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Development and Validation of an Instrument to Assess Hospital Workers' Perception for Protection of Personal Health Information

의료기관 근로자의 환자 개인정보 보호 인식에 대한 평가도구 개발 및 검증

  • Cha, Ki-Jung (Gyeongsang National University Hospital) ;
  • Ha, Yeong-Mi (College of Nursing & Institute of Health Sciences, Gyeongsang National University)
  • 차기정 (경상대학교병원) ;
  • 하영미 (경상대학교 간호대학 간호학과 & 건강과학연구원)
  • Received : 2014.09.01
  • Accepted : 2015.02.12
  • Published : 2015.02.28

Abstract

The purpose of this study was to develop and examine a validity and reliability of an instrument to assess hospital workers' perception for protection of personal health information. The process included construction of a conceptual framework, generation of initial items, verification of content validity, preliminary study, and extraction of final items. Content validity was verified by 3 experts from nursing and health information management areas, and the construct validity was evaluated by item analysis, exploratory factor analysis and confirmatory factor analysis. The reliability was examined by Cronbach's alpha. The participants were 279 hospital workers including nurses, administrative officers, and other medical health professionals. Using a confirmatory factor analysis, a four-factor structure was validated with construct validity. The Cronbach's alpha coefficient of a total of 13 items categorized into 4 factors was .83. Finally, the instrument is a valid and reliable to assess hospital workers' perception for protection of personal health information.

본 연구의 목적은 의료기관 근로자들의 환자 개인정보 보호에 대한 인식을 평가하는 도구를 개발하고, 개발된 도구의 타당도와 신뢰도를 검증하고자 하였다. 도구의 개발 및 검증과정은 도구의 개념틀 구성, 기초 문항 작성, 내용타당도 검증, 예비조사를 거쳐 최종문항을 추출하였다. 내용타당도는 3명의 보건의료전문가의 검증을 받았고, 구성타당도는 문항분석, 탐색적 요인분석과 확인적 요인분석을 실시하였다. 도구의 신뢰도는 Cronbach's alpha 로 검증하였다. 간호사, 병원 행정직원, 여러 보건의료 종사자들로 구성된 의료기관 근로자 279명을 대상으로 설문조사를 시행하였다. 확인적 요인분석 결과 4요인 모델의 적합도가 높아 구성타당도가 검증되었으며, 4요인 13문항으로 구성된 본 도구의 신뢰도 Cronbach's alpha는 .83이었다. 결론적으로, 본 도구는 의료기관 근로자의 개인정보보호 인식을 측정하기에 타당도와 신뢰도가 검증된 도구인 것으로 나타났다.

Keywords

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