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Ibrahim AM, Abdel-Aziz HR, Mohamed HAH, Zaghamir DEF, Wahba NMI, Hassan GA, Shaban M, El-Nablaway M, Aldughmi ON, Aboelola TH. Balancing confidentiality and care coordination: challenges in patient privacy. BMC Nurs 2024; 23:564. [PMID: 39148055 PMCID: PMC11328515 DOI: 10.1186/s12912-024-02231-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2024] [Accepted: 08/06/2024] [Indexed: 08/17/2024] Open
Abstract
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.
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Affiliation(s)
- Ateya Megahed Ibrahim
- College of Nursing, Prince Sattam Bin Abdulaziz University, Alkarj, Saudi Arabia.
- Family and Community Health Nursing Department, Faculty of Nursing, Port Said University, Port Said City, Port Said, 42526, Egypt.
| | - Hassanat Ramadan Abdel-Aziz
- College of Nursing, Prince Sattam Bin Abdulaziz University, Alkarj, Saudi Arabia
- Gerontological Nursing Department, Faculty of Nursing, Zagazig University, Zagazig, Egypt
| | - Heba Ali Hamed Mohamed
- Community Health Nursing Department, Faculty of Nursing, Mansoura University, Mansoura City, Dakahlia, Egypt
| | - Donia Elsaid Fathi Zaghamir
- 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
| | - Nadia Mohamed Ibrahim Wahba
- 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
| | - Ghada A Hassan
- Pediatric Nursing Department, Faculty of Nursing, Menoufia University, Shibin el Kom, Egypt
| | - Mostafa Shaban
- Community Health Nursing Department, College of Nursing, Jouf University, Sakaka, Al Jouf, 72388, Saudi Arabia
| | - Mohammad El-Nablaway
- Department of Basic Medical Sciences, College of Medicine, AlMaarefa University, P.O.Box 71666, 11597, Riyadh, Saudi Arabia
| | - Ohoud Naif Aldughmi
- Department of Medical and Surgical Nursing, Northern Border University, Arar, Saudi Arabia
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Guo X, Li Y. Intelligent health in the IS area: A literature review and research agenda. FUNDAMENTAL RESEARCH 2024; 4:961-971. [PMID: 39156567 PMCID: PMC11330141 DOI: 10.1016/j.fmre.2023.04.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 04/15/2023] [Accepted: 04/25/2023] [Indexed: 08/20/2024] Open
Abstract
As the global demand for healthcare services continues to grow, improving the efficiency and effectiveness of the healthcare ecosystem has become a pressing concern. Information systems are transforming the healthcare delivery process, shifting the focus of healthcare services from passive disease treatment to proactive health prevention and the healthcare management model from hospital-centric to patient-centric. This study focuses on reviewing research in IS journals on the topic of e-health and is dedicated to constructing a theoretical model of intelligent health to provide a research basis for future discussions in this field. In addition, as the innovation of intelligent healthcare services has led to changes in its elements (e.g., an increase in the number of stakeholders), there is an urgent need to sort out and analyze the existing research.
