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发展中国家电子病历(EPR)系统与护士管理需求的兼容性评估。

The evaluation of the compatibility of electronic patient record (EPR) system with nurses' management needs in a developing country.

作者信息

Kahouei Mehdi, Zadeh Jamileh Mahdi, Roghani Panoe Seyed

机构信息

Research Center for Social Determinants of Health, Health Information Technology Department, Nursing and Allied Health Faculty, Semnan University of Medical Sciences, Semnan, Iran.

Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran.

出版信息

Int J Med Inform. 2015 Apr;84(4):263-70. doi: 10.1016/j.ijmedinf.2014.12.006. Epub 2015 Jan 7.

Abstract

INTRODUCTION

In a developing country like Iran, wasting economic resources has a number of negative consequences. Therefore, it is crucial that problems of introducing new electronic systems be identified and addressed early to avoid failure of the programs. The purpose of this study was to evaluate head nurses' and supervisors' perceptions about the efficiency of the electronic patient record (EPR) system and its impact on nursing management tasks in order to provide useful recommendations.

METHODS

This descriptive study was performed in teaching hospitals affiliated to Semnan University of Medical Sciences, Iran. An anonymous self-administered questionnaire was developed. Head nurses and supervisors were included in this study.

RESULTS

It was found that the EPR system was immature and was not proportionate to the operational level. Moreover, few head nurses and supervisors agreed on the benefits of the EPR system on the performance of their duties such as planning, organizing, budgeting, and coordinating.

CONCLUSION

It is concluded that in addition to the technical improvements, the social and cultural factors should be considered to improve the acceptability of electronic systems through social marketing in the different aspects of nursing management. It is essential that health information technology managers emphasize on training head nurses and supervisors to design technology corresponding to their needs rather than to accept poorly designed technology.

摘要

引言

在伊朗这样的发展中国家,浪费经济资源会产生诸多负面后果。因此,尽早识别并解决引入新电子系统的问题以避免项目失败至关重要。本研究的目的是评估护士长和主管对电子病历(EPR)系统效率及其对护理管理任务影响的看法,以便提供有用的建议。

方法

本描述性研究在伊朗塞姆南医科大学附属教学医院进行。设计了一份匿名的自填式问卷。本研究纳入了护士长和主管。

结果

发现电子病历系统不成熟,与运营水平不相称。此外,很少有护士长和主管认同电子病历系统对其职责履行(如规划、组织、预算编制和协调)的益处。

结论

得出的结论是,除了技术改进外,还应考虑社会和文化因素,通过社会营销在护理管理的不同方面提高电子系统的可接受性。健康信息技术管理人员必须强调培训护士长和主管,以设计符合他们需求的技术,而不是接受设计不佳的技术。

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