天津市三级甲等医院护士信息安全态度现状及影响因素研究

职业与健康 ›› 2025, Vol. 41 ›› Issue (22): 3086-3090.

天津市三级甲等医院护士信息安全态度现状及影响因素研究

陈龙霞¹, 张亚军^2a, 张思爱³, 孙鸿雁^2b

1.天津中医药大学研究生院,天津 301617;
2.天津中医药大学第二附属医院 a 中医外科, b 学生工作科,天津 300250;
3.梅州市人民医院心脏重症监护室,广东梅州 514031

收稿日期:2025-02-19 修回日期:2025-03-03 发布日期:2025-12-15
通信作者: 孙鸿雁,主任护师,E-mail：jsb816@126.com
作者简介:陈龙霞,女,在读硕士研究生,研究方向为临床护理与护理管理。

Research on the status quo and influencing factors of nurses' attitude towards information security in grade-A tertiary hospitals in Tianjin City

CHEN Longxia¹, ZHANG Yajun^2a, ZHANG Siai³, SUN Hongyan^2b

1. Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;
2. a Traditional Chinese Medicine Surgery,b Student Work Section,the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300250,China;
3. Heart Intensive Care Unit,Meizhou People's Hospital（Meizhou Academy of Medical Sciences）,Meizhou,Guangdong 514031,China

Received:2025-02-19 Revised:2025-03-03 Published:2025-12-15
Contact: SUN Hongyan,Chief nurse,E-mail：jsb816@126.com

摘要/Abstract

摘要： 目的了解天津市三级甲等医院护士信息安全态度现状,并探讨其影响因素,为护理管理者做好临床护理管理,提升护士安全态度水平,保障护理信息安全提供参考。方法 2024年9—12月,采用便利抽样法抽取天津市4所三级甲等医院562名护士为调研对象,采用一般资料调查表、职业认同量表（occupational identity scale,OIS）、专业自我概念问卷（nurse's self-concept questionnaire,NSCQ）及信息安全态度量表（information security attitude questionnaire,ISA-Q）进行调查。结果天津市三级甲等医院护士信息安全态度总分为（88.55±27.88）分,条目均分为（2.95±0.93）分,处于中等偏上水平;环境控制得分为（8.48±3.00）分,维护设备稳定得分为（11.30±3.85）分,信息访问限制得分为（11.66±3.86）分;工作系统性得分为（23.86±7.88）分,提升职业责任感得分为（17.95±5.50）分;持续教育培训得分为（15.30±4.83）分。多元线性回归结果显示,工龄、文化程度、技术职称、职务、职业认同及专业自我概念是信息安全态度的影响因素（均P<0.01）,可解释总变异的63.0%。结论天津市三级甲等医院护士信息安全态度处于中等偏上水平,工龄、文化程度、技术职称、职务、职业认同及专业自我概念是其独立危险因素。建议医院管理者加强对护士信息安全意识培训,通过建设积极的安全文化氛围,持续强化护士专业自我概念,提升职业认同感,进而提高护士安全信息态度水平。

关键词: 护士, 信息安全态度, 职业认同, 专业自我概念

Abstract: Objective To understand the current situation of nurses' attitudes towards information security in grade-A tertiary hospitals in Tianjin and explore its influencing factors,in order to provide reference for nursing managers to do a good job in clinical nursing management,improve nurses' safety attitude level,and ensure nursing information security. Methods Convenience sampling method was used to select 562 nurses from four grade-A tertiary hospitals in Tianjin from September 2024 to December 2024. General information survey,occupational identity scale(OIS),nurse's self-concept questionnaire(NSCQ),and information security attitude questionnaire(ISA-Q) were used for the survey,and the data were analyzed. Results The total score of nurses' information security attitude in grade-A tertiary hospitals in Tianjin was(88.55±27.88)points,with an average score of (2.95±0.93) points for each item,which was above average. The scores for different dimensions were as follows：Environmental control (8.48±3.00)points,maintaining equipment stability(11.30±3.85)points,information access restriction(11.66±3.86)points,work systematicity (23.86±7.88)points,enhancing professional responsibility(17.95±5.50)points,and continuing education and training(15.30±4.83)points. The results of multiple linear regression showed that length of service,educational level,technical title,position,occupational identity,and professional self-concept were the influencing factors of information security attitude(all P<0.01),which could explain 63.0% of the total variation. Conclusion The information security attitude of nurses in grade-A tertiary hospitalsin Tianjin is at a moderate to high level,among which length of service,educational level,technical title,position,professional identity,and professional self-concept are independent risk factors. It is suggested that hospital managers should strengthen the training of nurses' awareness of information security,establish a positive safety culture atmosphere,continuously strengthen nurses' professional self-concept,enhance their sense of professional identity,and thereby improve nurses' attitude towards information security.

