Balancing confidentiality and care coordination: challenges in patient privacy.

Autor: Ibrahim AM; College of Nursing, Prince Sattam Bin Abdulaziz University, Alkarj, Saudi Arabia. a.eleglany@psau.edu.sa.; Family and Community Health Nursing Department, Faculty of Nursing, Port Said University, Port Said City, Port Said, 42526, Egypt. a.eleglany@psau.edu.sa., Abdel-Aziz HR; College of Nursing, Prince Sattam Bin Abdulaziz University, Alkarj, Saudi Arabia.; Gerontological Nursing Department, Faculty of Nursing, Zagazig University, Zagazig, Egypt., Mohamed HAH; Community Health Nursing Department, Faculty of Nursing, Mansoura University, Mansoura City, Dakahlia, Egypt., Zaghamir DEF; College of Nursing, Prince Sattam Bin Abdulaziz University, Alkarj, Saudi Arabia.; Pediatric Nursing Department, Faculty of Nursing, Port Said University, Port Said City, 42526, Egypt., Wahba NMI; College of Nursing, Prince Sattam Bin Abdulaziz University, Alkarj, Saudi Arabia.; Psychiatric Nursing and Mental Health Department, Faculty of Nursing, Port Said University, Port Said, 42526, Egypt., Hassan GA; Pediatric Nursing Department, Faculty of Nursing, Menoufia University, Shibin el Kom, Egypt., Shaban M; Community Health Nursing Department, College of Nursing, Jouf University, Sakaka, Al Jouf, 72388, Saudi Arabia., El-Nablaway M; Department of Basic Medical Sciences, College of Medicine, AlMaarefa University, P.O.Box 71666, 11597, Riyadh, Saudi Arabia., Aldughmi ON; Department of Medical and Surgical Nursing, Northern Border University, Arar, Saudi Arabia., Aboelola TH; Nursing Leadership Department, Nursing College, Northern Border University, Arar, Saudi Arabia.
Jazyk: angličtina
Zdroj: BMC nursing [BMC Nurs] 2024 Aug 15; Vol. 23 (1), pp. 564. Date of Electronic Publication: 2024 Aug 15.
DOI: 10.1186/s12912-024-02231-1
Abstrakt: Background: In the digital age, maintaining patient confidentiality while ensuring effective care coordination poses significant challenges for healthcare providers, particularly nurses.
Aim: To investigate the challenges and strategies associated with balancing patient confidentiality and effective care coordination in the digital age.
Methods: A cross-sectional study was conducted in a general hospital in Egypt to collect data from 150 nurses across various departments with at least six months of experience in patient care. Data were collected using six tools: Demographic Form, HIPAA Compliance Checklist, Privacy Impact Assessment (PIA) Tool, Data Sharing Agreement (DSA) Framework, EHR Privacy and Security Assessment Tool, and NIST Cybersecurity Framework. Validity and Reliability were ensured through pilot testing and factor analysis.
Results: Participants were primarily aged 31-40 years (45%), with 75% female and 60% staff nurses. High compliance was observed in the HIPAA Compliance Checklist, especially in Administrative Safeguards (3.8 ± 0.5), indicating strong management and training processes, with an overall score of 85 ± 10. The PIA Tool showed robust privacy management, with Project Descriptions scoring 4.5 ± 0.3 and a total score of 30 ± 3. The DSA Framework had a mean total score of 20 ± 2, with Data Protection Measures scoring highest at 4.0 ± 0.4. The EHR assessments revealed high scores in Access Controls (4.4 ± 0.3) and Data Integrity Measures (4.3 ± 0.3), with an overall score of 22 ± 1.5. The NIST Cybersecurity Framework had a total score of 18 ± 2, with the highest scores in Protect (3.8) and lower in Detect (3.6). Strong positive correlations were found between HIPAA Compliance and EHR Privacy (r = 0.70, p < 0.05) and NIST Cybersecurity (r = 0.55, p < 0.05), reflecting effective data protection practices.
Conclusion: The study suggests that continuous improvement in privacy practices among healthcare providers, through ongoing training and comprehensive privacy frameworks, is vital for enhancing patient confidentiality and supporting effective care coordination.
(© 2024. The Author(s).)
Databáze: MEDLINE
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