Abdrbo Amany A, Hudak Christine A, Anthony Mary K, Douglas Sara L
Nursing Administration Department, Nursing Faculty, Cairo University, Egypt.
Comput Inform Nurs. 2011 Jan-Feb;29(1):59-65. doi: 10.1097/NCN.0b013e3181f9da22.
Contemporary forces, including the growing nursing shortage, the aging population, and the emphasis on patient safety, are increasing the pressure on healthcare facilities to use information systems to achieve better outcomes. Use of information systems improves nurses' ability to make decisions in a timely manner; however, nurses are still reluctant about or avoiding using information systems in their daily work. The purpose of this study was to explore the relationships among age, nursing education, computer experience, user involvement in implementation, nursing management support to use information systems, nurses' information system use, and information system outcomes (benefits and satisfaction). The study used an input-process-outcome framework, a descriptive correlational design, and a mailed survey with a random sample of staff nurses. Computer experience, user involvement, and nursing management support were found to significantly explain information system use. In addition, information system use was found to significantly explain nurses' perception of the benefits of using information systems and their satisfaction with using information systems. These results assist nursing administrators and leaders to change and/or restructure the appropriate work environment to enhance nurses' information system use and increase their satisfaction, thereby improving patient outcomes.
当代的一些因素,包括日益严重的护士短缺、人口老龄化以及对患者安全的重视,正给医疗机构带来越来越大的压力,促使其利用信息系统来实现更好的效果。信息系统的使用提高了护士及时做出决策的能力;然而,护士在日常工作中仍对使用信息系统有所抵触或回避。本研究的目的是探讨年龄、护理教育、计算机经验、用户在实施过程中的参与度、护理管理对使用信息系统的支持、护士对信息系统的使用以及信息系统的效果(效益和满意度)之间的关系。该研究采用了输入-过程-结果框架、描述性相关设计,并对注册护士随机抽样进行邮寄调查。研究发现,计算机经验、用户参与度和护理管理支持能显著解释信息系统的使用情况。此外,还发现信息系统的使用能显著解释护士对使用信息系统效益的认知以及他们对使用信息系统的满意度。这些结果有助于护理管理人员和领导者改变和/或重组适当的工作环境,以提高护士对信息系统的使用并增加他们的满意度,从而改善患者的治疗效果。