信息技术：从新手到专家——实施启示
Information technology from novice to expert: implementation implications.
作者信息
Courtney Karen L, Alexander Gregory L, Demiris George
机构信息
School of Nursing, University of Pittsburgh, Pittsburgh, PA 15261, USA.
出版信息
J Nurs Manag. 2008 Sep;16(6):692-9. doi: 10.1111/j.1365-2834.2007.00829.x.
AIMS
This paper explores how the Novice-to-Expert Nursing Practice framework can illuminate the challenges of and opportunities in implementing information technology (IT), such as clinical decision support systems (CDSS), in nursing practice.
BACKGROUND
IT implementation in health care is increasing; however, substantial costs and risks remain associated with these projects.
EVALUATION
The theoretical framework of Novice-to-Expert Nursing Practice was applied to current design and implementation literature for CDSS.
KEY ISSUES
Organizational policies and CDSS design affect implementation and user adoption.
CONCLUSIONS
Nursing CDSS can improve the overall quality of care when designed for the appropriate end-user group and based on a knowledge base reflecting nursing expertise.
IMPLICATIONS FOR NURSING MANAGEMENT
Nurse administrators can positively influence CDSS function and end-user acceptance by participating in and facilitating staff nurse involvement in IT design, planning and implementation. Specific steps for nurse administrators and managers are included in this paper.
目的
本文探讨新手到专家护理实践框架如何阐明在护理实践中实施信息技术（IT）（如临床决策支持系统（CDSS））所面临的挑战和机遇。
背景
医疗保健领域的IT实施正在增加；然而，这些项目仍存在大量成本和风险。
评估
新手到专家护理实践的理论框架被应用于CDSS的当前设计和实施文献。
关键问题
组织政策和CDSS设计会影响实施和用户采用。
结论
当为合适的最终用户群体设计并基于反映护理专业知识的知识库时，护理CDSS可以提高护理的整体质量。
对护理管理的启示
护士管理人员可以通过参与并促进护士参与IT设计、规划和实施，对CDSS功能和最终用户接受度产生积极影响。本文包含了护士管理人员和经理的具体步骤。
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