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Professional culture, information security and healthcare quality: an interview study of physicians' and nurses' perspectives on value conflicts in the use of electronic medical records
University West, Department of Health Sciences, Section for nursing - graduate level. (LINA)ORCID iD: 0000-0003-0084-4636
University of Gothenburg, Occupational and Environmental Medicine, Institute of Medicine, Sahlgrenska Academy, Gothenburg, Sweden.
University of Gothenburg, Occupational and Environmental Medicine, Institute of Medicine, Sahlgrenska Academy, Gothenburg, Sweden.
2018 (English)In: Safety in health, E-ISSN 2056-5917, Vol. 4, article id 11Article in journal (Refereed) Published
Abstract [en]

Digital healthcare information systems impose new demands on healthcare professionals, and information security rules may induce stressful value conflicts, which the professional culture may help professionals to handle.

The aim of the study was to elucidate physicians' and registered nurses' shared professional assumptions and values, grounded in their professional cultures, and how these assumptions and values explain and guide healthcare professionals' handling of value conflicts involving rules regulating the use of electronic medical records.

Methods Healthcare professionals in five organisations in two Swedish healthcare regions were interviewed.

Results The study identified ensuring the patients' physical health and well-being as the overarching value and a shared basic assumption among physicians and registered nurses. A range of essential professional and organisational values were identified to help attain this goal. In value conflicts, different values were weighted in relation to each other and to the electronic information security rules.

Conclusions The results can be used to guide effective design and implementation of electronic medical records and information security regulations in healthcare.

Place, publisher, year, edition, pages
BioMed Central, 2018. Vol. 4, article id 11
Keywords [en]
Healthcare quality, Organisational culture, Value conflicts, Information security, Rule compliance, Information management
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science; Work Integrated Learning
Identifiers
URN: urn:nbn:se:hv:diva-13112DOI: 10.1186/s40886-018-0078-9OAI: oai:DiVA.org:hv-13112DiVA, id: diva2:1262459
Note

First Online: 07 November 2018

Available from: 2018-11-12 Created: 2018-11-12 Last updated: 2019-06-12Bibliographically approved

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Skyvell Nilsson, Maria

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CiteExportLink to record
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  • apa
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