Anttila Minna, Koivunen Marita, Välimäki Maritta
Department of Nursing Science, University of Turku, Tampere University Hospital, Research Unit, Finland.
J Adv Nurs. 2008 Oct;64(2):147-56. doi: 10.1111/j.1365-2648.2008.04770.x.
This paper is a report of a study to describe nurses' experiences of information technology-based standardized patient education in inpatient psychiatric care.
Serious mental health problems are an increasing global concern. Emerging evidence supports the implementation of practices that are conducive to patient self-management and improved patient outcomes among chronically ill patients with mental health problems. In contrast, the attitude of staff towards information technology has been reported to be contradictory in mental health care.
After 1 year of using an Internet-based portal (Mieli.Net) developed for patients with schizophrenia spectrum psychosis, all 89 participating nurses were asked to complete questionnaires about their experiences. The data were collected in 2006. Fifty-six participants (63%) returned completed questionnaires and the data were analysed using content analysis.
Nurses' experiences of the information technology-based standardized patient education were categorized into two major categories describing the advantages and obstacles in using information technology. Nurses thought that it brought the patients and nurses closer to each other and helped nurses to provide individual support for their patients. However, the education was time-consuming.
Systematic patient education using information technology is a promising method of patient-centred care which supports nurses in their daily work. However, it must fit in with clinical activities, and nurses need some guidance in understanding its benefits. The study data can be used in policy-making when developing methods to improve the transparency of information provision in psychiatric nursing.
本文报告一项关于描述护士在住院精神科护理中基于信息技术的标准化患者教育体验的研究。
严重精神健康问题日益成为全球关注的焦点。新出现的证据支持在患有精神健康问题的慢性病患者中实施有助于患者自我管理并改善患者结局的做法。相比之下，据报道，精神卫生保健工作人员对信息技术的态度存在矛盾。
在使用为精神分裂症谱系精神病患者开发的基于互联网的门户网站（Mieli.Net）1年后，要求所有89名参与的护士填写关于他们体验的问卷。数据于2006年收集。56名参与者（63%）返回了完整的问卷，并使用内容分析法对数据进行了分析。
护士对基于信息技术的标准化患者教育的体验分为描述使用信息技术的优势和障碍的两大类。护士们认为它拉近了患者与护士之间的距离，并帮助护士为患者提供个性化支持。然而，这种教育很耗时。
使用信息技术进行系统的患者教育是以患者为中心的护理的一种有前景的方法，有助于护士的日常工作。然而，它必须与临床活动相适应，并且护士在理解其益处方面需要一些指导。在制定提高精神科护理信息提供透明度的方法时，该研究数据可用于政策制定。
