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一种用于姑息性重度疼痛管理的跨学科计算机信息工具。

An interdisciplinary computer-based information tool for palliative severe pain management.

作者信息

Kuziemsky Craig E, Weber-Jahnke Jens H, Lau Francis, Downing G Michael

机构信息

Telfer School of Management, University of Ottawa, 55 Laurier Avenue East, Ottawa ON K1N 6N5, Canada.

出版信息

J Am Med Inform Assoc. 2008 May-Jun;15(3):374-82. doi: 10.1197/jamia.M2519. Epub 2008 Feb 28.

Abstract

OBJECTIVES

As patient care becomes more collaborative in nature, there is a need for information technology that supports interdisciplinary practices of care. This study developed and performed usability testing of a standalone computer-based information tool to support the interdisciplinary practice of palliative severe pain management (SPM).

DESIGN

A grounded theory-participatory design (GT-PD) approach was used with three distinct palliative data sources to obtain and understand user requirements for SPM practice and how a computer-based information tool could be designed to support those requirements.

RESULTS

The GT-PD concepts and categories provided a rich perspective of palliative SPM and the process and information support required for different SPM tasks. A conceptual framework consisting of an ontology and a set of three problem-solving methods was developed to reconcile the requirements of different interdisciplinary team members. The conceptual framework was then implemented as a prototype computer-based information tool that has different modes of use to support both day-to-day case management and education of palliative SPM. Usability testing of the computer tool was performed, and the tool tested favorably in a laboratory setting.

CONCLUSION

An interdisciplinary computer-based information tool can be developed to support the different work practices and information needs of interdisciplinary team members, but explicit requirements must be sought from all prospective users of such a tool. Qualitative methods such as the hybrid GT-PD approach used in this research are particularly helpful for articulating computer tool design requirements.

摘要

目的

随着患者护理在本质上变得更加协作化,需要信息技术来支持跨学科护理实践。本研究开发并对一个独立的基于计算机的信息工具进行了可用性测试,以支持姑息性重度疼痛管理(SPM)的跨学科实践。

设计

采用扎根理论 - 参与式设计(GT - PD)方法,结合三个不同的姑息治疗数据源,以获取并理解SPM实践的用户需求,以及如何设计一个基于计算机的信息工具来满足这些需求。

结果

GT - PD概念和类别为姑息性SPM以及不同SPM任务所需的流程和信息支持提供了丰富的视角。开发了一个由本体和一组三种问题解决方法组成的概念框架,以协调不同跨学科团队成员的需求。然后将该概念框架作为一个基于计算机的信息工具原型来实施,该工具具有不同的使用模式,以支持姑息性SPM的日常病例管理和教育。对该计算机工具进行了可用性测试,该工具在实验室环境中测试结果良好。

结论

可以开发一个跨学科的基于计算机的信息工具,以支持跨学科团队成员的不同工作实践和信息需求,但必须从该工具的所有潜在用户那里获取明确的需求。本研究中使用的诸如混合GT - PD方法等定性方法,对于阐明计算机工具设计要求特别有帮助。

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