Regulations, such as the Health Insurance Portability and Accountability Act (HIPAA), establish standards to protect patients' medical records from security breaches. Insiders' prosocial misbehaviour within healthcare organisations can cause significant damage to relevant stakeholders. Such behaviour without malicious intention needs to be better understood and carefully managed from the perspective of prosocial behaviour. For this study, a research model was developed that includes the factors influencing student nurses' intention to disclose patient health information. The model was empirically tested with nursing students in South Korea with a scenario-based experiment. We find that both altruistic (impact on others) and egoistic (impact on the self) motivations are significantly important in raising situational empathy. On the other hand, an egoistic motivation (impact on the self) significantly affects people's perception of their responsibility, which mediates the relationship between situational empathy and prosocial intention to disclose. The implications of our findings are discussed.

中文翻译：

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韩国医疗机构在健康信息安全方面的亲社会规则破坏

健康保险流通与责任法案 (HIPAA) 等法规制定了标准，以保护患者的医疗记录免受安全漏洞的影响。内部人员在医疗保健组织内的亲社会不当行为会对相关利益相关者造成重大损害。需要从亲社会行为的角度更好地理解和谨慎管理这种没有恶意的行为。对于这项研究，开发了一个研究模型，其中包括影响学生护士披露患者健康信息意愿的因素。该模型通过基于情景的实验在韩国的护理专业学生身上进行了实证测试。我们发现利他（对他人的影响）和利己（对自我的影响）动机对于提高情境同理心都非常重要。另一方面，利己动机（对自我的影响）显着影响人们对其责任的感知，这在情境同理心和亲社会披露意愿之间起中介作用。讨论了我们发现的影响。