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[引入信息工具之前护理人员的态度以及医院信息系统的当代愿景]

[Nursing personnel attitudes prior to the introduction of informatic tools and contemporary vision of a hospital information system].

作者信息

Vereecke P J

出版信息

Rech Soins Infirm. 1996 Sep(46):83-93.

Abstract

Computerization is no more improvised just like that and the management of computer plans is from now on a matter for methods and approaches which leave nothing to chance. The main purpose of the present work's empirical part is to a priori determine the attitude which will be the one of the nurses toward the implementation of computer aid in the care units that is expected on the short term. So we will have at our disposal pertinent information which will enable the concerned people to efficiently negotiate this change. For the realization of the present study, we built a LIKERT scale of attitude and integrated it within a question paper with nearly 40 questions. This later was submitted to a stratified random sample of 100 nurses in office at the Clinique St-Pierre in Ottignies (Belgium). After a presentation of that hospital's computer position and of observations made in other hospitals, a detailed study protocol specifies all the features of the research. The achieved results show us that the concerned nurses are highly favorable to the implementation of computer aid. The present work sets out and develops very numerous findings expressed in figures as well as relations and correlations between the attitude and certain features of the sample. The realization of the objectives of any care institution--i.e. a better nursing of the patients and a better managing of the care distribution--colldies with the abundance and the complexity of "Information" which is itself conveyed by numerous systems: nursing, medical, operational, managing information system,... Facing such a reality which is sometimes complex and relatively less analysed, this work is an outline reflection on a bibliographical basis, a conceptual approach that puts certain of the Nursing Information System's generalities in a prominent position--but also some of its specifies--themselves mainly brought to light by means of the introduction of computer aid. The reader will also find here a conceptual pattern integrating the various hospital information sub-systems in interaction, as well as a graphical representation of their information and overlap areas. As the reader will see, the information system--which has become an essential notion in today's data processing--is in the heart of the running of any hospital. Hardly unperceptible, the information system, as long as it is not materialized by the computerization project nonetheless represents a major stake which is covetted by the whole hospital contributors.

摘要

计算机化不能再像那样临时拼凑了,从现在起,计算机计划的管理是一个关乎方法和途径的问题,不能有任何疏漏。本研究实证部分的主要目的是先验地确定护士对于短期内预期在护理单元实施计算机辅助的态度。这样我们就能掌握相关信息,使相关人员能够有效地应对这一变革。为了开展本研究,我们构建了一个态度李克特量表,并将其纳入一份包含近40个问题的问卷中。这份问卷随后被提交给比利时奥蒂涅圣皮埃尔诊所在职的100名护士组成的分层随机样本。在介绍了该医院的计算机状况以及在其他医院的观察结果后,一份详细的研究方案明确了研究的所有细节。所取得的结果表明,相关护士非常支持实施计算机辅助。本研究阐述并得出了大量以数据形式呈现的结果,以及态度与样本某些特征之间的关系和相关性。任何护理机构目标的实现——即更好地护理患者和更好地管理护理分配——都与大量且复杂的“信息”相冲突,而这些信息本身由众多系统传递:护理、医疗、运营、管理信息系统等等。面对这样一个有时复杂且相对较少被分析的现实,本研究是基于文献的概要性思考,是一种概念性方法,突出了护理信息系统的某些一般性——以及一些特殊性——这些主要是通过引入计算机辅助而得以揭示的。读者还将在此处找到一个整合了相互作用的各种医院信息子系统的概念模型,以及它们信息和重叠区域的图形表示。正如读者将看到的,信息系统——已成为当今数据处理中的一个基本概念——处于任何医院运营的核心。信息系统几乎难以察觉,只要它没有通过计算机化项目得以实现,它仍然是整个医院相关方觊觎的重大利益所在。

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