There is a legal duty of confidentiality on the part of nurses working in mental health care. Nonetheless, it may be necessary to release some information if a patient is assessed as posing a potential credible risk, to protect the patient or others from harm. However, contemporary research literature reveals gaps in nurses' knowledge and practice, with respect to sharing patients' confidential information. The aim of this study was to understand potential causal factors for these knowledge and practice gaps, so they can be addressed. A theoretical thematic analysis of focus-group data was undertaken. Findings indicated nurses had limited knowledge of confidentiality. Additionally, participants described a paucity of support networks nurses could approach for information. Participants also emphasised their perception that health services unrealistically expected them to always identify and manage patient risk. In summarising these findings, recommendations for interventions to address these knowledge and practice gaps are outlined.
The objectives of the present study were to develop and validate the Public Law-Abiding Tendency Scale (PLATS) and to examine its association with some health-related behaviors. Several steps were taken including item suggestion and discussion by an expert panel, sequential item reduction to maximize internal consistency using exploratory and confirmatory factor analysis. A sample comprised 1108 community-dwelling participants. Internal consistency and construct validity of the PLATS were examined. The 10-item scale showed good psychometric properties. There was a significantly moderate association between PLATS scores and COVID-19 preventive behaviors (r = 0.564; p < .001), indicating that a greater tendency to abide by public regulations was positively associated with more adherence to health recommendations during the COVID-19 pandemic. The study findings suggest the PLATS is a promising new scale for assessing individuals' tendency to abide by general public laws that could provide an empirical basis for further study on this topic.
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