Moore An'Nita, Fisher Kathleen
Nursing Department, Morgan State University, Baltimore, MD 21251, USA.
Comput Inform Nurs. 2012 Mar;30(3):157-63. doi: 10.1097/NCN.0b013e31823eb73a.
Healthcare information technology in US hospitals and ambulatory care centers continues to expand, and nurses are expected to effectively and efficiently utilize this technology. Researchers suggest that clinical information systems have expanded the realm of nursing to integrate technology as an element as important in nursing practice as the patient or population being served. This study sought to explore how medical surgical nurses make use of healthcare information technology in their current clinical practice and to examine the influence of healthcare information technology on nurses' clinical decision making. A total of eight medical surgical nurses participated in the study, four novice and four experienced. A conventional content analysis was utilized that allowed for a thematic interpretation of participant data. Five themes emerged: (1) healthcare information technology as a care coordination partner, (2) healthcare information technology as a change agent in the care delivery environment, (3) healthcare information technology-unable to meet all the needs, of all the people, all the time, (4) curiosity about healthcare information technology-what other bells and whistles exist, and (5) Big Brother is watching. The results of this study indicate that a new care partnership has emerged as the provision of nursing care is no longer supplied by a single practitioner but rather by a paired team, consisting of nurses and technology, working collaboratively in an interdependent relationship to achieve established goals.
美国医院和门诊护理中心的医疗信息技术持续扩展，护士需要有效且高效地利用这项技术。研究人员指出，临床信息系统拓展了护理领域，将技术纳入护理实践中，使其成为与所服务的患者或人群同等重要的元素。本研究旨在探讨外科护士在当前临床实践中如何运用医疗信息技术，并考察医疗信息技术对护士临床决策的影响。共有八名外科护士参与了该研究，其中四名是新手，四名是经验丰富的护士。采用了传统的内容分析法，以便对参与者的数据进行主题解读。出现了五个主题：（1）医疗信息技术作为护理协调伙伴；（2）医疗信息技术作为护理提供环境中的变革推动者；（3）医疗信息技术无法始终满足所有人的所有需求；（4）对医疗信息技术的好奇——还有哪些其他功能；（5）老大哥在监视。本研究结果表明，随着护理工作不再由单一从业者提供，而是由护士和技术组成的配对团队以相互依存的关系协同工作以实现既定目标，一种新的护理伙伴关系已经出现。