Key words: Nurse, Attitude towards information security, Professional identity, Professional self-concept

中图分类号:

R192.6

陈龙霞, 张亚军, 张思爱, 孙鸿雁. 天津市三级甲等医院护士信息安全态度现状及影响因素研究. [J]职业与健康, 2025, 41(22): 3086-3090.

CHEN Longxia, ZHANG Yajun, ZHANG Siai, SUN Hongyan. Research on the status quo and influencing factors of nurses' attitude towards information security in grade-A tertiary hospitals in Tianjin City. [J]OCCUPATION AND HEALTH, 2025, 41(22): 3086-3090.

参考文献

[1] KANG J,SEOMUN G.Information security in nursing:A concept analysis[J].Ans Adv Nurs Sci,2021,44(1):16-30.
[2] SARKAR S,VANCE A,RAMESH B,et al.The influence of professional subculture on information security policy violations:A field study in a healthcare context[J].Inf Syst Res,2020,31(4):1240-1259.
[3] KAMERER J L,MCDERMOTT D S.Cyber hygiene concepts for nursing education[J].Nurse Educ Today,2023,130:105940.
[4] SAMANTA M,SIMON V,BRIGITA S,et al.Security and privacy oriented information security culture(ISC):Explaining unauthorized access to healthcare data by nursing employees[J].Comput Secur,2024,136:668.
[5] 刘明东,丁珊妮,王佳楠,等.护理信息安全的研究进展[J].护理学报,2024,31(4):33-37.
[6] KENDAL M.Multivaraiate anlysis[M].London:Charles Grifin & Company limited,1975:54-57.
[7] KANG J,SEOMUN G.Development and validation of the Information Security Attitude Questionnaire(ISA-Q) for nurses[J].Nurs Open,2022,10(2):850-860.
[8] 刘明东,丁珊妮,杨志超,等.信息安全态度量表的汉化及信效度检验[J].护理学杂志,2024,39(17):15-19.
[9] COWIN L S.Measuring nurses'self-concept[J].West J Nurs Res,2001,23(3):313-325.
[10] 曹晓翼.专业自我概念在护士职业认同与职业倦怠间的中介效应模型研究[D].上海:第二军医大学,2011.
[11] 刘玲,郝玉芳,刘晓虹.护士职业认同评定量表的研制[J].解放军护理杂志,2011,28(3):18-20.
[12] 宋世贵.医院护理工作管理规范[M].成都:电子科技大学出版社,2019:1.
[13] KAMERER J L,MCDERMOTT D.Cybersecurity:Nurses on the front line of prevention and education[J].J Nurs Regul,2020,10(4):48-53.
[14] 王玉坦,陈燕茹,苏文丽,等.我国医院护理信息系统相关研究的文献计量学分析[J].中华护理教育,2022,19(1):64-70.
[15] 李雁,贺嘉,郑袁平,等.互联网时代条件下计算机网络数据安全管理措施[J].网络安全技术与应用,2021(8):173-175.
[16] 谢建飞,王莎,甘港,等.临床护士安全态度现状及其影响因素分析[J].中国护理管理,2023,23(7):969-974.
[17] 朱读伟,胡少华,周娟婷,等.临床护士信息安全素养评价指标体系的构建研究[J].护理学杂志,2024,39(4):74-78.
[18] 张翠翠,钟亚丽,朱丽丽,等.四川省1 320名三级甲等医院护士安全胜任力现状及影响因素分析[J].护理学报,2023,30(14):7-12.
[19] 卞薇,吴燕,周明芳,等.患者安全胜任力护理人员自评量表的编制及信效度评价[J].第三军医大学学报,2016,38(7):776-780.
[20] WANG T,HU S H,LI L L,et al.Patient safety behaviors among nurses and the influencing facors[J].J Nurs Sci,2019,34(6):55-58.
[21] 康丽,仇永贵.论医疗信息化背景下患者信息权与保护[J].中国医疗管理科学,2024,14(3):32-37.
[22] COOPER M A,MCDOWELL J,RAESIDE L.The similarities and differences between advanced nurse practitioners and clinical nurse specialists[J].Br J Nurs,2019,28(20):1308-1314.
[23] 郝庶涛,袁彦,方琳琳,等.知觉压力在急诊护士职业认同与创新行为间的中介效应[J].护理管理杂志,2024,24(8):727-731.
[24] 杨园园,陈燕芬,李蕊,等.儿科护士职业认同与离职倾向的调查研究[J].护理管理杂志,2019,19(2):115-118.
[25] 李玥.职业认同对护士职场偏差行为的影响:护患关系的中介作用[D].武汉:华中科技大学,2022.
[26] 何凤.绵阳市三级公立医院麻醉科护士的专业自我概念、工作嵌入与职业倦怠[J].职业与健康,2024,40(1):9-13.
[27] 丁杏,邓淑霞,甘琳,等.临床护士职业尊重感在专业自我概念与职业应对自我效能间的中介作用[J].护士进修杂志,2023,38(17):1548-1553.