Koivunen Marita, Välimäki Maritta, Koskinen Anita, Staggers Nancy, Katajisto Jouko
Department of Nursing Science, University of Turku, Turku, Finland.
J Clin Nurs. 2009 Apr;18(8):1141-50. doi: 10.1111/j.1365-2702.2007.02119.x.
The study examines whether individual factors of healthcare staff are associated with computer use in psychiatric hospitals. In addition, factors inhibiting staff's optimal use of computers were explored.
Computer applications have developed the content of clinical practice and changed patterns of professional working. Healthcare staff need new capacities to work in clinical practice, including the basic computers skills. Computer use amongst healthcare staff has widely been studied in general, but cogent information is still lacking in psychiatric care.
Staff's computer use was assessed using a structured questionnaire (The Staggers Nursing Computer Experience Questionnaire). The study population was healthcare staff working in two psychiatric hospitals in Finland (n = 470, response rate = 59%). The data were analysed with descriptive statistics and manova with main effects and two-way interaction effects of six individual factors.
Nurses who had more experience of computer use or of the implementation processes of computer systems were more motivated to use computers than those who had less experience of these issues. Males and administrative personnel who were younger had also participated more often than women in implementation processes of computer systems. The most significant factor inhibiting the use of computers was lack of interest in them.
In psychiatric hospitals, more direct attention should focus on staff's capacities to use computers and to increase their understanding of the benefits in clinical care, especially for women and ageing staff working in psychiatric hospitals.
To avoid exclusion amongst healthcare personnel in information society and to ensure that they have capacities to guide patients on how to use computers or to evaluate the quality of health information on the web, staff's capacities and motivation to use computers in mental health and psychiatric nursing should be ensured.
本研究探讨精神科医院医护人员的个体因素是否与计算机使用相关。此外,还探究了阻碍医护人员最佳使用计算机的因素。
计算机应用拓展了临床实践的内容,改变了专业工作模式。医护人员在临床实践中需要新的能力,包括基本的计算机技能。总体而言,医护人员的计算机使用情况已得到广泛研究,但精神科护理方面仍缺乏有说服力的信息。
使用结构化问卷(斯塔格斯护理计算机体验问卷)评估医护人员的计算机使用情况。研究对象为芬兰两家精神科医院的医护人员(n = 470,回复率 = 59%)。采用描述性统计和多变量方差分析对数据进行分析,该分析涉及六个个体因素的主效应和双向交互效应。
在计算机使用或计算机系统实施过程方面经验更丰富的护士,比经验较少的护士更有动力使用计算机。年龄较轻的男性和行政人员也比女性更频繁地参与计算机系统的实施过程。阻碍计算机使用的最显著因素是对其缺乏兴趣。
在精神科医院,应更直接地关注医护人员使用计算机的能力,并增强他们对临床护理中计算机使用益处的理解,特别是对于在精神科医院工作的女性和年长员工。
为避免医护人员在信息社会中被排除在外,并确保他们有能力指导患者如何使用计算机或评估网上健康信息的质量,应确保医护人员在精神卫生和精神科护理中使用计算机的能力和积极性。