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Development and Validation of the Nursing Information Security Questionnaire.

Xiaoyun Zhou1, Xiujuan Jing2, Tingting Gao2

  • 1Department of Nursing Faculty, Shandong Second Medical University, Weifang, Shandong, China.

Applied Clinical Informatics
|September 30, 2024
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A new 38-item questionnaire, the Nursing Information Security Questionnaire (NIS-Q), was developed to assess nurses' knowledge, attitude, and practice regarding information security. This tool aims to improve healthcare data protection and establish a stronger information security culture in nursing.

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Area of Science:

  • Healthcare Informatics
  • Nursing Research
  • Information Security Management

Background:

  • Nursing information security is critical for patient outcomes and healthcare management.
  • Inadequate awareness and lack of standardized evaluation tools hinder information security practices among nurses in China.
  • A robust information security culture is essential within the nursing sector.

Purpose of the Study:

  • To develop and validate a self-reporting instrument for evaluating nursing information security.
  • To provide a standardized tool for assessing nurses' understanding and application of information security principles.

Main Methods:

  • A comprehensive item pool was created through literature analysis and expert discussions.
  • Two rounds of Delphi consultation with 15 experts and pilot testing refined the questionnaire.
  • Statistical analyses, including EFA, CFA, validity, and reliability tests (Cronbach's α, test-retest), were performed on data from 501 nurses.

Main Results:

  • Exploratory Factor Analysis identified four factors, explaining 60.10% of the variance.
  • Confirmatory Factor Analysis confirmed a good model fit.
  • The final 38-item Nursing Information Security Questionnaire (NIS-Q) demonstrated high reliability (Cronbach's α = 0.948) and test-retest stability (0.837).

Conclusions:

  • The validated NIS-Q, comprising knowledge, attitude, and practice dimensions, is a reliable instrument for assessing nursing information security.
  • This questionnaire provides a foundation for developing targeted strategies to enhance nursing information security.
  • The study introduces a crucial tool for fostering a stronger information security culture in nursing practice.