요양병원에 근무하는 간호사의 간호근무환경, 의료정보 보호인식, 의료정보 보 호활동의 관계에 대한 연구 결과를 토대로 다음과 같은 제언을 하고자 한다.
1. 본 연구는 일 지역 병원에 근무하는 간호사를 대상으로 하였으므로 연구결과의 일반화는 제한이 있으므로 연구대상자 수와 지역을 확대하여 자료를 수집한 반복 연구가 필요하다.
2. 요양병원 간호사의 의료정보 보호활동을 강화시킬 수 있는 교육 프로그램 개발 과 적용에 대한 후속 연구를 제언한다.
3. 요양병원 간호사의 의료정보 보호활동에 영향을 미치는 요인들을 규명하여, 이 를 교육프로그램에 적용할 것을 제언한다.
4. 병원 규모, 병원 내 정보관리 시스템 체계에 따른 간호사의 환자 의료정보에 대 한 보호인식과 보호활동 정도의 차이와, 이에 미치는 요인을 탐색하는 연구를 제언 한다.
참고문헌
박소희, 강지연(2015). 한국형 간호사 근무환경 측정도구 개발 및 평가. 중환자간호 학, 8(1), 50-61.
배선미(2014). 의료기관 종사자들의 개인정보보호에 대한 인식과 실천에 관한 연 구. 부산대학교 대학원 석사학위논문, 부산.
송영신 이미영, 전영희, 이윤희, 조정화, 권명진, 임헌만(2016). Revision of the measurement tool for patients’ health information protection awareness.
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정은영, 정상진(2014). 일 지역 종합병원 종사자들의 환자 의료정보 보호에 관한
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Bulgurcu, B., Cavusoglu, H., Benbasat, I.(2010). Information security policy compliance : an empirical study of rationality-based beliefs and information security awareness. MIS Quarterly, 34(3), 523-548.
Christmas, K.(2008). How work environment impacts retention. Nursing Economics, 26(5), 316-318.
Joshi, K.(1989). The measurement of fairnessor equity perceptions of management information systems users. MIS Quarterly, 13(3), 343-358.
Katsikas, S. K.(2000). Health care management and information systems security : awareness, training or education? International Journal of Medical Informatics, 60(2), 129-135.
Klopper, H. C., Coetzee, S. K., Pretorius, R., Bester, P.(2012). Practice environment, job satisfaction and burnout of critical care nurses in south
africa. Journal of Nursing Management, 20(5), 685-695.
McCusker, J., Dendukuri, N., Cardinal, L., Laplante, J., Bambonye, L.(2004).
Nursing work environment and quality of care : differences between units at the same hospital. International Journal of Health Care Quality Assurance, 17(6), 313-322.
Zandona, D. J., Thompson, J. M.(2017). Going Beyond Compliance : A Strategic Framework for Promoting Information Security in Hospitals. Health Care Manager, 36(4), 364-371.
안녕하십니까? 연구자 E-mail : nr-lsm@hanmail.net
연구자 연락처 :
아주대학교병원 임상연구윤리센터(헬프데스크) 전화번호 : 031-219-7064, 7065 부록 1. 연구 참여 설명서
내 용
문 항
문 항
Ⅳ. 일반적 특성
다음은 귀하의 일반적 특성에 관한 질문입니다. 해당란에 √ 표시해 주십시오
1. 귀하의 출생연도는 언제입니까? (19 년생)
2. 귀하의 성별은?
1)여 2)남
3. 귀하의 결혼 상태는?
1)기혼(이혼, 사별, 동거) 2)미혼
4. 귀하의 종교는?
1)가톨릭 2)기독교 3)불교
4)기타 5)없음
5. 귀하의 연봉은?
1)3000만원 미만 2)3000-3500만원 미만 3)3500-4000만원 미만 4)4000-4500만원 미만 5)4500만원 이상
6. 귀하의 최종학력은?
