与中国护理实习生患者隐私保护行为相关的因素：一项横断面研究。
Factors associated with the patient privacy protection behaviours of nursing interns in China: A cross-sectional study.
机构信息
Xiangya School of Nursing, Central South University, Changsha, China.
Xiangya School of Nursing, Central South University, Changsha, China.
出版信息
Nurse Educ Pract. 2022 Nov;65:103479. doi: 10.1016/j.nepr.2022.103479. Epub 2022 Oct 26.
AIM
To explore the associated factors of patient privacy protection behaviours among nursing interns.
BACKGROUND
The patient privacy protection behaviours of nursing interns are closely related to information security incidents and the quality of clinical practice. However, little is known about the associated factors of patient privacy protection behaviours among nursing interns.
DESIGN
A cross-sectional study.
SETTING
A comprehensive hospital in Hunan Province, China.
PARTICIPANTS
Nursing interns in a comprehensive hospital from 30 different nursing schools were recruited using convenience sampling.
METHODS
Data on general information, patient privacy protection cognition, moral sensitivity, empathy and patient privacy protection behaviours were collected with a general information questionnaire and corresponding scales with good psychometric properties. U-test, spearman correlation analysis and multiple linear regression were used to determine the associated factors of patient privacy protection behaviours among nursing interns.
RESULTS
This study showed that nursing interns in a college programme had better patient privacy protection behaviours than those nursing interns in a baccalaureate programme. Nursing interns who have more knowledge of privacy laws and whose clinical nursing teachers excelled in patient privacy protection might show better patient privacy protection behaviours. Nursing interns with better patient privacy protection cognition, higher moral sensitivity and greater empathy might have better patient privacy protection behaviours.
CONCLUSION
Strengthening nursing interns' knowledge of privacy laws and patient privacy protection cognition, improving their moral sensitivity and empathy and standardising the patient privacy protection behaviours of clinical nursing teachers may can improve the patient privacy protection behaviours of nursing interns. Also, clinical teachers should pay close attention to nursing interns in baccalaureate programmes who are likely to have a lower level of patient privacy protection behaviours and act as role models for them in protecting patient privacy in clinical nursing education.
目的
探讨护理实习生患者隐私保护行为的相关因素。
背景
护理实习生的患者隐私保护行为与信息安全事件和临床实践质量密切相关，但目前尚不清楚护理实习生患者隐私保护行为的相关因素。
设计
横断面研究。
地点
中国湖南省某综合医院。
参与者
采用便利抽样法，从 30 所不同护理学校的综合医院招募护理实习生。
方法
采用一般情况问卷和具有良好心理测量学特性的相应量表，收集一般信息、患者隐私保护认知、道德敏感性、同理心和患者隐私保护行为等数据。采用 U 检验、Spearman 相关分析和多元线性回归分析确定护理实习生患者隐私保护行为的相关因素。
结果
研究表明，大专学历的护理实习生比本科学历的护理实习生有更好的患者隐私保护行为。对隐私法有更多了解且临床护理教师在患者隐私保护方面表现出色的护理实习生可能会表现出更好的患者隐私保护行为。对隐私保护认知较好、道德敏感性较高、同理心较强的护理实习生可能会有更好的患者隐私保护行为。
结论
加强护理实习生对隐私法和患者隐私保护认知的了解，提高他们的道德敏感性和同理心，规范临床护理教师的患者隐私保护行为，可能会提高护理实习生的患者隐私保护行为。此外，临床教师应密切关注可能对患者隐私保护行为水平较低的本科护理实习生，并在临床护理教育中为他们树立保护患者隐私的榜样。
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