HPX, Dallas, Texas 76051, USA.
J Nurs Adm. 2010 Oct;40(10):432-9. doi: 10.1097/NNA.0b013e3181f2eb3f.
To assess the impact of new technology on nurse workflow, nurses at 2 hospitals were observed before and after implementation of an electronic medication charting system. In part 1 (September 2010 issue), we discussed the chaotic nature of nurse activities and its implications on transforming workflow.
Numerous studies have documented the impact of technology on performance and satisfaction, but technology's impact on the frequency, duration, and pattern of activities is less understood. These patterns are important to the development of new care models.
Observers shadowed nurses at 2 hospitals before and after the implementation of an electronic medication charting system. A total of 196 hours of observation was recorded at one site, and 185 hours at the other site.
Analysis of variance revealed a number of significant differences in the time spent on a variety of activities, but the duration and frequency of nurse activities were not drastically altered by the additional technology.
Computer use increased; however, the impact was evenly distributed among other activities. More importantly, time with patients and verbal communication remained unchanged as nurses seemed to incorporate the new requirements into their normal routine.
评估新技术对护士工作流程的影响。在实施电子医嘱系统前后，对 2 家医院的护士进行了观察。在第 1 部分（2010 年 9 月刊）中，我们讨论了护士活动的混乱性质及其对工作流程转变的影响。
许多研究记录了技术对绩效和满意度的影响，但技术对活动的频率、持续时间和模式的影响了解较少。这些模式对于开发新的护理模式很重要。
观察者在实施电子医嘱系统前后对 2 家医院的护士进行了观察。一个地点记录了 196 小时的观察，另一个地点记录了 185 小时的观察。
方差分析显示，在各种活动上花费的时间存在许多显著差异，但护士活动的持续时间和频率并没有因额外的技术而发生巨大变化。
计算机使用增加了；然而，其影响在其他活动中均匀分布。更重要的是，护士与患者在一起的时间和口头交流保持不变，因为护士似乎将新的要求融入了他们的正常工作中。
