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关键人员和积极管理对姑息治疗中基于计算机的技术成功实施的重要性:一项定性研究的结果

The importance of key personnel and active management for successful implementation of computer-based technology in palliative care: results from a qualitative study.

作者信息

André Beate, Ringdal Gerd Inger, Loge Jon H, Rannestad Toril, Kaasa Stein

机构信息

Department of Cancer Research and Molecular Medicine, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway.

出版信息

Comput Inform Nurs. 2008 Jul-Aug;26(4):183-9. doi: 10.1097/01.NCN.0000304802.00628.70.

DOI:10.1097/01.NCN.0000304802.00628.70
PMID:18600124
Abstract

Symptom assessment is an important issue in palliative care. Computer technology is now available for use in such assessments. The aims of the present study were to investigate the factors that can promote implementation of computer technology in a palliative care unit. Symptom assessment by use of handheld computers combined with a database for storing the assessments and other clinical data were introduced in 2001 at the Palliative Medicine Unit of Trondheim University Hospital. Seventeen respondents (nurses, physicians, and physiotherapists) participated in an in-depth interview. The themes presented in this article are perceived aims, training, information, and communication. A qualitative approach was used in analyzing the data. All the respondents expressed a wish for a resource person, and the expectations regarding this person differed, because this person had to be present at the unit, should provide quick help, should be a driving force, and should be responsible for training and teaching. There is a need for skilled and motivated key personnel in the unit if implementation is to be successful.

摘要

症状评估是姑息治疗中的一个重要问题。计算机技术现已可用于此类评估。本研究的目的是调查能够促进计算机技术在姑息治疗病房实施的因素。2001年,特隆赫姆大学医院姑息医学病房引入了使用手持计算机结合用于存储评估和其他临床数据的数据库进行症状评估的方法。17名受访者(护士、医生和物理治疗师)参与了深入访谈。本文呈现的主题是感知到的目标、培训、信息和沟通。采用定性方法分析数据。所有受访者都表示希望有一名资源人员,对该人员的期望各不相同,因为此人必须在病房随时待命,应提供快速帮助,应成为推动力量,并应负责培训和教学。如果要成功实施,病房需要有技术熟练且积极性高的关键人员。

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