Engström Maria, Scandurra Isabella, Ljunggren Birgitta, Lindqvist Ragny, Koch Sabine, Carlsson Marianne
Department of Caring Science and Sociology, University of Gävle, Gävle, Sweden.
Telemed J E Health. 2009 Jan;15(1):53-61. doi: 10.1089/tmj.2008.0049.
The aim of the present research was to study outcomes of use of the OLD@HOME Virtual Health Record with regard to staff opinions about information, communication technology, and satisfaction with work. A quasi-experimental design was used. Staff opinions about the information and communication technology were assessed using a study-specific questionnaire at the test site (n =22) and at other settings in the municipality (n =172). Staff (n =22) job satisfaction, perceived quality of care, and psychosomatic health were assessed using the Satisfaction with Work Questionnaires before and after a 5-month period of testing the technology in an intervention and a comparison group. Staff opinions about the information and communication technology were significantly more positive at the test site compared to other settings in the municipality. For the total scale of quality of care and the factor documentation, there were significant differences in change scores between intervention and comparison groups, with improvements for the comparison group. For job satisfaction and psychosomatic health, there were no differences in change scores between the groups. Participatory design enhances staff opinions about information and communication technology. However, a 5-month test period showed no benefits regarding staff satisfaction with work when compared to a comparison group. On the contrary, the comparison group improved in documentation, and for the intervention group, there was a trend toward deterioration, which may be due to their knowing how to document, but not having time when using both paper-based and electronic systems.
本研究的目的是探讨使用OLD@HOME虚拟健康记录在员工对信息、通信技术的看法以及工作满意度方面的效果。采用了准实验设计。在测试地点（n = 22）和该市的其他机构（n = 172）使用一份针对该研究的问卷来评估员工对信息和通信技术的看法。在对干预组和对照组的技术进行为期5个月的测试前后，使用工作满意度问卷对22名员工的工作满意度、感知护理质量和身心健康进行评估。与该市的其他机构相比，测试地点的员工对信息和通信技术的看法明显更为积极。对于护理质量总评分和文档记录这一因素，干预组和对照组的变化评分存在显著差异，对照组有所改善。对于工作满意度和身心健康，两组的变化评分没有差异。参与式设计提高了员工对信息和通信技术的看法。然而，与对照组相比，为期5个月的测试期在员工工作满意度方面并未显示出优势。相反，对照组在文档记录方面有所改善，而干预组则有恶化的趋势，这可能是因为他们知道如何记录，但在同时使用纸质和电子系统时没有时间。
