A Study on Protecting Patients' Privacy of Obstetric and Gynecologic Nurses

Miok Kim

doi:10.4069/kjwhn.2012.18.4.268

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Kim: A Study on Protecting Patients' Privacy of Obstetric and Gynecologic Nurses

Original Article

Korean Journal of Women Health Nursing

Korean Journal of Women Health Nursing 2012; 18(4): 268-278.

Published online: 31 December 2012

DOI: https://doi.org/10.4069/kjwhn.2012.18.4.268

A Study on Protecting Patients' Privacy of Obstetric and Gynecologic Nurses

Miok Kim

Department of Nursing, Namseoul University, Cheonan, Korea.

Corresponding author: Kim, Miok. Department of Nursing, Namseoul University, 91 Daehak-ro, Seonghwan-eup, Seobuk-gu, Cheonan 331-707, Korea. Tel: +82-41-580-2716, Fax: +82-41-580-2931, aprilsea@hanmail.net

Received 5 October 2012 Revised 30 November 2012 Accepted 10 December 2012

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study aims to determine obstetric and gynecologic (OBGY) nurses' perception and performance propecting patients' privacy, and to contribute to develop educational program and improve the quality of nursing care.

Methods

206 OBGY nurses in 6 hospitals using an electronic medical record or an order communicating system were chosen by convenience sampling and agreed to participate in the study. The questionnaire, explored 4 domains of privacy: direct nursing, linked business, patient information management, communication with relatives.

Results

Perception and performance of protecting patient privacy averaged 4.29 (of 5) and 3.55 (of 5), respectively. Most nurses (94.2%) recognized the importance of protecting patient privacy, 80.1% received patient privacy education. There was a distinct difference between the perception and performance of protecting patient privacy of nurses. Performance of protecting patient privacy had a positive correlation with perception.

Conclusion

Proper performance of protecting privacy protection requires improving perception of each nurse on the patient privacy, and various efforts should be made to minimize the affect from external factors such as hospital environment. It is needed to educate nurses for patient privacy. It is also needed for medical organizations to improve their policies and facilities to ease the performance for privacy protection.

Keywords: Nursing, Privacy, Medical information

Figures and Tables

Table 1

Perception and Performance of Protecting Patient Privacy according to General Characteristics (N=206)

^*p<.05, ^**p<.01, ^***p<.001.

Table 2

Difference between Perception and Performance of Protecting Patient Privacy (N=206)

PIM=patient information management; ^†Perception - performance.

^*p<.05, ^***p<.001.

Table 3

Situations that Need Special Care for Patient Privacy (N=206)

^†Multiple responses.

Table 4

The Percentage of Privacy-protecting Tasks that couldn't be Performed due to External Reasons (N=206)

^***p<.001.

Table 5

Correlation between Perception and Performance of Protecting Patient Privacy (N=206)

PIM=patient information management.

^**p<.01, ^***p<.001.

Table 6

Regression Analysis of Factors on Performance of Protecting Patient Privacy (N=206)

^*p<.05, ^**p<.01, ^***p<.001.

Notes

This work was financially supported by the research fund of Namseoul University in 2012.

Summary Statement

▪ What is already known about this topic

In order to protect patient privacy, it is necessary to ensure the perception of the healthcare professional on the importance of patient privacy and strengthen their practice for privacy protection.

▪ What this paper adds

Proper performance of protecting patient privacy requires improving perception of each nurse on the patient privacy, and various efforts should be made to minimize the affect from external factors such as hospital environment or the characteristics of the task.

▪ Implication for practice, education and/or policy

It is needed to educate nurses for patient privacy by example cases in each division. It is also needed for medical organizations to improve their policies and facilities to ease the performance for privacy protection.

References

1. Annas GJ. Invasion of privacy in the hospital. Nurs Law Ethics. 1981. 2(2):3.

2. Arciero L, Denti M, Franchi S, Gallani D, Ghezzi L, Mottola E, et al. The hospitalized terminal cancer patient and privacy: Patient needs and the perception on the part of the professional nurse. Riv Inferm. 1993. 12:8–15.

3. Bauer IL. Patients' privacy: An exploratory study of patients' perception of their privacy in a German acute care hospital. 1994. Aldershot, England: Avebury.

