Saxion University of Applied Sciences, M.H. Tromplaan 28, 7513 AB Enschede, The Netherlands.
Int J Med Inform. 2012 Oct;81(10):662-73. doi: 10.1016/j.ijmedinf.2012.07.006. Epub 2012 Aug 13.
Providing access to patient information is the key factor in nurses' adoption of a Nursing Information System (NIS). In this study the requirements for information quality and the perceived quality of information are investigated. A teaching hospital in the Netherlands has developed a NIS as a module of the Hospital Information System. After the NIS was implemented in six wards in March 2009, the NIS was evaluated.
A paper questionnaire was distributed among all 195 nurses, who used the system. Included in the research were 93 (48%) respondents. Also twelve NIS-users were interviewed, using the USE IT-model.
Nurses express a broad need for information of each patient. Although the history is essential, the information needs are not very specified. They expect complete, correct, up-to-date and accessible information of each patient. The information quality of the NIS is satisfactory, but needs improvement. Since the achieved quality of information depends largely on the data-entry by the nurses themselves, a controversy exists between the required information quality and the effort needed to accomplish this.
The aspect of data-entry by the user of the information is not included in Information Quality-literature. To further increase the quality of information, a redesign of both process and system seems necessary, which reduces the information needs of nurses and rewards the nurse for accurate data-entry.
提供患者信息访问是护士采用护理信息系统(NIS)的关键因素。本研究调查了信息质量要求和感知信息质量。荷兰的一家教学医院开发了一个 NIS,作为医院信息系统的一个模块。2009 年 3 月,该系统在六个病房实施后,对其进行了评估。
向所有使用该系统的 195 名护士分发了纸质问卷。共有 93 名(48%)受访者参与了研究。还对 12 名 NIS 用户进行了访谈,使用了 USE IT 模型。
护士表示对每位患者的信息有广泛的需求。虽然病史是必不可少的,但信息需求并不是非常具体。他们期望每位患者的信息完整、正确、最新且可访问。NIS 的信息质量令人满意,但仍需改进。由于信息的质量在很大程度上取决于护士自己的数据录入,因此在所需的信息质量和完成此任务所需的努力之间存在争议。
用户录入数据的方面并未包含在信息质量文献中。为了进一步提高信息质量,似乎需要对流程和系统进行重新设计,这可以减少护士的信息需求,并对准确的数据录入进行奖励。