Chan Tom, Brew Sarah, de Lusignan Simon
BMC Nurs. 2004 Oct 7;3(1):4. doi: 10.1186/1472-6955-3-4.
In the UK the health service is investing more than ever before in information technology (IT) and primary care nurses will have to work with computers. Information about patients will be almost exclusively held in electronic patient records; and much of the information about best practice is most readily accessible via computer terminals. OBJECTIVE: To examine the influence of age and nursing profession on the level of computer use. METHODS: A questionnaire was developed to examine: access, training received, confidence and use of IT. The survey was carried out in a Sussex Primary Care Trust, in the UK. RESULTS: The questionnaire was sent to 109 nurses with a 64% response rate. Most primary care nurses (89%) use their computer regularly at work: 100% of practice nurses daily, compared with 60% of district nurses and 59% of health visitors (p < 0.01). Access to IT was not significantly different between different age groups; but 91% of practice nurses had their own computer while many district nurses and health visitors had to share (p < 0.01). Nurses over 50 had received more training that their younger colleagues (p < 0.01); yet despite this, they lacked confidence and used computers less (p < 0.001). 96% of practice nurses were confident at in using computerised medical records, compared with 53% of district nurses and 44% of health visitors (p < 0.01.) One-to-one training and workshops were the preferred formats for training, with Internet based learning and printed manuals the least popular (p < 0.001). CONCLUSIONS: Using computers in the surgery has become the norm for primary care nurses. However, nurses over 50, working out in the community, lack the confidence and skill of their younger and practice based colleagues.
在英国，医疗服务机构在信息技术（IT）方面的投入比以往任何时候都多，基层护理护士将不得不与计算机打交道。有关患者的信息几乎完全保存在电子病历中；而且许多关于最佳实践的信息通过计算机终端最容易获取。
研究年龄和护理职业对计算机使用水平的影响。
设计了一份问卷来调查：计算机的使用情况、接受的培训、信心以及信息技术的使用。该调查在英国苏塞克斯郡的一个基层医疗信托机构进行。
向109名护士发放了问卷，回复率为64%。大多数基层护理护士（89%）在工作中经常使用计算机：100%的执业护士每天使用，相比之下，地区护士为60%，健康访视员为59%（p<0.01）。不同年龄组在使用信息技术方面没有显著差异；但91%的执业护士有自己的电脑，而许多地区护士和健康访视员不得不共用（p<0.01）。50岁以上的护士比年轻同事接受的培训更多（p<0.01）；然而，尽管如此，他们缺乏信心，使用计算机的频率较低（p<0.001）。96%的执业护士对使用计算机化病历有信心，相比之下，地区护士为53%，健康访视员为44%（p<0.01）。一对一培训和工作坊是首选的培训形式，基于互联网的学习和印刷手册最不受欢迎（p<0.001）。
在诊疗室使用计算机已成为基层护理护士的常态。然而,在社区工作的50岁以上护士缺乏年轻同事和执业护士的信心和技能。
