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The informational privacy of patients in prehospital emergency care—Integrative literature review

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  • Eini Koskimies
  • Sanna Koskinen
  • Helena Leino‐Kilpi
  • Riitta Suhonen

Abstract

Aims and objectives To explore the informational privacy of patients in prehospital emergency care based on the existing literature. Background Informational privacy, a central value in health care, is strongly connected to patients' safety and quality of care. However, its realisation faces challenges in the unique context of prehospital emergency care. Design Integrative literature review. Methods Systematic searches of the CINAHL, MEDLINE and Cochrane library databases (n = 1588) and a manual search of the reference lists of the included articles (n = 0) were conducted in August 2019. In the article selection, specified inclusion and exclusion criteria were used. Two Joanna Briggs Institute quality appraisal tools were used. Ultimately, 11 studies were included. Analysis was conducted by using content analysis. Overall, process of the review was guided by PRISMA checklist. Results The number of primary research studies related to informational privacy in prehospital emergency care is limited and mainly focused on privacy and confidentiality. The informational privacy was described from three aspects (a) information control by patients, (b) information protection by healthcare professional and (c) concepts related to informational privacy. The realisation of patients' informational privacy varied. Factors related to the realisation were related to the paramedics, the prehospital emergency care work and the patients. Conclusion More research specifically focused on informational privacy in prehospital emergency care is needed. Paramedics' understanding of informational privacy and its protection is essential to enhance the realisation of patients' informational privacy. Therefore, a response is required to their need for more education concerning informational privacy. Relevance to clinical practice Paramedics' attention should be drawn to the identified factors related to the realisation of informational privacy and its use in clinical practice in order to continue to provide high‐quality prehospital emergency care.

Suggested Citation

  • Eini Koskimies & Sanna Koskinen & Helena Leino‐Kilpi & Riitta Suhonen, 2020. "The informational privacy of patients in prehospital emergency care—Integrative literature review," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(23-24), pages 4440-4453, December.
    • Handle: RePEc:wly:jocnur:v:29:y:2020:i:23-24:p:4440-4453
    DOI: 10.1111/jocn.15481
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    1. Parrott, Roxanne & Burgoon, Judee K. & Burgoon, Michael & LePoire, Beth A., 1989. "Privacy between physicians and patients: More than a matter of confidentiality," Social Science & Medicine, Elsevier, vol. 29(12), pages 1381-1385, January.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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