Eley Robert, Fallon Tony, Soar Jeffrey, Buikstra Elizabeth, Hegney Desley
Centre for Rural and Remote Area Health, University of Southern Queensland, Toowoomba, QLD, Australia.
J Clin Nurs. 2009 Apr;18(8):1151-8. doi: 10.1111/j.1365-2702.2008.02336.x.
To support policy planning for health, the barriers to the use of health information and computer technology (ICT) by nurses in Australia were determined.
Australia, in line with many countries, aims to achieve a better quality of care and health outcomes through effective and innovative use of health information. Nurses form the largest component of the health workforce. Successful adoption of ICT by nurses will be a requirement for success. No national study has been undertaken to determine the barriers to adoption.
A self-administered postal survey was conducted.
A questionnaire was distributed to 10,000 members of the Australian Nursing Federation. Twenty possible barriers to the use of health ICT uptake were offered and responses were given on a five point Likert scale.
Work demands, access to computers and lack of support were the principal barriers faced by nurses to their adoption of the technology in the workplace. Factors that were considered to present few barriers included age and lack of interest. While age was not considered by the respondents to be a barrier, their age was positively correlated with several barriers, including knowledge and confidence in the use of computers.
Results indicate that to use the information and computer technologies being brought into health care fully, barriers that prevent the principal users from embracing those technologies must be addressed. Factors such as the age of the nurse and their level of job must be considered when developing strategies to overcome barriers.
The findings of the present study provide essential information not only for national government and state health departments but also for local administrators and managers to enable clinical nurses to meet present and future job requirements.
为支持卫生政策规划，确定澳大利亚护士使用卫生信息和计算机技术（ICT）的障碍。
与许多国家一样，澳大利亚旨在通过有效和创新地使用卫生信息来提高护理质量和健康成果。护士是卫生人力的最大组成部分。护士成功采用ICT将是取得成功的必要条件。尚未进行全国性研究来确定采用的障碍。
进行了一项自填式邮寄调查。
向澳大利亚护士联合会的10000名成员分发了问卷。列出了20个可能阻碍采用卫生ICT的因素，并要求受访者按李克特五点量表作答。
工作需求、计算机使用机会和缺乏支持是护士在工作场所采用该技术时面临的主要障碍。被认为几乎没有障碍的因素包括年龄和缺乏兴趣。虽然受访者认为年龄不是障碍，但他们的年龄与几个障碍呈正相关，包括计算机使用知识和信心。
结果表明，要充分利用引入医疗保健领域的信息和计算机技术，必须消除阻碍主要用户接受这些技术的障碍。在制定克服障碍的策略时，必须考虑护士的年龄及其工作水平等因素。
本研究结果不仅为国家政府和州卫生部门，也为地方管理人员和经理提供了重要信息，使临床护士能够满足当前和未来的工作要求。
