J Korean Acad Nurs Adm.  2017 Jan;23(1):52-62. 10.11111/jkana.2017.23.1.52.

Influence of Information Literacy and Perception of Patient Data Privacy on Ethical Values among Hospital Clinical Nurses

• Seo HE
• Doo EY
• Choi S
• Kim M

• KMID: 2369519
• DOI: http://doi.org/10.11111/jkana.2017.23.1.52

Abstract

PURPOSE
The aim of this study was to elucidate clinical nurses' ethics germane to information literacy and perception of patient data privacy and thus help nurses to develop more positive and consolidated ethical values.
METHODS
For this study a descriptive survey design was used. Participants were 142 nurses who worked in a hospital and completed self-report questionnaires. Data were collected from August 1 to 5, 2016 and were analyzed using independent t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and stepwise multiple regression with SPSS 22.0.
RESULTS
Ethical value had a positive correlation with information needs (r=.25, p=.002) in information literacy as well as in direct patient care (r=.27, p=.001), shift work (r=.20, p=.016), patient information management (r=.39, p<.001), and communication (r=.24, p=.004) in perception of patient data privacy. Patient information management, educational background, and age were significant variables predicting the level of ethical values and accounted for 21% of the variance.
CONCLUSION
Ethical values education with particular emphasize on managing patient information should be encouraged for nurses who are younger and have a lower education level. Findings indicate a need for education programs to guide clinical nurses to utilize appropriate information when solving ethical challenges in every day nursing practice.

Keyword

Information literacy; Patient data privacy; Ethical values; Nurses

MeSH Terms

Confidentiality*
Education
Ethics
Humans
Information Literacy*
Information Management
Nursing
Patient Care

Reference

1. Kang HJ. National-level use of health care big data and its policy implications. Health Welf Policy Forum. 2016; 238:55–71.

2. Park JY. Analysis of legal basis regarding patient privacy and protection of information. Korean J Med Law. 2012; 20(2):163–190.

3. Korhonen ES, Nordman T, Eriksson K. Technology and its ethics in nursing and caring journals: An integrative literature review. Nurs Ethics. 2015; 22(5):561–576.

4. Heye ML, Stevens KR. Using new resources to teach evidence-based practice. J Nurs Educ. 2009; 48(6):334–339. DOI: 10.9999/01484834-20090515-06.

5. Özdemir L, Akdemir L. Turkish nurses' utilization of research evidence in clinical practice and influencing factors. Int Nurs Rev. 2009; 56(3):319–325. DOI: 10.1111/j.1466-7657.2009.00707.x.

6. Hwang JI, Park HA. Factors associated with nurses' informatics competency. Comput Inform Nurs. 2011; 29(4):256–262. DOI: 10.1097/NCN.0b013e3181fc3d24.

7. Lee HJ. Problems and solutions of personal information protection in the medical area. Korean J Med Law. 2012; 20(2):267–293.

8. Joung MY, Jun SS, Ha SJ. Comparative study of patients and nurses in the perception and performance to the emergency room nurses' behavior for protecting patient privacy. Glob Health Nurs. 2014; 4(2):68–77.

9. Ko YM. Education and ethics in information age. J Korean Libr Inf Sci Soc. 2007; 38(4):3–17.

10. Ministry of Health and Welfare. Ministry of the Interior. Privacy guidelines for medical institution. Sejong: Ministry of Health and Welfare;Ministry of the Interior;2015.

11. Kwon HY, Joung JH, Kim KY, Park SJ, Kim NY, Shin DM. A study on improvement and analysis of change since enforcement personal information protection act [Internet]. Seoul: Personal Information Protection Commission;2012. cited 2016 September 16. Available from: http://www.prism.go.kr/homepage/entire/retrieveEntireDetail.do;jsessionid=F0537DB41641D84BC0F864120AB01DDF.node02?cond_research_name=&cond_research_start_date=&cond_research_end_date=&research_id=1079930-201300008&pageIndex=874&leftMenuLevel=160.

