Oregon Health & Science University, Portland, Oregon 97239, USA.
J Am Med Inform Assoc. 2010 Jan-Feb;17(1):91-8. doi: 10.1197/jamia.M3307.
To analyze the effects that hands-free communication device (HCD) systems have on healthcare organizations from multiple user perspectives.
This exploratory qualitative study recruited 26 subjects from multiple departments in two research sites located in Portland, Oregon: an academic medical center and a community hospital. Interview and observation data were gathered January through March, 2007.
Data were analyzed using a grounded theory approach. Because this study was exploratory, data were coded and patterns identified until overall themes 'emerged'.
Five themes arose: (1) Communication access-the perception that HCD systems provide fast and efficient communication that supports workflow; (2) Control-social and technical considerations associated with use of an HCD system; (3) Training-processes that should be used to improve use of the HCD system; (4) Organizational change-changes to organizational design and behavior caused by HCD system implementation; and (5) Environment and infrastructure-HCD system use within the context of physical workspaces.
HCD systems improve communication access but users experience challenges integrating the system into workflow. Effective HCD use depends on how well organizations train users, adapt to changes brought about by HCD systems, and integrate HCD systems into physical surroundings.
从多个用户角度分析免提通信设备（HCD）系统对医疗保健组织的影响。
本探索性定性研究从俄勒冈州波特兰市的两个研究地点的多个部门招募了 26 名受试者：一个学术医疗中心和一个社区医院。访谈和观察数据于 2007 年 1 月至 3 月收集。
使用扎根理论方法分析数据。由于本研究是探索性的，因此对数据进行了编码，并识别出模式，直到出现总体主题。
出现了五个主题：（1）沟通途径——认为 HCD 系统提供了支持工作流程的快速有效的沟通；（2）控制——与使用 HCD 系统相关的社会和技术考虑因素；（3）培训——应使用哪些流程来提高 HCD 系统的使用；（4）组织变革——HCD 系统实施引起的组织设计和行为变化；（5）环境和基础设施——在物理工作空间中使用 HCD 系统。
HCD 系统提高了沟通途径的便利性，但用户在将系统集成到工作流程中时会遇到挑战。有效的 HCD 使用取决于组织培训用户的效果、适应 HCD 系统带来的变化以及将 HCD 系统集成到物理环境中的能力。
