의학교육논단 (Korean Medical Education Review)

  • 제26권3호
  • /
  • Pages.198-206
  • /
  • 2024
  • /
  • 2092-5603(pISSN)
  • /
  • 2093-6370(eISSN)
연세대학교 의과대학 (Yonsei university college of medicine)
권호 표지
DOI QR코드

DOI QR Code

보건의료 환경에서 친사회적 정보공개 의도에 영향을 미치는 요인 탐색

Exploration of Factors Affecting Pro-social Intention to Disclose Information in Healthcare Settings

  • 천경희 (건양대학교 의과대학 의학교육학교실) ;
  • 박영순 (가톨릭관동대학교 의과대학 의학교육학교실) ;
  • 조영준 (건양대학교 의과대학 의학과) ;
  • 이유정 (건양대학교 의과대학 의학과)
  • Kyunghee Chun (Department of Medical Education, Konyang University College of Medicine) ;
  • Young-soon Park (Department of Medical Education, Catholic Kwandong University College of Medicine) ;
  • Young Jun Cho (Konyang University College of Medicine) ;
  • You Jung Lee (Konyang University College of Medicine)
  • 투고 : 2024.06.05
  • 심사 : 2024.08.30
  • 발행 : 2024.10.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

This study investigated the relationships of situational factors, motivational assessment-related factors, and situationally induced personal characteristics with pro-social intention to disclose patient information among health and medical students. In total, 210 students from Konyang University participated in the survey, including 116 medical students and 94 other health students. To measure the influence of variables on pro-social intention to disclose information related to health information security, a 27-item questionnaire was used. The reliability of the survey was shown by Cronbach's α values of 0.859 to 0.917. According to students' perceptions, higher disease severity was significantly related to higher impacts on the patient, family, and themselves (p<0.01), as well as higher situational empathy (p<0.05). Pro-social intention to disclose showed negative correlations with health information security awareness, information education experience, perceived impact on the self, responsibility to disclose, and personal norms (r=-0.136 to -0.647, p<0.05). Responsibility to disclose and situational empathy explained approximately 44% of the variance in pro-social intention to disclose. Additionally, students who received information security training perceived a significantly higher responsibility to disclose, exhibited higher health information security awareness, and had lower pro-social intention to disclose. This study confirmed the need for information security education for health and medical students, and suggested that pro-social characteristics such as empathy and responsibility need to be carefully addressed in information security education.

키워드

과제정보

본 연구에 참여해 주신 보건의료 관련 학과 학생들에게 감사를 표하고 싶다.

참고문헌

  1. Cannon AA, Caldwell H. HIPAA violations among nursing students: teachable moment or terminal mistake-a case study. J Nurs Educ Pract. 2016;6(12):41-8. https://doi.org/10.5430/jnep.v6n12p41 
  2. Johnson DM, Bushey TI. Integrating the academic electronic health record into nursing curriculum: preparing student nurses for practice. Comput Inform Nurs. 2011;29(3):133-7. https://doi.org/10.1097/NCN.0b013e3182121ed8 
  3. Lee I. Analysis of insider threats in the healthcare industry: a text mining approach. Information. 2022;13(9):404. https://doi.org/10.3390/info13090404 
  4. Vardaman JM, Gondo MB, Allen DG. Ethical climate and pro-social rule breaking in the workplace. Hum Resour Manag Rev. 2014; 24(1):108-18. https://doi.org/10.1016/j.hrmr.2012.05.001 
  5. Kuiper R. Metacognitive factors that impact student nurse use of point of care technology in clinical settings. Int J Nurs Educ Scholarsh. 2010;7:Article5. https://doi.org/10.2202/1548-923X.1866 
  6. Park EH, Kim J, Park YS. The role of information security learning and individual factors in disclosing patients' health information. Comput Secur. 2017;65:64-76. https://doi.org/10.1016/j.cose.2016.10.011 
  7. Song Y, Lee M, Jun Y, Lee Y, Cho J, Kwon M, et al. Revision of the measurement tool for patients' health information protection awareness. Healthc Inform Res. 2016;22(3):206-16. https://doi.org/10.4258/hir.2016.22.3.206 
  8. Monrouxe LV, Rees CE. Healthcare professionalism: improving practice through reflections on workplace dilemmas. Chichester: Wiley Blackwell; 2017. 
  9. Morrison EW. Doing the job well: an investigation of pro-social rule breaking. J Manag. 2006;32(1):5-28. https://doi.org/10.1177/0149206305277790 
  10. Batson CD, Powell AA. Altruism and prosocial behavior. In: Millon T, Lerner MJ, editors. Handbook of psychology: personality and social psychology. Hoboken (NJ): John Wiley; 2003. p. 463-84. https://doi.org/10.1002/0471264385.wei0519 
  11. Ponemon Institute. 2022 Cost of insider threats global report. Traverse City (MI): Ponemon Institute; 2022. 
  12. Park EH, Kim J, Wiles LL, Park YS. Factors affecting intention to disclose patients' health information. Comput Secur. 2019;87:101340. https://doi.org/10.1016/j.cose.2018.05.003
  13. Kim J, Park EH, Park YS, Chun KH, Wiles LL. Prosocial rule breaking on health information security at healthcare organisations in South Korea. Inf Syst J. 2022;32(1):164-91. https://doi.org/10.1111/isj.12338 
  14. Park EH, Kim J, Park YS, Chun KH. Facilitating and impeding factors to insiders' prosocial rule breaking in South Korea. Comput Secur. 2024;136:103572. https://doi.org/10.1016/j.cose.2023.103572 
  15. Steinkopf L. Disgust, empathy, and care of the sick: an evolutionary perspective. Evol Psychol Sci. 2017;3:149-58. https://doi.org/10.1007/s40806-016-0078-0 
  16. Stepien KA, Baernstein A. Educating for empathy: a review. J Gen Intern Med. 2006;21(5):524-30. https://doi.org/10.1111/j.1525-1497.2006.00443.x 
  17. Bulgurcu B, Cavusoglu H, Benbasat I. Information security policy compliance: an empirical study of rationality-based beliefs and information security awareness. MIS Q. 2010;34(3):523-48. https://doi.org/10.2307/25750690 
  18. Straub Jr DW. Effective IS security: an empirical study. Inf Syst Res. 1990;1(3):255-76. https://doi.org/10.1287/isre.1.3.255 
  19. Herath T, Rao HR. Encouraging information security behaviors in organizations: role of penalties, pressures and perceived effectiveness. Decis Support Syst. 2009;47(2):154-65. https://doi.org/10.1016/j.dss.2009.02.005.