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从护士角度看约旦医院使用电子病历的障碍与促进因素:一项全国性调查。

Barriers and facilitators to using electronic healthcare records in Jordanian hospitals from the nurses' perspective: A national survey.

作者信息

Al-Rawajfah Omar, Tubaishat Ahmad

机构信息

a Department of Adult Health and Critical Care , Sultan Qaboos University College of Nursing , Muscat , Oman.

b Faculty of Nursing , AL AL-Bayt University, Adult Health Nursing , Mafraq , Jordan.

出版信息

Inform Health Soc Care. 2019 Jan;44(1):1-11. doi: 10.1080/17538157.2017.1353998. Epub 2017 Aug 22.

DOI:10.1080/17538157.2017.1353998
PMID:28829654
Abstract

BACKGROUND

Jordan is currently taking significant steps to implement electronic healthcare records (EHRs) in hospitals.

PURPOSE

To explore Jordanian nurses' views on the factors which act as barriers or facilitators to implementing EHRs in the country's hospitals.

METHODS

A descriptive, cross-sectional design was used to obtain a sample of nurses working in Jordanian hospitals. The study utilized a tool used by the American Hospital Association.

RESULTS

The final sample consisted of 2,793 nurses from 26 hospitals. 62.4% of these were working in governmental hospitals, 58.9% were female, and the mean age of the nurses was 30.3 years (SD = 6.2). Incentives to purchase EHRs, the availability of technical assistance, and additional reimbursement for the use of EHRs were the most common facilitating factors identified, while the economic burden of purchasing EHRs, a lack of information technology staff, and disruption to clinical care were the most common barriers.

CONCLUSION

Future projects for implementing EHR systems in Jordan should consider the facilitators and barriers identified.

摘要

背景

约旦目前正在采取重大举措在医院实施电子健康记录(EHR)。

目的

探讨约旦护士对该国医院实施电子健康记录的阻碍因素和促进因素的看法。

方法

采用描述性横断面设计,对约旦医院的护士进行抽样。该研究使用了美国医院协会所使用的工具。

结果

最终样本包括来自26家医院的2793名护士。其中62.4%在政府医院工作,58.9%为女性,护士的平均年龄为30.3岁(标准差=6.2)。购买电子健康记录的激励措施、技术援助的可获得性以及使用电子健康记录的额外报销是最常见的促进因素,而购买电子健康记录的经济负担、信息技术人员短缺以及临床护理中断是最常见的障碍。

结论

约旦未来实施电子健康记录系统的项目应考虑已确定的促进因素和障碍。

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