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CC BY-NC-ND 4.0 · Appl Clin Inform 2025; 16(01): 044-055
DOI: 10.1055/a-2424-2103
Research Article

Development and Validation of the Nursing Information Security Questionnaire

Xiaoyun Zhou
1   Department of Nursing Faculty, Shandong Second Medical University, Weifang, Shandong, China
,
Xiujuan Jing
2   Zibo Central Hospital, Zibo, Shandong, China
,
Tingting Gao
2   Zibo Central Hospital, Zibo, Shandong, China
,
Hong Liu
2   Zibo Central Hospital, Zibo, Shandong, China
,
Xuebing Jing
2   Zibo Central Hospital, Zibo, Shandong, China
› Institutsangaben Funding None.
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Abstract

Background Ensuring the security of nursing information holds substantial importance to nursing outcomes and healthcare system management. The awareness of information security among nurses in China is generally inadequate, and there is a lack of standardized evaluation tools for nurse information security in nursing practice. The nursing sector necessitates the establishment of a robust culture surrounding information security.

Objective The aim of this study was to construct a self-reporting instrument for evaluating nursing information security.

Methods The research team utilized literature analysis and group discussions to draft the item pool. After two rounds of Delphi consultation by 15 experts and pilot testing, the initial questionnaire was formed. Item analysis was carried out on the questionnaire, and the validity and reliability of the instrument were statistically tested by computing the Keiser–Meier–Olkin and Bartlett's tests, an exploratory factor analysis (EFA), a confirmatory factor analysis (CFA), convergent and discriminative validity, descriptive statistics, Cronbach's α, and test–retest reliability.

Results A total of 501 nurses participated in the study, supplemented by the inclusion of five experts who were invited to contribute to the assessment of content validity. Four factors were formed using EFA (n = 250), and the cumulative variance contribution rate was found to be 60.10%. The CFA (n = 251) showed that the model fit was good. The overall Cronbach's α coefficient of the questionnaire was 0.948, and the test–retest reliability was 0.837.

Conclusion Finally, the nursing information security questionnaire (NIS-Q) with 38 items and three dimensions of knowledge, attitude, and practice were formed. A promising assessment instrument for gauging the degree of nursing information security was introduced. Further, a foundational platform was established for implementing specific enhancement strategies aimed at advancing nursing information security.

Keywords

nursing - information security - knowledge - attitude and practice - validation - reliability

Protection of Human and Animal Subjects

This research was approved by the Ethics Committee of Zibo Central Hospital. The participants who volunteered to participate in the study were informed about the subject and purpose of the study and their informed consent was obtained. All participants are anonymous and the privacy of participants has not been exposed.




Publikationsverlauf

Eingereicht: 10. Juli 2024

Angenommen: 24. September 2024

Accepted Manuscript online:
30. September 2024

Artikel online veröffentlicht:
15. Januar 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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