对接触创伤性和/或敏感健康数据的非临床卫生专业人员的生物-心理-社会-精神影响:范围审查

Melanie Tassos, Lindsay B Carey, Stephanie Gjorgioski, Brad Hodge, Merilyn Riley
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引用次数: 0

摘要

背景:现有的研究早已确定,直接接触病人的创伤,如严重伤害,慢性疾病和临终关怀,使临床卫生保健工作者处于继发性创伤应激,同情疲劳和倦怠的高风险中。然而,相对较少关注对非临床医疗保健人员的影响,例如健康信息管理人员(HIMs),尽管他们被排除在直接患者护理之外,但他们经常处理令人痛苦和敏感的患者信息。目的:本综述探讨了有关非临床医疗保健专业人员的文献,以及长期接触医疗和/或患者记录对他们的生物心理社会精神(BPSS)健康的潜在影响。方法:采用Arksey和O'Malley的五阶段范围审查策略。对文献的初步搜索没有发现针对HIMs和其他非临床医疗保健专业人员的特定结果。因此,我们扩大了综述的范围,并对文献进行了第二次检索,以探索类似的非患者/面向客户的人群,如转录员。结果:总共有1226篇文章被初步确定,13篇文章揭示了当专业人员暴露于创伤性和/或敏感数据时对生物、心理、社会和/或精神的影响。结论:探索非患者/客户群体的作用,可以深入了解暴露于创伤性和/或敏感信息可能对HIMs和其他非临床卫生专业人员的健康和福祉产生的潜在影响。对健康信息管理实践的影响:建议进一步研究,以探索HIMs和其他非临床卫生专业人员因暴露创伤性和/或敏感信息而遭受的潜在BPSS影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The biopsychosocial-spiritual impact on non-clinical health professionals who interact with traumatic and/or sensitive health data: A scoping review.

Background: Existing research has long established that direct exposure to patient trauma, such as severe injuries, chronic illnesses and end-of-life care, places clinical healthcare workers at heightened risk of secondary traumatic stress, compassion fatigue and burnout. However, comparatively little attention has been paid to the impact on non-clinical healthcare personnel, such as health information managers (HIMs) who, despite being removed from direct patient care, regularly handle distressing and sensitive patient information.

Objective: This scoping review explores the literature concerning non-clinical healthcare professionals and the potential impact upon their biopsychosocial-spiritual (BPSS) well-being given prolonged exposure to medical and/or patient records.

Method: Arksey and O'Malley's five-stage scoping review strategy was utilised. An initial search of the literature yielded no results specific to HIMs and other non-clinical healthcare professionals. Therefore, the scope of the review was broadened, and a second search of the literature was conducted to explore comparable non-patient/client-facing populations such as transcriptionists.

Results: In total 1226 articles were initially identified and 13 articles revealed either a biological, psychological, social and/or spiritual impact when professionals were exposed to traumatic and/or sensitive data.

Conclusion: Exploring the roles of comparable non-patient/client-facing populations provides insight into the potential impact that exposure to traumatic and/or sensitive information may have on the health and well-being of HIMs and other non-clinical health professionals.Implications for health information management practice:Further research is recommended to explore the potential BPSS impact that HIMs and other non-clinical health professionals experience due to the exposure of traumatic and/or sensitive information.

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