Investigating Patient Privacy in the Operating Room: A Crosssectional Study in Hamedan

Document Type : Original Article

Authors

1 Department of Surgical technology, QMS.C., Islamic Azad University, Qazvin, Iran

2 Department of Operating Room, School of Paramedical, Hamadan University of Medical Science, Hamadan, Iran

3 Master of anesthesia, Faculty member, Department of anesthesia, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

4 Student Research Committee, School of Paramedical, Qazvin University of Medical Sciences, Qazvin, Iran

5 Department of Operating Room, Torbat Jam Faculty of Medical Sciences, Torbat Jam, Iran

6 Department of Operating Room, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran

10.30476/jhmi.2025.108568.1313

Abstract

Introduction: Respecting privacy is recognized as mandatory in healthcare organizations.
Due to the special conditions of the operating room, privacy can contribute to the patient’s
desirability before and after anesthesia and reduce the need for premedication. Therefore, the
purpose of this study was to investigate patient privacy in the operating room.
Methods: This cross-sectional study, conducted in 2022, assessed the privacy of surgical
patients in the operating room of Besat Hospital in Hamedan. This study used a researchermade
checklist. After obtaining informed consent, the researcher evaluated the admitting
nurses and patients admitted to the operating room during three stages before, during, and
after surgery to assess privacy. SPSS version 22 software was used to analyze the data.
Findings: Most personnel involved in this study held an associate’s or bachelor’s degree
relevant to the operating room, were married, and matched the gender of the patients. The
lowest privacy score (10.08) was recorded during admission and transfer to the operating
room, while the highest (10.80) was observed during the intraoperative phase. A significant
relationship was found between patient privacy, educational degree, and personnel shift status
(P<0.05).
Conclusion: The high level of privacy compliance in this study indicates that maintaining
patient privacy is of particular importance to operating room personnel. However, staff
awareness of patient privacy can be improved by holding training workshops.

Highlights

Mohammad Bokharaei: Google Scholar

Reza Tavakkol: Google Scholar

Keywords

Main Subjects


  1. Kutkauskiene J. Implementation of the right to privacy in the Lithuanian Law on Patients' Rights. Wroclaw Rev Law Adm Econ. 2015;4(2):1-12. doi: 10.1515/wrlae-2015-0011.

  2. A patient's right to know. AORN J. 2019;109(1):107-9. doi: 10.1002/aorn.12572.

  3. Kim K, Han Y, Kim JS. Nurses' and patients' perceptions of privacy protection behaviours and information provision. Nurs Ethics. 2017;24(5):598-611. doi: 10.1177/0969733015622059.

  4. Yun J, Oh H. Validity and reliability of the Korean Version of Nurses' Ethical Behaviors for Protecting Patient's Rights Scale: a methodological study. Korean J Adult Nurs. 2023;35(2):138-47. doi: 10.7475/kjan.2023.35.2.138.

  5. Blomberg AC, Bisholt B, Lindwall L. Responsibility for patient care in perioperative practice. Nurs Open. 2018;5(3):414-21. doi: 10.1002/nop2.153.

  6. Ozturk H, Torun Kilic C, Kahriman I, Meral B, Colak B. Assessment of nurses' respect for patient privacy by patients and nurses: a comparative study. J Clin Nurs. 2021;30(7-8):1079-90. doi: 10.1111/jocn.15653.

  7. Skar L, Soderberg S. The importance of ethical aspects when implementing eHealth services in healthcare: a discussion paper. J Adv Nurs. 2018;74(5):1043-50. doi: 10.1111/jan.13493.

  8. Ferri P, Muzzalupo J, Di Lorenzo R. Patients' perception of dignity in an Italian general hospital: a cross-sectional analysis. BMC Health Serv Res. 2015;15:41. doi: 10.1186/s12913-015-0704-8.

  9. Price WN, Cohen IG. Privacy in the age of medical big data. Nat Med. 2019;25(1):37-43. doi: 10.1038/s41591-018-0272-7.

  10. Mardani Shourjeh M, Sabet Sarvestani R, Khani Jeyhooni A, Dehghan A. Comparison of the viewpoints of the operating staff and those of patients on the degree of respecting patients' privacy. Educ Ethics Nurs. 2019;8(1-2):14-20. doi: 10.52547/ethicnurs.8.1.2.14.

  11. Chan DNS, Choi KC, To MH, Ha SK, Ling GCC. Patient privacy protection among university nursing students: a cross-sectional study. Nurs Ethics. 2022;29(5):1280-92. doi: 10.1177/09697330221085777.

  12. Zirak M, Ghafourifard M, Aghajanloo A, Harriran H. Respect for patient privacy in the teaching hospitals of Zanjan. J Med Ethics. 2015;8(1).

  13. Phillips N, Hornacky A. Berry & Kohn's operating room technique. St. Louis: Elsevier Health Sciences; 2020.

  14. Rothrock JC. Alexander's care of the patient in surgery. St. Louis: Elsevier Health Sciences; 2022.

  15. Ebadi A, Zarshenas L, Rakhshan M, Zareiyan A, Sharifnia S, Mojahedi M. Principles of scale development in health science. J Educ Nurs. 2017;6. Persian.

  16. Malekmohammdi A, Payami Bousari M, Vakili MM, Rabie Siahkali S. Patients' privacy in the operating room in Zanjan educational hospitals in 2019: perspectives of patients and operating room staff. Prev Care Nurs Midwifery J. 2021;11(4):63-71. doi: 10.52547/pcnm.11.4.63.

  17. Noorian K, Hashemi H, Salehi Z, Rahimi Madiseh M. Comparison of operation room staffs and patients perspectives from "patient privacy" in the operating room. J Clin Nurs Midwifery. 2016;5(1):47-57.

  18. Aghamohammadi F, Imani B, Koosha MM. Operating room nurses' lived experiences of ethical codes: a phenomenological study in Iran. Int J Nurs Sci. 2021;8(3):332-8. doi: 10.1016/j.ijnss.2021.05.012.

  19. Mousavi BN, Rakhsha N, Mousavi BM. Satisfying patient's rights according to Patient Bill of Rights in the internal medicine departments of Ghaem & Imam Reza Hospitals, Mashhad University of Medical Sciences, Mashhad, Iran. 2022. Persian.

  20. Hajibabaee F, Jooj R, Haghighizade MH, Zarea K, Ashrafizadeh H. Awareness of the rights of psychiatric patients and its observance from the perspective of patients and nurses: a descriptive study. Iran J Nurs Res. 2021;16(1):89-100. Persian.