Di Pietro Tammie Leigh, Nguyen Ha, Doran Diane M
Lawrence S. Bloomberg, Faculty of Nursing, University of Toronto, ON, Canada.
Comput Inform Nurs. 2012 Aug;30(8):440-8. doi: 10.1097/NXN.0b013e31824af6c0.
Usability evaluations are necessary to determine the feasibility of nurses' interactions with computerized clinical decision-support systems. Limitations and challenges of operations that inhibit or facilitate utilization in clinical practice can be identified. This study provided nurses with mobile information terminals, PDAs and tablet PCs, to improve point-of-care access to information. The purpose of this study was to determine usability issues associated with point-of-care technology. Eleven nurses were self-selected. Nurses were videotaped and audiotaped completing four tasks, including setting up the device and three resource search exercises. A research team member completed a usability checklist. Completion times for each task, success rate, and challenges experienced were documented. Four participants completed all tasks, with an average time of 3 minutes 22 seconds. Three participants were unable to complete any of the three tasks. Navigating within resources caused the greatest occurrence of deviations with 39 issues among all participants. Results of the usability evaluation suggest that nurses require a device that (1) is manageable to navigate and (2) utilizes a user-friendly interface, such as a one-time log-in system. Usability testing can be helpful to organizations as they document issues to be cognizant of during the implementation process, increasing the potential for successful implementation and sustained usability.
可用性评估对于确定护士与计算机化临床决策支持系统交互的可行性至关重要。可以识别出在临床实践中抑制或促进其使用的操作的局限性和挑战。本研究为护士提供了移动信息终端、个人数字助理(PDA)和平板电脑,以改善即时护理时的信息获取。本研究的目的是确定与即时护理技术相关的可用性问题。11名护士自行报名参加。对护士完成四项任务(包括设置设备和三项资源搜索练习)的过程进行了录像和录音。一名研究团队成员完成了一份可用性检查表。记录了每项任务的完成时间、成功率以及遇到的挑战。4名参与者完成了所有任务,平均用时3分22秒。3名参与者无法完成三项任务中的任何一项。在资源中导航导致所有参与者出现偏差的情况最多,共39个问题。可用性评估结果表明,护士需要一种(1)易于操作导航且(2)使用用户友好界面(如一次性登录系统)的设备。可用性测试对各机构可能有所帮助,因为它们可以记录在实施过程中需要注意的问题,从而增加成功实施和持续可用性的可能性。