12. Ahn SH. A study on the level of awareness for patient privacy protection (Focusing on healthcare workers) [master's thesis]. Seoul: Korea University;2011.

13. Yakov G, Shilo Y, Shor T. Nurses' perceptions of ethical issues related to patients' rights law. Nurs Ethics. 2015; 17(4):501–510. DOI: 10.1177/0969733010368199.

14. Kim S. The influential factors related to the medical information security practice -medical information security awareness and organizational ethic climate-. [master's thesis]. Seoul: Korea University;2014.

15. Korean Nursing Association. Korean nurse code of ethics [Internet]. Seoul: Korean Nursing Association;1972. updated 2013, July 23. cited 2016 September 19. Available from: http://www.koreanurse.or.kr/about_KNA/ethics.php?mn=2#s.

16. Mannix J, Wilkes L, Daly J. ‘Good ethics and moral standing’: A qualitative study of aesthetic leadership in clinical nursing practice. J Clin Nurs. 2015; 24:1603–1610. DOI: 10.1111/jocn.12761.

17. McCarthy J, Gastmans C. Moral distress: A review of the argument-based nursing ethics literature. Nurs Ethics. 2015; 22(1):131–152. DOI: 10.1177/0969733014557139.

18. Keyko K. Work engagement in nursing practice: A relational ethics perspective. Nurs Ethics. 2014; 21(8):879–889. DOI: 10.1177/0969733014523167.

19. Cronenwett L, Sherwood G, Barnsteiner J, Disch J, Johnson J, Mitchell P, et al. Quality and safety education for nurses. Nurs Outlook. 2007; 55(3):122–131. DOI: 10.1016/j.outlook.2007.02.006.

20. Rhee HY. The study on development of information literacy scales for undergraduates. [dissertation]. Seoul: Chung-Ang University;2009.

21. Lee HJ. Relationships among information resources use, information literacy competency and evidence-based practice in university hospital nurses. [master's thesis]. Gyeongbuk: Gyeongsang National University;2015.

22. Lee MY, Park YI. A study on the nurses's perception and performance of protecting patient privacy. Clin Nurs Res. 2005; 11(1):7–20.

23. Lee YS. A study of the ethical values of Korean nurses. J Nurs Acad Soc. 1990; 20(2):249–270.

24. Jong HJ, Moon HJ. A study of ethical sense of value and discord of the clinical nurse. J Korean Acad Nurs Adm. 1995; 1(2):349–371.

Eom IH. Affecting factors on nursing performance of clinical nurses -with focus on ethical values and organizational culture- [master's thesis]. Seoul: Korea University;2014.

26. Son YJ, Kim SH, Park YS, Lee SK, Lee YM. The influence of information retrieval skill on evidence based practice competency in clinical nurses. Journal of Korean Academy of Adult Nursing. 2012; 14(6):635–646. DOI: 10.7475/kjan.2012.24.6.635.

27. Yu M, Kim M. Neonatal nurse's professional self-concept and behavior to protect patient privacy. J Korean Acad Nurs Adm. 2012; 18(4):424–433. DOI: 10.11111/jkana.2012.18.4.424.

28. Kim M. A Study on Protecting Patients' Privacy of Obstetric and Gynecologic Nurses. Korean J Women Health Nurs. 2012; 18(4):268–278. DOI: 10.4069/kjwhn.2012.18.4.268.

29. Kim YJ, Song HK, Lee MA. Perceived relationship among professional self-concept, head nurse's leadership and clinical competency by clinical nurses. J Korean Acad Nurs Adm. 2011; 17:96–105.

30. Seo HE, Kim M. Operation room nurses' ethical value regarding their attitude and meaning of life about organ transplantation in brain death. Korean J Adult Nurs. 2016; 28(4):355–366. DOI: 10.7475/kjan.2016.28.4.355.