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社区护理中电子健康记录的形成性和总结性评估。

A formative and summative evaluation of an electronic health record in community nursing.

作者信息

Doran Diane, Bloomberg Lawrence S, Reid-Haughian Cheryl, Cafazzo Joseph

机构信息

Scientific Director, Nursing Health Services Research Unit (University of Toronto site).

出版信息

NI 2012 (2012). 2012 Jun 23;2012:98. eCollection 2012.

PMID:24199063
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3799176/
Abstract

Implementation of an electronic health record (EHR) system is generally believed to improve the quality of patient care. However due to the variability of systems and users, there is little agreement on successful implementation. The purpose of this research is to evaluate the implementation of a BlackBerry hosted application enabling wireless documentation and access to electronic decision support resources in one home care agency in Ontario. Through mixed-methods including surveys, corporate data collection and interviews, this study investigates nurses' perceptions of barriers and facilitators to adoption of the electronic clinical information system. Early results highlight usability, organizational culture, evidence-based practice, and factors influencing nurses' adaptation of this electronic clinical information system.

摘要

人们普遍认为,实施电子健康记录(EHR)系统可提高患者护理质量。然而,由于系统和用户的多样性,对于成功实施该系统几乎没有一致的看法。本研究的目的是评估一款黑莓托管应用程序在安大略省一家家庭护理机构中的实施情况,该应用程序可实现无线记录并访问电子决策支持资源。通过包括调查、公司数据收集和访谈在内的混合方法,本研究调查了护士对采用电子临床信息系统的障碍和促进因素的看法。早期结果突出了可用性、组织文化、循证实践以及影响护士采用此电子临床信息系统的因素。

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本文引用的文献

1
What's in a name? Qualitative description revisited.名称的含义是什么?重新审视定性描述。
Res Nurs Health. 2010 Feb;33(1):77-84. doi: 10.1002/nur.20362.
2
Barriers and facilitators to electronic documentation in a rural hospital.乡村医院电子病历记录的障碍与促进因素
J Nurs Scholarsh. 2009;41(3):293-300. doi: 10.1111/j.1547-5069.2009.01278.x.
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The emerging role of PDAs in information use and clinical decision making.个人数字助理在信息利用和临床决策中的新作用。
Evid Based Nurs. 2009 Apr;12(2):35-8. doi: 10.1136/ebn.12.2.35.
4
Supporting nurse decision making in primary care: exploring use of and attitude to decision tools.支持基层医疗中的护士决策:探索决策工具的使用情况及态度。
Health Informatics J. 2009 Mar;15(1):5-16. doi: 10.1177/1460458208099864.
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Personal digital assistant use by nurse practitioners: a descriptive study.执业护士使用个人数字助理:一项描述性研究。
J Am Acad Nurse Pract. 2009 Jan;21(1):31-8. doi: 10.1111/j.1745-7599.2008.00368.x.
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Value of wireless personal digital assistants for practice: perceptions of advanced practice nurses.无线个人数字助理在实践中的价值:高级执业护士的看法。
J Clin Nurs. 2008 Aug;17(16):2146-54. doi: 10.1111/j.1365-2702.2008.02351.x.
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The use of handheld technology in nursing research and practice.手持技术在护理研究与实践中的应用。
Orthop Nurs. 2007 Jul-Aug;26(4):251-5. doi: 10.1097/01.NOR.0000284655.62377.d9.
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Evidence in the palm of your hand: development of an outcomes-focused knowledge translation intervention.手中的证据:以结果为导向的知识转化干预措施的制定
Worldviews Evid Based Nurs. 2007;4(2):69-77. doi: 10.1111/j.1741-6787.2007.00084.x.
9
The impact of converting to an electronic health record on organizational culture and quality improvement.转换为电子健康记录对组织文化和质量改进的影响。
Int J Med Inform. 2007 Jun;76 Suppl 1:S174-83. doi: 10.1016/j.ijmedinf.2006.05.016. Epub 2006 Jul 14.
10
Knowledge in the Palm of your hands: PDAs in the clinical setting.知识尽在掌握:临床环境中的个人数字助理
Health Info Libr J. 2006 Mar;23(1):51-9. doi: 10.1111/j.1471-1842.2006.00621.x.