Rouleau Geneviève, Gagnon Marie-Pierre, Côté José, Payne-Gagnon Julie, Hudson Emilie, Dubois Carl-Ardy
Faculty of Nursing Sciences, Université Laval, Quebec, QC, Canada.
Research Center of the Centre Hospitalier de l'Université de Montréal, Research Chair in Innovative Nursing Practices, Montreal, QC, Canada.
J Med Internet Res. 2017 Apr 25;19(4):e122. doi: 10.2196/jmir.6686.
BACKGROUND: Information and communication technologies (ICTs) are becoming an impetus for quality health care delivery by nurses. The use of ICTs by nurses can impact their practice, modifying the ways in which they plan, provide, document, and review clinical care. OBJECTIVE: An overview of systematic reviews was conducted to develop a broad picture of the dimensions and indicators of nursing care that have the potential to be influenced by the use of ICTs. METHODS: Quantitative, mixed-method, and qualitative reviews that aimed to evaluate the influence of four eHealth domains (eg, management, computerized decision support systems [CDSSs], communication, and information systems) on nursing care were included. We used the nursing care performance framework (NCPF) as an extraction grid and analytical tool. This model illustrates how the interplay between nursing resources and the nursing services can produce changes in patient conditions. The primary outcomes included nurses' practice environment, nursing processes, professional satisfaction, and nursing-sensitive outcomes. The secondary outcomes included satisfaction or dissatisfaction with ICTs according to nurses' and patients' perspectives. Reviews published in English, French, or Spanish from January 1, 1995 to January 15, 2015, were considered. RESULTS: A total of 5515 titles or abstracts were assessed for eligibility and full-text papers of 72 articles were retrieved for detailed evaluation. It was found that 22 reviews published between 2002 and 2015 met the eligibility criteria. Many nursing care themes (ie, indicators) were influenced by the use of ICTs, including time management; time spent on patient care; documentation time; information quality and access; quality of documentation; knowledge updating and utilization; nurse autonomy; intra and interprofessional collaboration; nurses' competencies and skills; nurse-patient relationship; assessment, care planning, and evaluation; teaching of patients and families; communication and care coordination; perspectives of the quality of care provided; nurses and patients satisfaction or dissatisfaction with ICTs; patient comfort and quality of life related to care; empowerment; and functional status. CONCLUSIONS: The findings led to the identification of 19 indicators related to nursing care that are impacted by the use of ICTs. To the best of our knowledge, this was the first attempt to apply NCPF in the ICTs' context. This broad representation could be kept in mind when it will be the time to plan and to implement emerging ICTs in health care settings. TRIAL REGISTRATION: PROSPERO International Prospective Register of Systematic Reviews: CRD42014014762; http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42014014762 (Archived by WebCite at http://www.webcitation.org/6pIhMLBZh).
背景:信息通信技术(ICTs)正成为护士提供优质医疗服务的动力。护士对ICTs的使用会影响其实践,改变她们计划、提供、记录和评估临床护理的方式。 目的:进行系统综述概述,以全面了解护理维度和指标,这些维度和指标有可能受到ICTs使用的影响。 方法:纳入旨在评估四个电子健康领域(如管理、计算机化决策支持系统[CDSSs]、通信和信息系统)对护理影响的定量、混合方法和定性综述。我们使用护理绩效框架(NCPF)作为提取网格和分析工具。该模型说明了护理资源与护理服务之间的相互作用如何导致患者状况的变化。主要结果包括护士的实践环境、护理过程、职业满意度和护理敏感结果。次要结果包括从护士和患者角度对ICTs的满意或不满意。考虑1995年1月1日至2015年1月15日期间以英文、法文或西班牙文发表的综述。 结果:共评估了5515篇标题或摘要的资格,检索了72篇文章的全文进行详细评估。发现2002年至2015年期间发表的22篇综述符合纳入标准。许多护理主题(即指标)受到ICTs使用的影响,包括时间管理;花在患者护理上的时间;记录时间;信息质量和获取;记录质量;知识更新和利用;护士自主性;专业内和专业间协作;护士的能力和技能;护患关系;评估、护理计划和评估;对患者及其家属的教育;沟通和护理协调;对所提供护理质量的看法;护士和患者对ICTs的满意或不满意;与护理相关的患者舒适度和生活质量;赋权;以及功能状态。 结论:研究结果确定了19项与护理相关的指标,这些指标受到ICTs使用的影响。据我们所知,这是首次尝试在ICTs背景下应用NCPF。在计划和实施医疗保健环境中新兴的ICTs时,可以牢记这一广泛的表现形式。 试验注册:PROSPERO国际系统综述前瞻性注册库:CRD42014014762;http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42014014762(由WebCite存档于http://www.webcitation.org/6pIhMLBZh)
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