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护士对使用电子护理文档系统中挑战的认知

Nurses' Perception of Challenges in the Use of an Electronic Nursing Documentation System.

作者信息

Heidarizadeh Khadijeh, Rassouli Maryam, Manoochehri Houman, Zagheri Tafreshi Mansoureh, Kashef Ghorbanpour Reza

机构信息

Author Affiliations: School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences (Ms Heidarizadeh and Drs Rassouli, Manoochehri, and Zagheri Tafreshi); and Iranian Social Security Organization, Tehran, Iran (Mr Kashef Ghorbanpour).

出版信息

Comput Inform Nurs. 2017 Nov;35(11):599-605. doi: 10.1097/CIN.0000000000000358.

DOI:10.1097/CIN.0000000000000358
PMID:28471763
Abstract

This qualitative study was based on the Technology Acceptance Model and conducted through directed content analysis to explore perceptions of nurses in Iran of the challenges of using an electronic documentation system. Participants were selected through purposive sampling via interview from a teaching hospital in western Iran. Data were analyzed using MAXQDA 10. Data consistency was ensured through validation methods and by the researcher's prolonged engagement in the subject. Twelve codes, four subcategories, and two main categories ("perceived usefulness" and "perceived difficulty") emerged from the analysis of the data based on the Technology Acceptance Model. "Perceived usefulness" consisted of the subcategories "subjective norms" and "experienced benefits"; and "perceived difficulty" contained the subcategories "rationalization" as well as "challenges in accepting change." According to the Technology Acceptance Model, to promote acceptance of this system, the benefits of usage should be highlighted. The biggest hurdle to acceptance is familiarity and comfort with previous methods.

摘要

这项定性研究基于技术接受模型,通过定向内容分析进行,以探究伊朗护士对使用电子文档系统所面临挑战的看法。参与者通过目的抽样法,从伊朗西部的一家教学医院选取并进行访谈。使用MAXQDA 10对数据进行分析。通过验证方法以及研究人员对该主题的长期关注确保了数据的一致性。基于技术接受模型对数据进行分析后,得出了12个编码、4个子类别和2个主要类别(“感知有用性”和“感知困难”)。“感知有用性”由“主观规范”和“体验到的益处”这两个子类别组成;“感知困难”则包含“合理化”以及“接受变革的挑战”这两个子类别。根据技术接受模型,为促进对该系统的接受,应突出使用的益处。接受该系统的最大障碍是对先前方法的熟悉程度和舒适度。

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