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护理信息系统中的信息处理:来自一个发展中国家的评估研究。

Information Processing in Nursing Information Systems: An Evaluation Study from a Developing Country.

作者信息

Samadbeik Mahnaz, Shahrokhi Nafiseh, Saremian Marzieh, Garavand Ali, Birjandi Mahdi

机构信息

Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran.

Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.

出版信息

Iran J Nurs Midwifery Res. 2017 Sep-Oct;22(5):377-382. doi: 10.4103/ijnmr.IJNMR_201_16.

Abstract

BACKGROUND

In recent years, information technology has been introduced in the nursing departments of many hospitals to support their daily tasks. Nurses are the largest end user group in Hospital Information Systems (HISs). This study was designed to evaluate data processing in the Nursing Information Systems (NISs) utilized in many university hospitals in Iran.

METHODS AND MATERIALS

This was a cross-sectional study. The population comprised all nurse managers and NIS users of the five training hospitals in Khorramabad city ( = 71). The nursing subset of HIS-Monitor questionnaire was used to collect the data. Data were analyzed by the descriptive-analytical method and the inductive content analysis.

RESULTS

The results indicated that the nurses participating in the study did not take a desirable advantage of paper (2.02) and computerized (2.34) information processing tools to perform nursing tasks. Moreover, the less work experience nurses have, the further they utilize computer tools for processing patient discharge information. The "readability of patient information" and "repetitive and time-consuming documentation" were stated as the most important expectations and problems regarding the HIS by the participating nurses, respectively.

CONCLUSIONS

The nurses participating in the present study used to utilize paper and computerized information processing tools together to perform nursing practices. Therefore, it is recommended that the nursing process redesign coincides with NIS implementation in the health care centers.

摘要

背景

近年来,许多医院的护理部门引入了信息技术来支持日常工作。护士是医院信息系统(HIS)中最大的终端用户群体。本研究旨在评估伊朗许多大学医院所使用的护理信息系统(NIS)中的数据处理情况。

方法与材料

这是一项横断面研究。研究对象包括克尔曼沙阿市五家培训医院的所有护士经理和NIS用户(n = 71)。采用HIS-监测问卷的护理子量表收集数据。数据采用描述性分析方法和归纳性内容分析法进行分析。

结果

结果表明,参与研究的护士在执行护理任务时,未充分利用纸质(2.02)和计算机化(2.34)信息处理工具。此外,护士的工作经验越少,在处理患者出院信息时越依赖计算机工具。参与研究的护士分别将“患者信息的可读性”和“重复且耗时的记录”列为对HIS最重要的期望和问题。

结论

参与本研究的护士过去常常同时使用纸质和计算机化信息处理工具来开展护理工作。因此,建议在医疗保健中心,护理流程的重新设计应与NIS的实施同步进行。

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Two-stage evaluation of the impact of a nursing information system in Taiwan.
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