Jeddi Fatemeh Rangraz, Hajbaghery Mohsen Adib, Akbari Hossein, Esmaili Soheila
Ph.D. of Health Information Management, Associate Professor, Health Information Management Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Ph.D. of Nursing, Professor, Department of Medical-Surgical Nursing, School of Nursing, Kashan University of Medical Sciences, Kashan, Iran.
Electron Physician. 2016 Sep 20;8(9):2942-2949. doi: 10.19082/2942. eCollection 2016 Sep.
A successful implementation of an information system is impossible without sufficient knowledge of available technical resources of an institute. The aim of this study was to determine technical feasibility of a nursing clinical information system (NCIS) in Mazandaran province, Iran, 2015.
This cross-sectional study was conducted in three steps. In the first step, a data gathering tool was developed through an unsystematic literature review. In the second step, a questionnaire was developed and validity of the tool was confirmed by receiving opinions of faculty members and calculating indices of Content Validity Index (CVI) and Content Validity Ratio (CVR). The questionnaire reliability was confirmed by calculating Cronbach's alpha coefficient (α= 0.72). In the third step, the feasibility of implementation of NCIS was evaluated by forming a panel of IT experts (n= 30), and through a questionnaire. Data were collected by 5-point Likert scale, very low to very high (scoring 1-5). Scores of each item were calculated and score percentage was determined. Chi-square and Fisher Exact tests were used.
Maximum possibility of implementing NCIS were in the hardware area, additional equipment (92.6%), in the area of software, financial software (99.4%), in the area of network equipment, the possibility of integration with other internal systems, (92.6%) and in the area of network security, the possibility of backup version for security purposes (97.4%). Type of employment was statistically significant according to IT experts' opinions (p= 0.014).
Hardware and software infrastructures for implementation of NCIS were desirable. The provision of more portable computers, advanced equipment such as barcode scanner, Radio-frequency identification (RFID), some approaches for increase accessibility of the system and essential databases from other resources and also increase of network lines' speed are necessary.
如果对机构现有的技术资源缺乏足够了解,就不可能成功实施信息系统。本研究的目的是确定2015年伊朗马赞德兰省护理临床信息系统(NCIS)的技术可行性。
本横断面研究分三个步骤进行。第一步,通过非系统的文献综述开发数据收集工具。第二步,编制问卷,并通过征求教师意见以及计算内容效度指数(CVI)和内容效度比(CVR)来确认该工具的有效性。通过计算克朗巴哈系数(α=0.72)来确认问卷的信度。第三步,组建一个由30名信息技术专家组成的小组,并通过问卷评估NCIS实施的可行性。数据采用5分李克特量表收集,从非常低到非常高(评分1 - 5)。计算每个项目的得分并确定得分百分比。使用卡方检验和费舍尔精确检验。
实施NCIS的最大可能性在于硬件领域的额外设备(92.6%)、软件领域的财务软件(99.4%)、网络设备领域与其他内部系统集成的可能性(92.6%)以及网络安全领域出于安全目的提供备份版本的可能性(97.4%)。根据信息技术专家的意见,就业类型具有统计学意义(p = 0.014)。
实施NCIS的硬件和软件基础设施是理想的。需要提供更多便携式计算机、先进设备如条形码扫描仪、射频识别(RFID),一些提高系统和重要数据库从其他资源可访问性的方法,以及提高网络线路速度。