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护士的准备情况与电子健康记录。

Nurses readiness and electronic health records.

作者信息

Habibi-Koolaee Mahdi, Safdari Reza, Bouraghi Hamid

机构信息

Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.

Department of Librarianship and Medical Information, Hamadan University of Medical Sciences& Health Services, Hamadan, Iran ; Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Acta Inform Med. 2015 Apr;23(2):105-7. doi: 10.5455/aim.2015.23.105-107. Epub 2015 Apr 14.

Abstract

BACKGROUND

The importance of the electronic health records in health care well known to everybody, as well as, the role of nurses to provide clinical care; they have a valuable role in successful implementation of electronic systems. The aim of this paper is to assess the nurses' readiness for EHR implementation.

METHODS AND MATERIALS

This was a descriptive cross sectional study, conducted in 2013. Using cluster sampling, 310 nurses selected from teaching hospitals at Tehran University of Medical Sciences (TUMS). A self-structured questionnaire was used for gathering data. Data management and analysis was performed using SPSS for windows by using descriptive statistics.

RESULTS

85.9% of nurses, participated in the study. The Microsoft Word (58.8%) was the higher level of skill according to ICDL. The mean of computer skills, knowledge and attitude of nurses towards EHR was 43.4%, 51.2% and 65.2%, respectively. In overall, the mean of readiness of nurses was 57.2%. Establish proper communication among providers and prevent duplications was the most positive attitude and complexity of service delivery was the most negative attitude toward EHR.

CONCLUSION

The most obvious finding to emerge from this study is that it should be considered in the education, training and participation of nurses, it should be ensured the level of knowledge and attitude toward EHR and finally, some related courses in Health Information Systems suggested including the curriculum of nursing.

摘要

背景

电子健康记录在医疗保健中的重要性众所周知,护士在提供临床护理方面的作用也是如此;她们在电子系统的成功实施中发挥着重要作用。本文旨在评估护士对电子健康记录实施的准备情况。

方法与材料

这是一项于2013年进行的描述性横断面研究。采用整群抽样法,从德黑兰医科大学(TUMS)的教学医院中选取了310名护士。使用自行编制的问卷收集数据。通过使用描述性统计方法,在SPSS for windows软件上进行数据管理和分析。

结果

85.9%的护士参与了该研究。根据国际计算机使用执照(ICDL),微软Word(58.8%)是技能水平较高的软件。护士对电子健康记录的计算机技能、知识和态度的平均值分别为43.4%、51.2%和65.2%。总体而言,护士的准备情况平均值为57.2%。提供者之间建立适当沟通并防止重复是对电子健康记录最积极的态度,而服务提供的复杂性是对电子健康记录最消极的态度。

结论

本研究最明显的发现是,在护士的教育、培训和参与方面应予以考虑,应确保对电子健康记录的知识水平和态度,最后,建议在健康信息系统中开设一些相关课程,包括护理课程。

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