Midwives Readiness Factors in Maintaining Patient Confidentiality in the Digital Medical Record Era

Ayu Hendrati Rahayu; Lusi Marlina; Rochmawati Rochmawati

doi:10.22146/jkesvo.108116

Midwives Readiness Factors in Maintaining Patient Confidentiality in the Digital Medical Record Era

https://doi.org/10.22146/jkesvo.108116

Ayu Hendrati Rahayu^(1*), Lusi Marlina⁽²⁾, Rochmawati Rochmawati⁽³⁾

(1) Medical Records and Health Information Study Program, TEDC Polytechnic
(2) Medical Records and Health Information Study Program, TEDC Polytechnic
(3) Midwifery Professional Education Study Program, Gunadarma University
(*) Corresponding Author

Abstract

Background: The digitalization of medical records in healthcare systems created new challenges in maintaining patient information confidentiality, particularly in midwifery practice. The transition from manual to electronic systems required midwives' readiness to understand and implement confidentiality ethics in accordance with digital technology developments.

Objective: This research aimed to analyze the factors that influence midwives' readiness in upholding patient confidentiality ethics in the era of medical record digitalization.

Methods: The research employed a cross-sectional design with a sample of 150 midwives. Data collection was conducted through structured questionnaires measuring variables of data protection regulation knowledge, digital competence, confidentiality ethics knowledge, and attitudes toward digitalization. Data were analyzed using multiple regression.

Results: Regression analysis showed the research model explained 52.9% of variation in midwives' readiness to uphold confidentiality ethics. Three variables had significant influence: knowledge of data protection regulations (coefficient=0.316; p=0.001), digital competence (coefficient=0.131; p=0.001), and knowledge of confidentiality ethics (coefficient=0.084; p=0.027). Attitude toward digitalization did not have a significant effect.

Conclusion: Midwives' readiness in upholding patient confidentiality ethics in the digital era was influenced by mastery of data protection regulations, digital competence, and understanding of confidentiality ethics. This research was beneficial for developing strategies to enhance midwives' competencies in facing healthcare system digitalization.

Keywords

Midwifery; Confidentiality Ethics; EMR; Digital Competence; Health Data Protection

Full Text:

PDF

References

Abore, K. W., Debiso, A. T., Birhanu, B. E., Bua, B. Z., & Negeri, K. G. (2022). Health professionals’ readiness to implement electronic medical recording system and associated factors in public general hospitals of Sidama region, Ethiopia. PLoS ONE, 17(10 October), 1–12. https://doi.org/10.1371/journal.pone.0276371

Ajami, S., & Bagheri-Tadi, T. (2013). Barriers for adopting electronic health records (EHRs) by physicians. Acta Informatica Medica, 21(2), 129–134. https://doi.org/10.5455/aim.2013.21.129-134

Durmus Iskender, M., & Durmuş, A. (2022). Determining the Correlation Between the Privacy Consciousness of Midwifery and Nursing Students and Their Attitudes Toward the Recording and Protection of Personal Health Data. Euroasia Journal of Mathematics, Engineering, Natural & Medical Sciences, 9(21), 67–78. https://doi.org/10.38065/euroasiaorg.960

Dutta, B., & Hwang, H.-G. (2020). The adoption of electronic medical record by physicians. Medicine, 99(8), e19290. https://doi.org/10.1097/md.0000000000019290

Eka Siti Hastuti, Sri Sugiarsi, & Sri Mulyono. (2023). Analisis Tingkat Kesiapan Penerapan Rekam Medis Elektronik Di Puskesmas Wilayah Kabupaten Boyolali. Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI), 11(2). https://doi.org/10.33560/jmiki.v11i2.570

Essuman, L. R., Apaak, D., Ansah, E. W., Sambah, F., Ansah, J. E., Opare, M., & Ahinkorah, B. O. (2020). Factors associated with the utilization of electronic medical records in the Eastern Region of Ghana. Health Policy and Technology, 9(3), 362–367. https://doi.org/10.1016/j.hlpt.2020.08.002

Hailegebreal, S., Dileba, T., Haile, Y., & Abebe, S. (2023). Health professionals’ readiness to implement electronic medical record system in Gamo zone public hospitals, southern Ethiopia: an institution based cross-sectional study. BMC Health Services Research, 23(1), 1–8. https://doi.org/10.1186/s12913-023-09745-5

He, Y., Fan, G., Fan, G., & Liu, D. (2025). Exploring nurse and patient perspectives on WeChat-based prenatal education in Chinese public hospitals: a qualitative inquiry. BMC Nursing, 24(1). https://doi.org/10.1186/s12912-025-03108-7

Indana, R. F., Wardani, R., & Kusumawati, P. D. (2024). The role of readiness for change on behavioral intention viewed from performance and effort expectancy in the implementation of electronic medical records. 07(7), 845–856.

