Turner Michelle P
Niehoff School of Nursing, Loyola University, Chicago, IL, USA.
Comput Inform Nurs. 2010 Sep-Oct;28(5):291-6. doi: 10.1097/NCN.0b013e3181ec23fe.
Institutions using a clinical information system which feeds an electronic medical record system must consider evaluation programs that measure the nurse's ability to use and understand the clinical data in the clinical information system. By measuring and tracking the nurse's level of computer literacy, training programs and system enhancements can be better designed. A well-designed system will lead to improved system acceptance and higher adoption rates. There is a need for a defined system implementation strategy that includes nursing staff assessment and system training formulated to fit the specific literacy levels of the majority users of the clinical information system, the nursing staff. Computer literacy in relation to the use of clinical information systems and electronic medical record adoption is the focus of this article. If a strategy based on Benner's novice to expert theory is implemented, computer literacy among frontline users could be assessed, and appropriate education and training programs can be developed. Ultimately, these programs would promote positive perception of the clinical information system, which would result in a better adoption rate of the electronic medical record.
使用为电子病历系统提供数据的临床信息系统的机构，必须考虑评估程序，以衡量护士使用和理解临床信息系统中临床数据的能力。通过测量和跟踪护士的计算机素养水平，可以更好地设计培训计划和系统改进措施。设计良好的系统将提高系统的接受度和采用率。需要有一个明确的系统实施策略，其中包括护理人员评估和系统培训，这些培训是为适应临床信息系统的大多数用户（即护理人员）的特定素养水平而制定的。本文重点关注与临床信息系统使用和电子病历采用相关的计算机素养。如果实施基于本纳新手到专家理论的策略，可以评估一线用户的计算机素养，并制定适当的教育和培训计划。最终，这些计划将促进对临床信息系统的积极认知，从而提高电子病历的采用率。
