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信息与通信技术对护士留职率的影响

[The impact of information and communication technologies on nurse retention].

作者信息

Gagnon Marie-Pierre, Breton Erik, Paré Guy, Courcy François, Côté José, Trépanier Amélie, Fortin Jean-Paul, Rouillon F

机构信息

Centre de recherche du CHU de Québec, Hôpital Saint-François d'Assise, Québec, Canada.

出版信息

Sante Publique. 2013 May-Jun;25(3):305-13.

Abstract

AIM

The purpose of this study was to determine the potential impact of information and communication technologies (ICTs) on nursing practice and nurse retention in remote, intermediate and peripheral regions of Quebec, Canada.

METHODS

A qualitative study using semi-structured interviews (n=21) was conducted among nursing managers from 16 health and social services centers (French acronym: CSSS) in the province of Quebec.

RESULTS

The study found that a range of ICT applications are used, though not to the same extent in all organizations. The participants assessed the impact of computerization and telehealth applications on nursing practice and emphasized the relationships between telehealth and nurse retention, particularly through professional development. The participants also reported that ICTs can have different impacts on nurse retention (i.e. little or no impact, unclear impact, or indirect positive impact).

CONCLUSIONS

The main findings indicate significant heterogeneity, both in terms of the nursing shortage and in terms of the integration of ICT in nursing practice. While focusing on a comparative approach, future research should further explore the impact of ICT on nursing practice and, indirectly, on nurse retention, which requires a contextual approach to ICT applications and workplaces and an analysis of staff characteristics.

摘要

目的

本研究旨在确定信息通信技术(ICTs)对加拿大魁北克偏远、中部和周边地区护理实践及护士留职率的潜在影响。

方法

对魁北克省16个卫生和社会服务中心(法语缩写:CSSS)的护理管理人员进行了一项采用半结构化访谈的定性研究(n = 21)。

结果

研究发现,一系列ICT应用均有使用,但在所有组织中的使用程度不尽相同。参与者评估了计算机化和远程医疗应用对护理实践的影响,并强调了远程医疗与护士留职率之间的关系,特别是通过专业发展。参与者还报告称,ICTs对护士留职率可能有不同影响(即影响很小或没有影响、影响不明确或有间接积极影响)。

结论

主要研究结果表明,在护理短缺以及ICT在护理实践中的整合方面均存在显著异质性。在采用比较方法的同时,未来研究应进一步探讨ICT对护理实践的影响,并间接探讨其对护士留职率的影响,这需要针对ICT应用和工作场所采用情境化方法,并对员工特征进行分析。

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