Kumar, R., Abrougui, K., Verma, R., Luna, J., Khattab, A., & Dahir, H. (2022). Digital twins for decision support system for clinicians and hospital to reduce error rate. Digital Twin for Healthcare: Design, Challenges, and Solutions, 25(3), 241–261. https://doi.org/10.1016/B978-0-32-399163-6.00017-2

Lakhmudien, Indradi, R., Nugraha, E., & Setiyono, I. A. (2023). Pemahaman Perekam Medis Terhadap Penerapan Rekam Medis Elektronik Berbasis Permenkes Nomor 24 Tahun 2022. Accident Analysis and Prevention, 183(2), 153–164.

Laurenxius, V. S., Ginting, C. N., & Ginting, R. (2025). Efficiency Of Transition From Manual Medical Records To Electronic Medical Records On The Speed Of Patient Service At RSU Royal Prima Medan. Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics, 7(2), 245–252.

Mensah, G. B. (2024). Regulating Malpractice in Telemedicine and Digital Health. Africa Journal For Regulatory Affairs (AJFRA), 1, 1–16.

Mollart, L., Irwin, P., Noble, D., & Kinsman, L. (2023). Promoting patient safety using electronic medical records in nursing/midwifery undergraduate curricula: discussion paper. Nurse Education in Practice, 70, 103653.

Ngusie, H. S., Kassie, S. Y., Chereka, A. A., & Enyew, E. B. (2022). Healthcare providers’ readiness for electronic health record adoption: a cross-sectional study during pre-implementation phase. BMC Health Services Research, 22(1), 1–12. https://doi.org/10.1186/s12913-022-07688-x

Oo, H. M., Htun, Y. M., Win, T. T., Han, Z. M., Zaw, T., & Tun, K. M. (2021). Information and communication technology literacy, knowledge and readiness for electronic medical record system adoption among health professionals in a tertiary hospital, Myanmar: A cross-sectional study. PLoS ONE, 16(7 July), 1–15. https://doi.org/10.1371/journal.pone.0253691

Rasmi, R., Muis, M., & Pono, M. (2020). The Impact of Compensation, Work Environment, and Commitment towards Job Satisfaction on Private High School Teachers Performance in Makassar City. Hasanuddin Journal of Applied Business and Entrepreneurship, 3, 82–100. https://doi.org/10.26487/hjabe.v3i1.299

Setiatin, S., & Agustin, S. R. (2019). Perancangan Sistem Informasi Pelayanan Rekam Medis Di Puskesmas Arcamanik Kota Bandung. Jurnal Manajemen Informasi Kesehatan Indonesia, 7(1), 33. https://doi.org/10.33560/jmiki.v7i1.207

Siswati, S., Ernawati, T., & Khairunnisa, M. (2024). Analysis of Readiness Challenges for Implementing Electronic Medical Records In Padang City’s Health Centers. Jurnal Kesehatan Vokasional, 9(1), 1.

Sudirahayu, I., & Harjoko, A. (2017). Analisis Kesiapan Penerapan Rekam Medis Elektronik Menggunakan DOQ-IT di RSUD Dr. H. Abdul Moeloek Lampung. Journal of Information Systems for Public Health, 1(3). https://doi.org/10.22146/jisph.6536

Susanti, A. I., Ali, M., Hernawan, A. H., Rinawan, F. R., Purnama, W. G., Puspitasari, I. W., & Stellata, A. G. (2022). Midwifery continuity of care in indonesia: Initiation of mobile health development integrating midwives’ competency and service needs. International Journal of Environmental Research and Public Health, 19(21), 13893.

Sutha, D. W., Masyfufah, L., Faida, E. W., & Wahyuni, T. (2025). The Impact of Use of Electronic Medical Records on The Quality Of Health Services and Patient Safety : Review. 3(1), 1–11.

Widayanti, E., Septiana, D. H., Irmaningsih, M., Putri, V. A., & Budi, S. C. (2023). Kesiapan Puskesmas Samigaluh I Dalam Peralihan Rekam Medis Konvensional Ke Rekam Medis Elektronik. Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI), 11(2), 102–107. https://doi.org/10.33560/jmiki.v11i2.555

Wubante, S. M., Tegegne, M. D., Melaku, M. S., Mengiste, N. D., Fentahun, A., Zemene, W., Fikadie, M., Musie, B., Keleb, D., Bewoketu, H., Adem, S., Esubalew, S., Mihretie, Y., Ferede, T. A., & Walle, A. D. (2023). Healthcare professionals’ knowledge, attitude and its associated factors toward electronic personal health record system in a resource-limited setting: A cross-sectional study. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1114456

Yoga, V., Jaka, B., & Yanti, M. (2021). Analisis Kesiapan Penerapan Rekam Medis Elektronik (Rme)Di Rsup Dr. M. Djamil Padang. B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah, 8(1), 71–82. https://doi.org/10.33854/jbd.v8i1.598

DOI: https://doi.org/10.22146/jkesvo.108116