{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T20:07:34Z","timestamp":1790626054043,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To investigate the prevalence of patient\u2010led covert recording in Western China, nurses' attitudes towards covert recording and explore the factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A descriptive cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study was conducted in 33 cities in 6 provinces of China from November to December 2021. A convenience sampling strategy was used to get access to 2323 participants, and a self\u2010designed questionnaire was used for evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      This study included 2124 nurses; of this, 442 (20.8%) had the experience of patient\u2010led covert recording. After being covertly recorded, they felt stressful (76.9%), nervous (61.3%) and angry (58.6%). A total of 1287 (60.6%) nurses didn't accept covert recording under any condition. There were differences in age, education, professional titles, years of working, departments, and management measures launched by hospitals between the groups with or without the experience of being covertly recorded. Furthermore, the binary logistic regression analysis showed that nurses running outpatient clinics (OR\u2009=\u20090.635, 95% CI: 0.425\u20130.950,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) were accompanied by higher prevalence of patient\u2010led covert recording while the opposite was true when hospitals launched related management measures (OR\u2009=\u20091.632, 95% CI: 1.126\u20132.366,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patient\u2010led covert recording might be a form of workplace violence which could be stressful. Thus, it deserves attention and consideration. Management measures and training on patient\u2010led covert recording are urgently required to meet the needs of nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>The findings of this study emphasise the significant role of patient and public contributions in healthcare dynamics. By revealing nurses' stress and anxiety associated with covert recordings, it highlights the need for open dialogue about privacy and consent. Engaging patients in discussions about the ethical implications of such recordings can foster collaboration and trust in clinical settings. The findings suggest that implementing better management measures in hospitals could alleviate negative impacts and enhance communication between patients and healthcare providers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Chinese Clinical Trial Registry: ChiCTR2100048557<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70482","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T08:49:58Z","timestamp":1773046198000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence, Influencing Factors and Attitudes Towards Patient\u2010Led Covert Recording: A Cross\u2010Sectional Study of Nurses in Western China"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2808-1529","authenticated-orcid":false,"given":"Lanlan","family":"Zheng","sequence":"first","affiliation":[{"name":"School of Medicine University of Electronic Science &amp; Technology of China  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Tang","sequence":"additional","affiliation":[{"name":"Nursing Department Dazhou Central Hospital  Dazhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8273-9737","authenticated-orcid":false,"given":"Jun","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Chengdu First People's Hospital  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang","family":"Zhu","sequence":"additional","affiliation":[{"name":"Hospital of Chengdu University of Traditional Chinese Medicine  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology The First Affiliated Hospital of Chengdu Medical College  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Yang","sequence":"additional","affiliation":[{"name":"Nursing Department Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital &amp; Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,9]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16230"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2017.04.030"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/2165079915574684"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.2196\/11308"},{"key":"e_1_2_13_6_1","unstructured":"Data Protection.2024.GOV.UK. Accessed July 24 2024.https:\/\/www.gov.uk\/data\u2010protection."},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.7511"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102015\u2010008566"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010021\u201000644\u2010w"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304519"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0025817218783177"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12960\u2010015\u20100018\u20102"},{"key":"e_1_2_13_13_1","volume-title":"Employers Want to Fire Workers Without Getting Shamed on TikTok","author":"Hampton C.","year":"2024"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2019.158408"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.33910"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106963\u201012\u2010469"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6690284"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2024.104842"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/09697330231193852"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1017\/cem.2018.423"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/police\/paaa048"},{"key":"e_1_2_13_22_1","volume-title":"Data Protection Act 1998 [Text]","author":"Participation E.","year":"1998"},{"key":"e_1_2_13_23_1","unstructured":"Patients Recording Consultations.2024.The British Medical Association Is the Trade Union and Professional Body for Doctors in the UK.https:\/\/www.bma.org.uk\/advice\u2010and\u2010support\/ethics\/confidentiality\u2010and\u2010health\u2010records\/patients\u2010recording\u2010consultations."},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.50838"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.05.008"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.2424"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102021\u2010056214"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/20552076221134388"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13617"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/23743735231203126"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.34172\/aim.28107"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/ert.21553"},{"issue":"11","key":"e_1_2_13_33_1","first-page":"6","article-title":"How to Legally Limit Recording Devices in the Workplace","volume":"13","author":"The HR Weekly","year":"2018","journal-title":"HRSpecialist: Pennsylvania Employment Law"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010020\u201008708\u20103"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2014.02.007"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0125824"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/1755738020907358"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12398"},{"key":"e_1_2_13_39_1","unstructured":"World Health Organization.2002.\u201cFramework Guidelines for Addressing Workplace Violence in the Health Sector.\u201dhttps:\/\/www.who.int\/publications\/i\/item\/9221134466."}],"container-title":["Nursing Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nop2.70482","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nop2.70482","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nop2.70482","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T19:54:44Z","timestamp":1790625284000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nop2.70482"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":38,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/nop2.70482"],"URL":"https:\/\/doi.org\/10.1002\/nop2.70482","archive":["Portico"],"relation":{},"ISSN":["2054-1058","2054-1058"],"issn-type":[{"value":"2054-1058","type":"print"},{"value":"2054-1058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2025-03-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70482"}}