Abstract
Background: Health information security is a fundamental principle of healthcare practice. However, nursing students remain at risk of breaching patient confidentiality due to limitations in knowledge, skills, and the clinical learning environment.
Objectives: This study aimed to assess nursing students’ knowledge, attitudes, and practices regarding health information security, identify associated factors, and explore barriers to health information security practices.
Materials and Methods: A mixed-methods study was conducted at Da Nang University of Medical Technology and Pharmacy from November 2025 to March 2026. The quantitative phase employed a cross-sectional design involving 267 nursing students. The qualitative phase included in-depth interviews with 12 purposively selected nursing students to further explain the quantitative findings. Quantitative data were analyzed using descriptive statistics and multiple linear regression, while qualitative data were analyzed using thematic analysis.
Results: The mean scores for knowledge, attitudes, and practices regarding health information security were 1.69 ± 0.24, 3.75 ± 0.70, and 3.31 ± 0.87, respectively. Knowledge and practice scores were significantly associated with selected academic and clinical factors (p < 0.05), whereas the overall regression model for attitudes was not statistically significant (p = 0.133). Qualitative findings identified three major categories of barriers to health information security practices: individual, organizational, and system-related barriers.
Conclusion: Nursing students had higher mean scores for knowledge and attitudes toward health information security than for health information security practices. Strengthening practice-oriented education, improving confidentiality guidelines, and enhancing supervision during clinical training are essential to improve nursing students’ competency in protecting health information security.
| Published | 2026-11-15 | |
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| Issue | Vol. 16 No. S-3 (2026) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2026.S-3.3 | |
| Keywords | health information security, knowledge, attitude, practice, nursing students |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2026 Hue Journal of Medicine and Pharmacy
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