An information privacy model for primary health care facilities
- Authors: Boucher, Duane Eric
- Date: 2013
- Subjects: Data protection , Privacy, Right of , Medical records -- Access control , Primary health care , Medical care , Caregivers , Community health nursing , Confidential communications , Information technology -- Management
- Language: English
- Type: Thesis , Masters , MCom (Information Systems)
- Identifier: vital:11139 , http://hdl.handle.net/10353/d1007181 , Data protection , Privacy, Right of , Medical records -- Access control , Primary health care , Medical care , Caregivers , Community health nursing , Confidential communications , Information technology -- Management
- Description: The revolutionary migration within the health care sector towards the digitisation of medical records for convenience or compliance touches on many concerns with respect to ensuring the security of patient personally identifiable information (PII). Foremost of these is that a patient’s right to privacy is not violated. To this end, it is necessary that health care practitioners have a clear understanding of the various constructs of privacy in order to ensure privacy compliance is maintained. This research project focuses on an investigation of privacy from a multidisciplinary philosophical perspective to highlight the constructs of information privacy. These constructs together with a discussion focused on the confidentiality and accessibility of medical records results in the development of an artefact represented in the format of a model. The formulation of the model is accomplished by making use of the Design Science research guidelines for artefact development. Part of the process required that the artefact be refined through the use of an Expert Review Process. This involved an iterative (three phase) process which required (seven) experts from the fields of privacy, information security, and health care to respond to semi-structured questions administered with an interview guide. The data analysis process utilised the ISO/IEC 29100:2011(E) standard on privacy as a means to assign thematic codes to the responses, which were then analysed. The proposed information privacy model was discussed in relation to the compliance requirements of the South African Protection of Personal Information (PoPI) Bill of 2009 and their application in a primary health care facility. The proposed information privacy model provides a holistic view of privacy management that can residually be used to increase awareness associated with the compliance requirements of using patient PII.
- Full Text:
- Date Issued: 2013
Nurses' experience of contesting discourses in HIV/AIDS activities in the primary health care setting
- Authors: Tutani, Lumka
- Date: 2001
- Subjects: Primary health care , AIDS (Disease) -- Nursing , AIDS (Disease) -- Patients -- Counseling of
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3074 , http://hdl.handle.net/10962/d1002583 , Primary health care , AIDS (Disease) -- Nursing , AIDS (Disease) -- Patients -- Counseling of
- Description: This paper explores the experience of nurses who work both as Primary Health Care Providers and counsellors trained in the narrative model of counselling in primary health care settings. Five focus groups were conducted in both Xhosa and English. Discourse analysis was used as a method of analysing the data. Training nurses in the narrative counselling model introduced an alternative discourse, which was experienced as contradicting their usual way of working. Two dominant discourses were the “not knowing” approach, assumed by the narrative model of counselling, and the “knowing” stance, assumed by health education. The institutionalised construction of counselling by doctors and matrons, and their power versus the power of the nurse counsellors was also cited as sources of conflict. Despite the tensions, narrative model of counselling seems to be offering new positions, which may benefit people living with HIV and improve HIV/AIDS activities in the Primary Health Care (PHC) context.
- Full Text:
- Date Issued: 2001