Department of Healthcare Administration, I-Shou University, Kaohsiung City, Taiwan.
Department of Applied English, I-Shou University, Kaohsiung City, Taiwan.
J Med Syst. 2017 Nov 3;41(12):198. doi: 10.1007/s10916-017-0833-1.
Hospitals have become increasingly aware that electronic medical records (EMR) may bring about tangible/intangible benefits to managing institutions, including reduced medical errors, improved quality-of-care, curtailed costs, and allowed access to patient information by healthcare professionals regardless of limitations. However, increased dependence on EMR has led to a corresponding increase in the influence of EMR breaches. Such incursions, which have been significantly facilitated by the introduction of mobile devices for accessing EMR, may induce tangible/intangible damage to both hospitals and concerned individuals. The purpose of this study was to explore factors which may tend to inhibit nurses' intentions to violate privacy policy concerning EMR based upon the deterrence theory perspective. Utilizing survey methodology, 262 responses were analyzed via structural equation modeling. Results revealed that punishment certainty, detection certainty, and subjective norm would most certainly and significantly reduce nurses' intentions to violate established EMR privacy policy. With these findings, recommendations for health administrators in planning and designing effective strategies which may potentially inhibit nurses from violating EMR privacy policy are discussed.
医院越来越意识到，电子病历 (EMR) 可能会给医疗机构带来实实在在/无形的好处，包括减少医疗差错、提高护理质量、降低成本，并允许医疗保健专业人员在不受限制的情况下访问患者信息。然而，对 EMR 的日益依赖导致 EMR 违规行为的影响相应增加。由于引入了用于访问 EMR 的移动设备，这种入侵行为得到了极大的便利，可能会给医院和相关个人带来有形/无形的损害。本研究旨在从威慑理论的角度探讨可能影响护士违反 EMR 隐私政策的意图的因素。研究采用问卷调查法，对 262 份问卷进行了结构方程模型分析。结果表明，惩罚确定性、检测确定性和主观规范将最肯定和显著地降低护士违反既定 EMR 隐私政策的意图。根据这些发现，讨论了卫生管理员在规划和设计可能抑制护士违反 EMR 隐私政策的有效策略方面的建议。
