title: A survey-based study of factors that motivate nurses to protect the privacy of electronic medical records.
abstract: BACKGROUND
  The purpose of this study is to investigate factors that motivate nurses to protect privacy in electronic medical records, based on the Decomposed Theory of Planned Behavior.
  
  
  METHODS
  This cross-sectional study used questionnaires to collect data from nurses in a large tertiary care military hospital in Taiwan.
  
  
  RESULTS
  The three hundred two (302) valid questionnaires returned resulted in a response rate of 63.7 %. Structural equation modeling identified that the factors of attitude, subjective norm, and perceived behavioral control of the nurses significantly predicted the nurses' intention to protect the privacy of electronic medical records. Further, perceived usefulness and compatibility, peer and superior influence, self-efficacy and facilitating conditions, respectively predicted these three factors.
  
  
  CONCLUSIONS
  The results of our study may provide valuable information for education and practice in predicting nurses' intention to protect privacy of electronic medical records.
authors.affiliation: Department of Healthcare Administration, I-Shou University, No.8, Yida Rd., Yanchao District, Kaohsiung City, ROC, 82445, Taiwan.
authors.forename: Chen-Chung
authors.initials: CC
authors.lastname: Ma
authors.affiliation: Department of Healthcare Administration, I-Shou University, No.8, Yida Rd., Yanchao District, Kaohsiung City, ROC, 82445, Taiwan. kuangmingkuo@gmail.com.
authors.forename: Kuang-Ming
authors.initials: KM
authors.lastname: Kuo
authors.affiliation: University of South Carolina, 4389 Oakman St S., Salem, OR, USA.
authors.forename: Judith W
authors.initials: JW
authors.lastname: Alexander
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D057286:Electronic Health Records; D005260:Female; D006772:Hospitals, Military / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000706:statistics & numerical data*; D018907:Privacy; D011795:Surveys and Questionnaires; D013624:Taiwan
references.citation: Urol Nurs. 2009 Sep-Oct;29(5):315-8; quiz 319
references.pmid: 19863038
references.citation: Int J Med Inform. 2012 Feb;81(2):130-42
references.pmid: 22047627
references.citation: J Am Med Inform Assoc. 2014 Mar-Apr;21(2):374-8
references.pmid: 23975624
references.citation: Health Care Manage Rev. 2013 Jan-Mar;38(1):61-70
references.pmid: 22387970
references.citation: Comput Inform Nurs. 2012 May;30(5):237-41
references.pmid: 22411416
references.citation: J Nurs Adm. 1994 Feb;24(2):19-24
references.pmid: 8301390
references.citation: Online J Issues Nurs. 2005 May 31;10(2):2
references.pmid: 15977975
references.citation: Comput Inform Nurs. 2012 Sep;30(9):496-502
references.pmid: 22592453
references.citation: J AHIMA. 2005 Jul-Aug;76(7):64A-64D
references.pmid: 16097127
references.citation: Int J Med Inform. 2008 May;77(5):324-35
references.pmid: 17644029
references.citation: Nurse Educ Today. 2009 Apr;29(3):342-9
references.pmid: 19056151
references.citation: J Am Med Inform Assoc. 2006 Mar-Apr;13(2):121-6
references.pmid: 16357345
references.citation: J Leg Med. 2007 Oct-Dec;28(4):487-501
references.pmid: 18066975
references.citation: Cyberpsychol Behav Soc Netw. 2013 May;16(5):385-401
references.pmid: 23713844
references.citation: Int J Med Inform. 2013 Oct;82(10):1004-11
references.pmid: 23932755
references.citation: Int J Med Inform. 2014 Feb;83(2):113-21
references.pmid: 24262068
references.citation: BMC Med Inform Decis Mak. 2013 Aug 12;13:88
references.pmid: 23938040
references.citation: J Am Med Inform Assoc. 2013 Jan 1;20(1):29-34
references.pmid: 22735615
references.citation: J Appl Psychol. 2003 Oct;88(5):879-903
references.pmid: 14516251
references.citation: J Med Syst. 2012 Jun;36(3):1979-88
references.pmid: 21302133
references.citation: Nurs Manage. 1994 Feb;25(2):72-4
references.pmid: 8108084