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台湾地区护理信息系统的多方法评估

The multimethod evaluation of a nursing information system in taiwan.

作者信息

Lee Ting-Ting, Mills Mary Etta E, Lu Ming-Huei

机构信息

National Taipei College of Nursing, Taiwan, Mackay Memorial Hospital, Taiwan.

出版信息

Comput Inform Nurs. 2009 Jul-Aug;27(4):245-53. doi: 10.1097/NCN.0b013e3181a91b90.

Abstract

The purpose of this study was to evaluate the impact of a nursing information system on nurses' daily practice. A multimethod evaluation was used that combined both quantitative and qualitative approaches to explore the influence of this technology from different perspectives. The data collection methods included the following: an evaluation scale of the system function, focus group interviews about the users' experiences, and work sampling observation of their work pattern. The data were collected from October to December 2006. The data analysis contained 623 valid questionnaires, 24 nurses' interview content, and 22830 observed nursing activities. Overall, the results indicated that nurses gave a positive evaluation of the technology in their work routine. However, they were concerned about the inadequacy of the hardware devices and response time, training and workflow change, and personal interactions with physicians and patients. Nurses on the night shift spent more time on documentation than on any other nursing activities during the three shifts. The users' technology adoption could be attributed to device sufficiency and function, content design, and workflow efficiency. It is recommended that organizations provide sufficient computer devices, ensure the content design for nursing documentation, and implement expectations for interdisciplinary cooperation.

摘要

本研究的目的是评估护理信息系统对护士日常工作的影响。采用了一种多方法评估,结合定量和定性方法从不同角度探讨该技术的影响。数据收集方法包括:系统功能评估量表、关于用户体验的焦点小组访谈以及对其工作模式的工作抽样观察。数据于2006年10月至12月收集。数据分析包含623份有效问卷、24名护士的访谈内容以及22830次观察到的护理活动。总体而言,结果表明护士对该技术在其日常工作中的评价是积极的。然而,他们担心硬件设备不足和响应时间、培训和工作流程变化以及与医生和患者的人际互动。在三个班次中,夜班护士在记录方面花费的时间比在任何其他护理活动上花费的时间都多。用户对该技术的采用可归因于设备充足性和功能、内容设计以及工作流程效率。建议组织提供足够的计算机设备,确保护理记录的内容设计,并落实跨学科合作的期望。

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