• 기본간호학회지
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• 제14권2호
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• pp.204-212
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• 2007

Purpose: The purpose of this study was to investigate the patient's perception of the nurse's behavior in protecting patient privacy and to make suggestions for medical facilities to increase protection of patient privacy. Method: The research was a survey study The data on protection of privacy in primary nursing, for physical privacy, of patient information and in private conversations were collected in October 2005 from 187 patients in a university hospital. Frequencies, means, t-test, ANOVA, and $x^2$-test were used to analyze the data. The SPSS 13.0 for Windows program was used. Results: The mean score for patients' perception of nurse protection of their privacy was 3.33. There were significant differences in perception of protecting patients' privacy according to gender for private conversation, according to level of education for all but physical nursing and for number of admissions for total score and for primary nursing. Conclusion: The results of this study suggest the following: a) Institutional polices and nursing guideline should be clearly stated as to the nurses' duty to protect patient privacy. b) Medical facilities should be arranged in a way that allows for the protection of patients' medical information, and should focus on patient privacy. c) It is necessary of nurses to receive periodic in-service education on protecting patient privacy.

• 한국간호교육학회지
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• 제24권3호
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• pp.225-234
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• 2018

Purpose: The purpose of this study was to identify factors influencing patient privacy protection behavior among nursing students and examine the relationships between these factors. Methods: Participants in this study were 144 nursing students who have experienced clinical practice. The data were analyzed using descriptive statistics, one-way ANOVA, Scheffe test, Pearson's correlation coefficient, and multiple regression with IBM SPSS Win 23.0 program. Results: Professional self-concept and ethical values were factors influencing patient privacy protection behavior among nursing students. These variables explained 21.9% of the variance for patient privacy protection behavior. A higher level of patient privacy protection behavior was associated with higher levels of professional self-concept and ethical values. Conclusion: The findings demonstrate that strategies for enhancing patient privacy protection behaviors of nursing students should include methods for forming images of positive nurses and firming ethical values.

• 동서간호학연구지
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• 제29권1호
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• pp.24-32
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• 2023

Purpose: This study aims to examine level of perception and performance of privacy protection behavior of anesthesia and operating room (OR) nurses for patients who underwent general anesthesia surgery. Methods: Data collection was conducted from August 2020 to January 2021 for a total of 101 participants, consisting of 49 patients and 52 nurses. Independent t-test and Pearson's correlation were conducted using SPSS 21. Results: Anesthesia and OR nurses showed the highest score in patient privacy, followed by patient information management, body privacy, and the lowest score in communication. There was a significant difference between the patient information and the communication. Conclusion: Anesthesia and OR nurses had the highest level of perception and performance of patient privacy protection behavior for body privacy, and the lowest for communication. In addition, there was a significant difference in patient information management and communication. In order to protect the privacy of patients undergoing general anesthesia surgery, efforts are needed to learn standardized nursing knowledge, attitudes, and practice.

• 간호행정학회지
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• 제18권4호
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• pp.424-433
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• 2012

Purpose: With the rapid increase in information technology in the medical environment, protection of patient's privacy is a crucial issue to hospital nurses. The purpose of this study was to determine neonatal nurses' perception and performance of behavior to protect patient privacy, and professional self-concept, and to investigate the relationships among these variables. Methods: The participants in this descriptive correlation study were 182 nurses in nursery and neonatal intensive care units using EMR or OCS in November, 2011. Results: Perception and performance averaged 4.61 and 4.04 (out of 5) respectively, and the average score for professional self-concept was 2.73 (out of 4). There was a significant difference between perception and performance. The performance of behaviour to protect patient privacy had a positive correlation with perception and professional self-concept. Multiple regression analysis showed that the key determinants of performance were recognition of necessity of patient privacy education, professional self-concept and perception, and these explained 36% of the total variance of performance. Conclusion: Study results indicate a need to establish policy to protect privacy of neonates and their families, and to develop educational programs to enhance neonatal nurses' perception and performance.

• 한국병원경영학회지
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• 제8권2호
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• pp.111-129
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• 2003

This study discusses the direction of legislation to strengthen the legal protection of medical records privacy in information age. The legislation trends on privacy protection of medical records in European Union and United States are analysed and the current law and regulation of Korea on medical records are compared. The issues discussed include the ownership of medical records, the patient's right of access to medical records, medical information publication for other than treatment or insurance processing use, confidentiality responsibility of provider organizations, medical information management in provider organizations, penalty for the unlawful use of patient information. This study concludes that the patients' right on medical record and provider organization's responsibility in processing patient information should be strengthened in order to protect patients' privacy and to conform to the international standard on medical record protection in the information age.

