necessary and appropriate.…”

Section: Policy On Dispensing Patient Informationmentioning

confidence: 99%

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Sharing the critically ill patient’s information with the family: Reflections and lessons learned

Matlakala

2015

JNEP

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Objective: This article highlights the lessons learned from sharing the critically ill patient's health information with the family. The objective of the study was to explore the reflections of intensive care unit (ICU) nurses with regards to their encounters with sharing the critically ill patient's information with the family. Methods: Four focus group interviews were conducted with purposively selected ICU nurses; and data were analysed using qualitative interpretive analysis. Results: The findings indicated policy on dispensing patient information and enforcing patients' rights as the topics from the reflections; from which lessons were learned during sharing patient information with the families. Conclusions: The ICU nurses learned the importance of sharing information with the families, despite the challenges inherent to maintaining confidentiality.

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Student nurses' views regarding disclosure of patients' confidential information

Cited by 6 publications

References 7 publications

Why do women not return for CD4 count results at Embhuleni Hospital, Mpumalanga, South Africa?

Why do women not return for CD4 count results at Embhuleni Hospital, Mpumalanga, South Africa?

Reasons for Picture Archiving and Communication System (PACS) data security breaches: Intentional versus non-intentional breaches

Sharing the critically ill patient’s information with the family: Reflections and lessons learned

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