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Affiliation(s)
- Xitong Guo
- School of Management, Harbin Institute of Technology, Harbin 150006, China
| | - Yan Li
- School of Information, Central University of Finance and Economics, Beijing 100098, China
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Anderson C, Baskerville R, Kaul M. Managing compliance with privacy regulations through translation guardrails: A health information exchange case study. INFORMATION AND ORGANIZATION 2023. [DOI: 10.1016/j.infoandorg.2023.100455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
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Parks RF, Wigand RT, Benjamin Lowry P. Balancing information privacy and operational utility in healthcare: proposing a privacy impact assessment (PIA) framework. EUR J INFORM SYST 2022. [DOI: 10.1080/0960085x.2022.2103044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Rachida F Parks
- Computer Information Systems, Quinnipiac University, Hamden, Quinnipiac, USA
| | - Rolf T Wigand
- Emeritus College at Arizona State University, Scottsdale, Arizona, USA
| | - Paul Benjamin Lowry
- Pamplin College of Business Department of Business Information Technology, Virginia Polytechnic Institute and State University, Blacksburg, Virginia, USA
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Ou CX, Zhang X, Angelopoulos S, Davison RM, Janse N. Security breaches and organization response strategy: Exploring consumers’ threat and coping appraisals. INTERNATIONAL JOURNAL OF INFORMATION MANAGEMENT 2022. [DOI: 10.1016/j.ijinfomgt.2022.102498] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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AlGhamdi S, Win KT, Vlahu-Gjorgievska E. Employees' intentions toward complying with information security controls in Saudi Arabia's public organisations. GOVERNMENT INFORMATION QUARTERLY 2022. [DOI: 10.1016/j.giq.2022.101721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Zaza S, Junglas I, Armstrong DJ. Who needs the help desk? Tackling one's own technological problem via self IT service. INFORMATION AND ORGANIZATION 2021. [DOI: 10.1016/j.infoandorg.2021.100367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Kim J, Park EH, Park YS, Chun KH, Wiles LL. Prosocial rule breaking on health information security at healthcare organisations in South Korea. INFORMATION SYSTEMS JOURNAL 2021. [DOI: 10.1111/isj.12338] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Jongwoo Kim
- Management Science and Information Systems University of Massachusetts Boston Boston Massachusetts USA
| | - Eun Hee Park
- Information Technology & Decision Sciences Old Dominion University Norfolk Virginia USA
| | | | | | - Lynn L. Wiles
- Nursing Old Dominion University Norfolk Virginia USA
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Wu D, Lowry PB, Zhang D, Parks RF. Patients' compliance behavior in a personalized mobile patient education system (PMPES) setting: Rational, social, or personal choices? Int J Med Inform 2020; 145:104295. [PMID: 33129124 DOI: 10.1016/j.ijmedinf.2020.104295] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2020] [Revised: 09/19/2020] [Accepted: 10/02/2020] [Indexed: 11/15/2022]
Abstract
OBJECTIVE With the advancement of mobile technologies, patients can access medical and patient educational information anytime and anywhere. Computer-aided patient education has been advocated as a key means of interventions for improving patient knowledge and compliance (i.e., adherence). However, evidence of the efficacy of computer-aided patient education remains relatively limited. For example, little is known about how the latest mobile technologies influence patients' compliance intention and their actual compliance behavior. The objective of this study is to investigate patients' compliance intention and behavior using a personalized mobile patient education system (PMPES) as a novel technological intervention for patients based on rational choice theory (RCT) and the theory of planned behavior (TPB). MATERIALS AND METHODS We conducted a field survey with 125 actual patients in U.S. who obtained their patient education through PMPES while seeking medical treatment advice from their doctors. We used partial least squares (PLS) regression path modeling to test our model. RESULTS We found that, based on RCT, the benefits of compliance and cost/threat of noncompliance positively influenced intention toward treatment compliance; in contrast, costs of compliance negatively influenced intention toward treatment compliance. However, the benefits of noncompliance had no effect on intention toward treatment compliance. The results also indicated that intention toward treatment compliance, response efficacy, and self-efficacy related to TPB jointly influenced the degree of actual compliance behaviors. Social influence factors including subjective norms and descriptive norms had no influence on patients' actual treatment compliance behavior. CONCLUSION Overall, the research model explains 69.2 % of the variance in patients' actual compliance behavior. We find our model robust in using RCT as a key theoretical lens for the assessment of patients' compliance intention to follow medical recommendations enabled by the PMPES and delivered to mobile devices. The factors associated with RCT and TPB jointly influence patients' actual compliance behavior. Future mobile patient education programs should consider patients' age groups, mixed-gender groups, different medical settings, and cross-cultural contexts.
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Affiliation(s)
- Dezhi Wu
- University of South Carolina, 550 Assembly Street, Columbia, SC 29298, USA.
| | | | - Dongsong Zhang
- University of North Carolina, 9201 University City Blvd., Charlotte, NC 28223, USA.
| | - Rachida F Parks
- Quinnipiac University, 275 Mt Carmel Ave, Hamden, CT 06518, USA.
