Defining covert recording: A qualitative study exploring the experiences of clinicians when a patient records a hospital clinical encounter using a smartphone without consent
Background Patients use their smartphones to covertly record their clinical encounters in hospital. However, this issue is poorly understood. Insight into the clinician perspective will help inform policies and practices that deliver safe environments for patients and clinicians. Objective This stud...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-11-01
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| Series: | Digital Health |
| Online Access: | https://doi.org/10.1177/20552076221134388 |
| _version_ | 1798018510757036032 |
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| author | Laura Ryan Kelly A Weir Jessica Maskell Lily Bevan Robyne Le Brocque |
| author_facet | Laura Ryan Kelly A Weir Jessica Maskell Lily Bevan Robyne Le Brocque |
| author_sort | Laura Ryan |
| collection | DOAJ |
| description | Background Patients use their smartphones to covertly record their clinical encounters in hospital. However, this issue is poorly understood. Insight into the clinician perspective will help inform policies and practices that deliver safe environments for patients and clinicians. Objective This study aimed to gain a deep understanding of clinician attitudes and behaviours when a patient covertly records a hospital clinical encounter using a smartphone. Methods Semi-structured interviews were undertaken with 20 hospital clinicians. Participants were recruited via purposive and snowball sampling. Interviews were conducted in person or via Microsoft Teams. Interviews were digitally audio recorded and transcribed. Data was analysed using thematic analysis. Results Most of the 20 participants reported they had either suspected or experienced a patient covertly recording a clinical encounter. Covert recordings occurred across a broad range of clinical disciplines and contexts. Themes were identified from participant perspectives, including discernment of patient intention, likeliness to consent to the recording if asked, anticipated risks and potential benefits associated with the covert recording. These themes have led to the categorisation of three forms of covert recording: (1) Intentional Covert Recording (2) Inadvertently – Covert Recording, and (3) Beneficial Covert Recording. Conclusion Clinicians have varied experiences and responses when a patient covertly records a clinical encounter. Findings indicate that nuanced strategies may be required to support clinicians to manage covert recording, whilst balancing the needs of patients. |
| first_indexed | 2024-04-11T16:25:16Z |
| format | Article |
| id | doaj.art-1d6901f498304d6c9645f4f37600f96b |
| institution | Directory Open Access Journal |
| issn | 2055-2076 |
| language | English |
| last_indexed | 2024-04-11T16:25:16Z |
| publishDate | 2022-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Digital Health |
| spelling | doaj.art-1d6901f498304d6c9645f4f37600f96b2022-12-22T04:14:12ZengSAGE PublishingDigital Health2055-20762022-11-01810.1177/20552076221134388Defining covert recording: A qualitative study exploring the experiences of clinicians when a patient records a hospital clinical encounter using a smartphone without consentLaura Ryan0Kelly A Weir1Jessica Maskell2Lily Bevan3Robyne Le Brocque4 Allied Health Research, Gold Coast Health, Southport, Australia Menzies Health Institute Queensland, Griffith University, Southport, Australia Social Work Services, Gold Coast Health, Southport, Australia Gold Coast Health Consumer Advisory Group, Gold Coast Health, Southport, Australia School of Nursing, Midwifery, and Social Work, The University of Queensland, St Lucia, AustraliaBackground Patients use their smartphones to covertly record their clinical encounters in hospital. However, this issue is poorly understood. Insight into the clinician perspective will help inform policies and practices that deliver safe environments for patients and clinicians. Objective This study aimed to gain a deep understanding of clinician attitudes and behaviours when a patient covertly records a hospital clinical encounter using a smartphone. Methods Semi-structured interviews were undertaken with 20 hospital clinicians. Participants were recruited via purposive and snowball sampling. Interviews were conducted in person or via Microsoft Teams. Interviews were digitally audio recorded and transcribed. Data was analysed using thematic analysis. Results Most of the 20 participants reported they had either suspected or experienced a patient covertly recording a clinical encounter. Covert recordings occurred across a broad range of clinical disciplines and contexts. Themes were identified from participant perspectives, including discernment of patient intention, likeliness to consent to the recording if asked, anticipated risks and potential benefits associated with the covert recording. These themes have led to the categorisation of three forms of covert recording: (1) Intentional Covert Recording (2) Inadvertently – Covert Recording, and (3) Beneficial Covert Recording. Conclusion Clinicians have varied experiences and responses when a patient covertly records a clinical encounter. Findings indicate that nuanced strategies may be required to support clinicians to manage covert recording, whilst balancing the needs of patients.https://doi.org/10.1177/20552076221134388 |
| spellingShingle | Laura Ryan Kelly A Weir Jessica Maskell Lily Bevan Robyne Le Brocque Defining covert recording: A qualitative study exploring the experiences of clinicians when a patient records a hospital clinical encounter using a smartphone without consent Digital Health |
| title | Defining covert recording: A qualitative study exploring the experiences of clinicians when a patient records a hospital clinical encounter using a smartphone without consent |
| title_full | Defining covert recording: A qualitative study exploring the experiences of clinicians when a patient records a hospital clinical encounter using a smartphone without consent |
| title_fullStr | Defining covert recording: A qualitative study exploring the experiences of clinicians when a patient records a hospital clinical encounter using a smartphone without consent |
| title_full_unstemmed | Defining covert recording: A qualitative study exploring the experiences of clinicians when a patient records a hospital clinical encounter using a smartphone without consent |
| title_short | Defining covert recording: A qualitative study exploring the experiences of clinicians when a patient records a hospital clinical encounter using a smartphone without consent |
| title_sort | defining covert recording a qualitative study exploring the experiences of clinicians when a patient records a hospital clinical encounter using a smartphone without consent |
| url | https://doi.org/10.1177/20552076221134388 |
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