Designing a Tool to Assess Medical Students’ Knowledge and Attitudes of Confidentiality and Disclosure of Patient Information

Leila  Hosseini-Qavam-Abad; Fariba Asghari; Ali  Bandehagh; Shoaleh Bigdeli; Sedigheh Najafipour

doi:10.22037/jme.v15i2.10253

Journal of Medical Education for Future Demands

Former Title: Journal of Medical Education | The Official Journal of School of Medical Education and Learning Technologies

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https://doi.org/10.22037/jme.v15i2.10253

Designing a Tool to Assess Medical Students’ Knowledge and Attitudes of Confidentiality and Disclosure of Patient Information

Author(s):

Leila Hosseini-Qavam-Abad¹,

Fariba Asghari²,

Ali Bandehagh³,

Shoaleh Bigdeli^1,*,

Sedigheh Najafipour^{4, 5}

1Center for Educational Research in Medical Sciences (CERMS), Faculty of Medicine, Iran University of Medical Sciences, PhD student, Islamic Azad University, Semnan, Iran

2Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran

3Department of Biotechnology, Faculty of Agriculture, University of Tabriz, Tabriz, Iran

4Educational Development Center, Jahrom University of Medical Sciences

5Department of Medical Education, Tehran University of Medical Sciences, Tehran, Iran

Journal of Medical Education for Future Demands:Vol. 15, issue 2; e105488

Published online:Jul 20, 2016

Article type:Research Article

Received:Oct 12, 2015

Accepted:Nov 21, 2015

How to Cite:Leila Hosseini-Qavam-AbadFariba AsghariAli BandehaghShoaleh BigdeliSedigheh NajafipourDesigning a Tool to Assess Medical Students’ Knowledge and Attitudes of Confidentiality and Disclosure of Patient Information.J Med Edu.15(2):e105488.https://doi.org/10.22037/jme.v15i2.10253.

Abstract

Background and purpose: Respecting confidentiality of documents and medical information about individuals, as one of the most important issues in medicine, guarantees patients' trust in the health system. Therefore, this study is an attemp to design a valid and reliable tool to assess knowledge and attitudes of medical students about the principles of confidentiality and disclosure of patient information.Methods: To design the questionnaire, a comprehensive review of literature was conducted. Since to the best of our knowledge, there was no valid and reliable tool, a 34-questions questionnaire consisting of two sections of knowledge and attitude was designed. Then, face and content validity of the questionnaire was investigated by expert opinion. Finally, content validity index (CVI), content validity ratio (CVR) and item usability index (IUI) were calculated, and the reliability of the instrument was measured by Cronbach’s Alpha. Then, the final questionnaire was assessed by faculty members of ethics and medical education (n=10) for simplicity, relevance, and clarity of the questions. Lastly, the questionnaire was distributed among medical interns (n=40)and its reliability was examined. Afterwards, the questionnaire was distributed among 160 medical interns, and the reliability and validity of its structure was evaluated.Results: The designed questionnaire CVI and CVR were 0.80 and 0.81 for knowledge and 0.78 and 0.83 for attitude sections. All the questions were confirmed as valid and reliable. The validity of the questionnaire for knowledge and attitude sections were 0.79 and 0.82, respectively.Conclusions: Validity and reliability of all the designed questions (17 in each section) were confirmed.

Keywords

Disclosure of Patients’ Information

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Author(s):

Leila Hosseini-Qavam-Abad:[PubMed][Scholar]
Fariba Asghari:[PubMed][Scholar]
Ali Bandehagh:[PubMed][Scholar]
Shoaleh Bigdeli:[PubMed][Scholar]
Sedigheh Najafipour:[PubMed][Scholar]