4. Back E, Wikblad K. Privacy in hospital. J Adv Nurs. 1998. 27:940–945. http://dx.doi.org/10.1046/j.1365-2648.1998.t01-1-00576.x.

5. Cohen J. Statistical power analysis for the behavioral sciences. 1988. 2nd ed. Hillsdale, NJ: Lawrence Earlbaum Associates.

6. Doyal L. Human need and the right of patients to privacy. J Contemp Health Law Policy. 1997. 14:1–21.

7. Pluyter-Wenting ES. Control and use of information, seen from a nurses perspective. Int J Biomed Comput. 1996. 43(1-2):27–32. http://dx.doi.org/10.1016/S0020-7101(96)01223-8.

8. Han WJ. The confidentiality of patient information in health services organizations in the united states. J Korean Soc Qual Assur Health Care. 2009. 15:25–30.

9. Ferraiolo DF, Kuhn DR. Role-Based Access Control. 1992. In : Proceedings of 15th National Computer Security Conference; 554–563.

10. Fowler MDM. Guide to the Code of Ethics for Nurses: Interpretation and Application. 2010. Silver Spring, MD: American Nurses Association.

11. Jeong BK. Issues on the patient's information protection. Korean J Med Law. 2008. 9:339–382.

12. Jeong SJ, Kim M, Lee CK, Lee CH, Son BC, Kim DH, et al. Cognition and practice on medical information protection of industrial health care manager of small and medium sized enterprises. Korean J Occup Environ Med. 2011. 23:53–63.

13. Johnson F. Response to territorial intrusion by nursing home residents. ANS Adv Nurs Sci. 1979. 1(4):21–34.

14. Jung SY, Ju HO. Perception and performance of emergency-room nurse's protection behavior for the consumer health information. J Korean Acad Nurs Adm. 2009. 15:403–414.

15. Kim SH. Data analysis of epidemiology of infertility: 2002-2006 National Health Insurance Corporation. 2007. 08. from the donga Web site: http://www.donga.com/fbin/output?n=200708250004.

16. Kim SG. A study on medical information and individual information protection in germany. Zeitschrift der Koreanisch-Deutschen Gesellschaft Fur Sozialwissenschaften. 2005. 15(2):1–16.

17. Korean Language Education Council. Writing and life. 1992. Seoul: Yonsei University Press.

18. Kurtz G. EMR confidentiality and information security. J Healthc Inf Manag. 2003. 17(3):41–48.

19. Lee HJ. Study for user management method on protection patient medical information in EMR system. 2006. Seoul: Seoul National University;Unpublished master's thesis.

20. Lee IY. A study on the protection regulation of patients privacy in the revision of medical law. J Hallym Law Forum. 2002. 11:135–158.

21. Lee MY, Park YM. A study on the nurse's perception and performance of protecting patient privacy. Clin Nurs Res. 2005. 11:7–20.

22. Leestma R. Implementing technological safeguards to ensure patient privacy. Caring. 2003. 22(2):16–18.

23. Leino-Kilpi H, Välimäkia M, Dassenb T, Gasullc M, Lemonidoud C, Scotte A, et al. Privacy: a review of the literature. Int J Nurs Stud. 2001. 38:663–671. doi: 10.1016/S0020-7489(00)00111-5.

24. Nam HS. Internet and Law II. 2005. Gyeonggido, Paju: Bobmunsa.

25. O'Connor AC, Loomis RJ. 2010 Economic Analysis of Role-Based Access Control. Final Report for National Institute of Standards and Technology. 2010. 77–91.

26. Park IK. A study on the protection law for individual medical information. 2007. Seoul: Yonsei University;Unpublished master's thesis.

27. Park WB, Lim JW, Moon JH. A study on the improvement of patients' privacy in general hospital- The case of the seoul asan hospital renovation project. Korea Ins Healthc Archit J. 2003. 9(1):17–23.

28. Son YS. Medical record and privacy of patients. Korean J Obstet Gynecol. 2008. 51:129–136.

29. Yoo JW. Comparison between medical personnel and patients on the awareness of the protection of personal information in medical information. 2006. Seoul: Korea university;Unpublished master's thesis.

30. Woogara J. Patients' privacy of the person and human rights. Nurs Ethics. 2005. 12:273–287. doi: 10.1191/0969733005ne789oa.

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