1)전문대학 졸업 2)대학졸업(재학중포함) 3)대학원 졸업이상(재학중포함)
7. 귀하의 총 임상 경력은? 만 년 개월
8. 의료정보 보호와 관련된 교육을 받은 경험은?
1)없다 2) 1번 3)2번 4)3번 이상
✱ 바쁘신 가운데에서도 성실히 응답해 주셔서 진심으로 감사드립니다. ^^
부록 3. 간호근무환경 도구승인서
부록 4. 의료정보 보호인식 도구승인서
부록 5. 의료정보 보호활동 도구승인서
부록 6. 아주대학교병원 IRB 심의결과 통지서
ABSTRACT
Nursing work environment, awareness & practice for patients medical information protection
in long-term care hospital nurses.
Sun Me Lee
Department of Nursing Science The Graduate School, Ajou University
(Supervised by Professor Moon Sook Yoo, RN, Ph.D.)
This study is a descriptive research study to find out the relationship between nursing work environment, patient's perception and activity of medical information protection, and its correlation among nurses working in nursing hospital. The subjects of this study were 194 nurses working at three geriatric nursing hospitals located in Gyeonggi-do, and collected data using the structured questionnaire from March 14 to March 20, 2019.
The nursing work environment was measured using a survey tool for measuring nurse working environment developed by So-hee Park(2015), and the personal information protection awareness developed by Ki-Jung Cha(2015) to measure the degree of awareness of medical information protection of nurses.
The evaluation tool was used, and the medical information protection p measurement tool used 16 items for the second-person measurement tool that modified and supplemented each item of recognition level to identify the activity level based on Song Young-shin's tool for medical information protection recognition. Modified and used.
The results of this study are as follows.
1. The nursing working environment of the study subjects was minimum 2.0 points and maximum 3.9 points, and the average score was 3.3±0.40 points. The medical information protection awareness was minimum 3.7 points and maximum 4.3 points, the average score was 4.12±0.75 points. The medical information protection practice was minimum 3.4 and maximum 4.3, with an average score 3.90±0.73 points.
2. Medical information protection awareness was found to have a statistically significant positive correlation with nursing work environment(r=.387, p<.001).
The medical information protection practice was found to have a statistically significant positive correlation with the nursing work environment(r=.288, p<.001) and the medical information protection awareness(r=.736, p<.001).
3. As a result of testing the differences in nursing working environment according to the general characteristics of the study subjects, the nursing working environment had the highest clinical experience less than 5 years. and the lowest for five to ten years(F=3.592, p=0.08). In addition, the age group was the highest in the 20s and the lowest in the 50s.(F=3.60, p=0.15). As a result of post-testing, 20s(3.57±0.54) was found to be higher than the 30s(3.38±0.42). In the gender, males(3.71±0.54) were higher and females(3.37±0.41) were lower(F=-2.372, p= 0.31).
4. As a result of testing the difference of medical information protection awareness according to the general characteristics of the study subjects, the medical information protection awareness according to education showed that
Key words : long-term care hospital, nursing work environment, medical information protection awareness, medical information protection practice
the experience of medical information protection education was three or more times, and the lowest was none(F=6.442), p<.001). As a result of the post-test, it was found that more than three times(4.44±0.66) was higher than none(3.67±0.66).
5. As a result of testing the difference of medical information protection practice according to the general characteristics of the study subjects, the medical information protection practice according to education showed that the experience of medical information protection education was two or more times, and none was the lowest(F=4.852), p=0.03). As a result of post-test, more than three times(4.18±0.64) was higher than one times(3.65±0.69), and 1 times(3.65±0.69) was higher than none(3.53±0.66).
The results of this study showed that there is a positive correlation between nursing work environment, medical information protection awareness and medical information protection practice. It was found that medical information protection awareness and medical information protection practice were influenced by the experience of medical information protection education. It is thought to require repeat education and management of medical information protection. In order to improve the nursing work environment for medical information protection practice, it is thought that continuous changes will be needed with various support such as organizational support, leadership of nursing staff, strengthening interaction between colleagues, and improvement of nursing competency.