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为充血性心力衰竭患者设计一种技术强化的家庭护理实践。

Designing a technology enhanced practice for home nursing care of patients with congestive heart failure.

作者信息

Casper Gail R, Karsh Ben-Tzion, Or Calvin K L, Carayon Pascale, Grenier Anne-Sophie, Brennan Patricia F

机构信息

School of Nursing, University of Wisconsin-Madison, USA.

出版信息

AMIA Annu Symp Proc. 2005;2005:116-20.

Abstract

This paper describes the process we used to design the HeartCare website to support Technology Enhanced Practice (TEP) for home care nurses engaged in providing care for patients with Congestive Heart Failure (CHF). Composed of communication, information, and self-monitoring functions, the HeartCare website is aimed at supporting best practice nursing care for these patients. Its unique focus is professional practice, thus the scope of this project is greater and more abstract than those focusing on a task or set of activities. A modified macroergonomic analysis, design work system analysis, and focus groups utilizing participatory design methodology were undertaken to characterize the nursing practice model. Design of the HeartCare website required synthesizing the extant practice model and the agency's evidence-based heart failure protocols, identifying aspects of practice that could be enhanced by supporting technology, and delineation of functional requirements of the Enhanced HeartCare technology. Validation and refinement of the website and planning for user training activities will be accomplished through a two-stage usability testing strategy.

摘要

本文描述了我们用于设计“心脏关爱”网站的过程,该网站旨在为从事充血性心力衰竭(CHF)患者家庭护理的护士提供技术增强型实践(TEP)支持。“心脏关爱”网站由沟通、信息和自我监测功能组成,旨在为这些患者提供最佳实践护理支持。其独特的重点是专业实践,因此该项目的范围比专注于一项任务或一组活动的项目更大、更抽象。我们采用了改进的宏观工效学分析、设计工作系统分析以及利用参与式设计方法的焦点小组来描述护理实践模式。“心脏关爱”网站的设计需要综合现有的实践模式和该机构基于证据的心力衰竭方案,确定可通过支持技术来增强的实践方面,并勾勒出增强型“心脏关爱”技术的功能要求。将通过两阶段可用性测试策略来完成网站的验证和完善以及用户培训活动的规划。

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