• 산업융합연구
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• 제18권6호
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• pp.129-138
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• 2020

본 연구는 간호사의 전문직 자아개념과 윤리의식이 환자의 개인정보보호 실천도에 미치는 영향을 파악하고자 시도되었다. 연구대상은 K도에 소재한 종합병원에 재직 중인 간호사 196명으로, 2018년 6월 1일부터 7월 5일까지 전문직 자아개념과 윤리의식 및 환자 개인정보보호 실천도를 설문조사하였다. 연구결과 대상자의 전문직 자아개념은 4점 만점에 2.62점, 윤리의식은 4점 만점 중 2.93점, 환자 개인정보보호 실천도는 5점 만점 중 3.69점이었다. 환자 개인정보보호 실천도에 영향을 미치는 요인은 윤리의식, 전문직 자아개념으로 확인되었으며, 이들 변수들은 환자 개인정보보호 실천도를 30% 설명하였다. 따라서 병원 간호사의 환자 개인정보보호 실천도를 높이기 위해서는 간호사의 윤리의식을 높이고 전문직 자아개념을 향상시킬 수 있는 신규간호사를 위한 교육과 경력간호사를 위한 주기적인 재교육 프로그램이 마련되어야 할 것으로 사료된다.

• 한국멀티미디어학회논문지
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• 제21권3호
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• pp.382-390
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• 2018

A major accident occurring on the bed is falls that occur during at times when the care of nurses or protectors is inadequate, which is fatal to patients or the elderly. In particular, Enuresis or sleepiness caused by sleep apnea increases the risk of falls. Therefore, it is very important to detect falls and sleep apnea of patients without infringing privacy in the bed to patient's safety and accident prevention. In this paper, we reviewed the technologies developed for bed monitoring and implemented a non-intrusive monitoring system. The Occupancy Sensor allows the temperature of the bed and surrounding area to be extracted to enable track of the patient's motion. The Doppler Radar detects the patient's movements at normal times and the respiration state when patients have no movement during sleeping. It is specially designed for real-time monitoring of falling and respiration during sleeping through contactless multi-sensing while solving patient's privacy problems.

• 한국산업정보학회논문지
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• 제19권3호
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• pp.57-66
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• 2014

본 논문은 RFID를 이용하여 환자, 의료진, 의약품을 관리하는 UHISRL(Ubiquitous Healthcare Information System based on Real Time Location)을 제안하였다. 제안하는 UHISRL은 환자의 건강상태를 모니터링하고, 그 결과를 스마트 폰과 태블릿 PC로 확인할 수 있다. 또한, 본 논문에서 설계된 ERHL(Extended Randomized Hash Lock) 인증 기법을 사용하여 재전송공격과 스푸핑 공격을 차단하였고, 환자의 프라이버시는 CP-ABE(Cipher Text - Attributed based Encryption)기법을 이용하여 UHISRL DB 접근을 속성에 따라 제한함으로써 보안을 강화시켰다. 특히, UHISRL는 만성질환자의 응급 상황을 실시간으로 모니터링 함으로써 불의의 사고를 방지할 수 있도록 하였다.

• 디지털융복합연구
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• 제13권1호
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• pp.275-281
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• 2015

최근 헬스케어는 다양한 의료 서비스를 제공받으려는 사용자가 급격하게 증가하고 있으며, 환자의 정보가 제3자에게 쉽게 노출되어 악용될 수 있어 환자에 따라 병원 관계자(의사, 간호사, 약사 등)의 역할이 명확하게 분류될 필요가 있다. 본 논문에서는 헬스케어 환경에서 환자의 정보가 제3자로부터 안전하게 사용하기 위해서 환자의 속성정보를 분류하고, 병원 관계자는 역할에 따라 권한을 분류하여 계층적 다중 속성을 이용한 환자의 프라이버시 보호기법을 제안한다. 제안 기법은 환자의 프라이버시 속성정보(데이터 소비자, 시간, 센서, 목적, 의무, 위임 그리고 상황 등)를 수학적 모델로 표현하고, 제 3자로부터 환자 정보가 불법적으로 악용되는 것을 예방하기 위해서 환자와 병원관계자 사이의 속성정보를 동기화하여 환자의 프라이버시 정보의 유출을 예방한다.

• 디지털융복합연구
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• 제12권7호
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• pp.279-284
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• 2014

최근 m-헬스케어는 응급상황이 발생할 경우, 환자의 정보가 제 3자에게 쉽게 노출되어 악용될 수 있는 문제가 있다. 본 논문에서는 m-헬스케어의 응급상황 환경에서 환자의 정보를 이용하여 환자의 프라이버시 노출을 최소화하기 위한 속성 기반의 환자 접근 제어 프로토콜을 제안한다. 제안 프로토콜은 환자의 민감한 정보를 제 3자에게 노출시키지 않도록 환자의 민감한 정보를 개인 건강 정보에 포함하여 병원관계자와 환자가 생성한 랜덤수로 해쉬한 서명키로 암호화한다. 또한 제 3자로부터 환자 정보가 불법적으로 악용되는 것을 예방하기 위해서 환자와 병원관계자 사이의 동기화를 유지함으로써 개인 건강 정보의 유출을 예방한다.