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Gerber A, le Roux P, Kearney C, van der Merwe A. The Zachman Framework for Enterprise Architecture: An Explanatory IS Theory. LECTURE NOTES IN COMPUTER SCIENCE 2020. [PMCID: PMC7134282 DOI: 10.1007/978-3-030-44999-5_32] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
Enterprise Architecture (EA) has had an interesting and often controversial history since its inception in the late 80’s by pioneers such as John Zachman. Zachman proposed the Zachman Framework for Enterprise Architecture (ZFEA), a descriptive, holistic representation of an enterprise for the purposes of providing insights and understanding. Some scholars claim that EA is an imperative to ensure successful business structures or business-IT alignment, or more recently with Enterprise Architecture Management (EAM), to manage required organizational transformation. However, EA initiatives within companies are often costly and the expected return on investment is not realized. In fact, Gartner recently indicated in their 2018 Enterprise Architecture Hype Cycle that EA is slowly emerging from the trough of disillusionment after nearly a decade. In this paper we argue that the role and value of EA is often misunderstood, and that EA, specifically the ZFEA for the purpose of this paper, could be considered as a theory given the view of theory within Information Systems (IS). The purpose of IS theories is to analyse, predict, explain and/or prescribe and it could be argued that EA often conform to these purposes. Using the taxonomy of theories as well as the structural components of theory within IS as proposed by Gregor, we motivate that the ZFEA could be regarded as an explanatory theory. Positioning ZFEA as IS explanatory theory provides insight into the role and purpose of the ZFEA (and by extension EA), and could assist researchers and practitioners with mediating the challenges experienced when instituting EA and EAM initiatives within organizations.
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Yun H, Lee G, Kim DJ. A chronological review of empirical research on personal information privacy concerns: An analysis of contexts and research constructs. INFORMATION & MANAGEMENT 2019. [DOI: 10.1016/j.im.2018.10.001] [Citation(s) in RCA: 52] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Zhang X, Guo X, Lai KH, Yi W. How does online interactional unfairness matter for patient–doctor relationship quality in online health consultation? The contingencies of professional seniority and disease severity. EUR J INFORM SYST 2018. [DOI: 10.1080/0960085x.2018.1547354] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
| | - Xitong Guo
- School of Management, Harbin Institute of Technology, Harbin, China
| | - Kee-hung Lai
- Faculty of Business, The Hong Kong Polytechnic University, Kowloon, Hong Kong
| | - Wu Yi
- College of Management and Economics, Tianjin University, Tianjin, China
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Gerlach JP, Eling N, Wessels N, Buxmann P. Flamingos on a slackline: Companies' challenges of balancing the competing demands of handling customer information and privacy. INFORMATION SYSTEMS JOURNAL 2018. [DOI: 10.1111/isj.12222] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Jin P. Gerlach
- Software & Digital Business Group; Technische Universität Darmstadt; Darmstadt Germany
| | - Nicole Eling
- Software & Digital Business Group; Technische Universität Darmstadt; Darmstadt Germany
| | - Nora Wessels
- Software & Digital Business Group; Technische Universität Darmstadt; Darmstadt Germany
| | - Peter Buxmann
- Software & Digital Business Group; Technische Universität Darmstadt; Darmstadt Germany
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Health information privacy concerns, antecedents, and information disclosure intention in online health communities. INFORMATION & MANAGEMENT 2018. [DOI: 10.1016/j.im.2017.11.003] [Citation(s) in RCA: 186] [Impact Index Per Article: 31.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Why security and privacy research lies at the centre of the information systems (IS) artefact: proposing a bold research agenda. EUR J INFORM SYST 2018. [DOI: 10.1057/s41303-017-0066-x] [Citation(s) in RCA: 81] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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An empirical study on the susceptibility to social engineering in social networking sites: the case of Facebook. EUR J INFORM SYST 2018. [DOI: 10.1057/s41303-017-0057-y] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Taking stock of organisations’ protection of privacy: categorising and assessing threats to personally identifiable information in the USA. EUR J INFORM SYST 2018. [DOI: 10.1057/s41303-017-0065-y] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Adverse consequences of access to individuals’ information: an analysis of perceptions and the scope of organisational influence. EUR J INFORM SYST 2018. [DOI: 10.1057/s41303-017-0064-z] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Lowry PB, D’Arcy J, Hammer B, Moody GD. “Cargo Cult” science in traditional organization and information systems survey research: A case for using nontraditional methods of data collection, including Mechanical Turk and online panels. JOURNAL OF STRATEGIC INFORMATION SYSTEMS 2016. [DOI: 10.1016/j.jsis.2016.06.002] [Citation(s) in RCA: 95] [Impact Index Per Article: 11.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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