Koivunen Marita, Hätönen Heli, Välimäki Maritta
Satakunta Hospital District and University of Turku, Department of Nursing Science, Turku, Finland.
Patient Educ Couns. 2008 Mar;70(3):412-9. doi: 10.1016/j.pec.2007.11.002.
The purpose of this study was to identify barriers and facilitators influencing the implementation of an interactive Internet-portal application for patient education in psychiatric hospitals.
The data were collected from nurses by means of a questionnaire with thematic open-ended questions. The data was analysed using qualitative content analysis.
Four main categories were formed to describe barriers and facilitators of portal implementation in psychiatric wards. These categories were organisational resources, nurses' individual characteristics, patient-related factors and portal-related factors. Some major barriers were identified restricting the use of the portal in patient education: lack of computers, lack of time for patients, nurses' negative attitudes towards computer use and lack of education. The main facilitators for portal use were appropriate technological resources, easy Internet access, enough time for portal use, and level of motivation among staff to use computers.
The specific challenge in achieving patient education with the computer in psychiatric care is to ensure technological resources and that the staff are motivated to use computers. At the same time, attention should be paid the relationship between patient and nurse.
It is important to examine the patient-nurse relationship in the education process and also to define the usability of the application from the patients' point of view.
本研究旨在确定影响精神病医院交互式互联网门户应用程序用于患者教育实施的障碍和促进因素。
通过带有主题开放式问题的问卷从护士那里收集数据。使用定性内容分析法对数据进行分析。
形成了四个主要类别来描述精神病病房中门户实施的障碍和促进因素。这些类别是组织资源、护士的个人特征、患者相关因素和门户相关因素。确定了一些限制门户在患者教育中使用的主要障碍：计算机短缺、患者时间不足、护士对计算机使用的消极态度以及缺乏培训。门户使用的主要促进因素是适当的技术资源、便捷的互联网接入、足够的门户使用时间以及工作人员使用计算机的积极性水平。
在精神病护理中使用计算机实现患者教育的具体挑战是确保技术资源以及工作人员有使用计算机的积极性。同时，应关注患者与护士之间的关系。
在教育过程中审视患者与护士的关系并从患者角度定义应用程序的可用性很重要。
