解决护士在健康信息技术方面可用性问题的必要性。
The Imperative of Solving Nurses' Usability Problems With Health Information Technology.
作者信息
Staggers Nancy, Elias Beth L, Makar Ellen, Alexander Gregory L
机构信息
Author Affiliations: President and Summit Health Informatics and Adjunct Professor (Dr Staggers), Department of Biomedical Informatics and College of Nursing, University of Utah, Salt Lake City; Associate Professor (Dr Elias), School of Nursing, Virginia Commonwealth University, Richmond; Senior Director (Dr Makar), Professional Practice, INOVA Fairfax Hospital, Virginia; and Professor (Dr Alexander), School of Nursing, University of Missouri Sinclair, Columbia.
出版信息
J Nurs Adm. 2018 Apr;48(4):191-196. doi: 10.1097/NNA.0000000000000598.
BACKGROUND
Health information technology (IT) usability issues are a key concern for nurse executives and nurses.
OBJECTIVES
The aims of this study are to understand usability pain points faced by nurses regarding the use of health IT, identify their impact and importance, discuss responsibilities, and develop possible solutions to improve the health IT-user experience for nurses.
METHODS
Twenty-seven experts were interviewed including nursing leaders, informaticists, executives, engineers, researchers, and human factors experts across acute care, long-term care, and vendor settings. Semistructured questions guided the interviews, and content analysis was used to identify themes.
RESULTS
Four themes emerged: 1) user experience pain points, 2) importance of the issues, 3) the responsibility gap, and 4) acting on usability issues.
CONCLUSION
Nurses continue to endure significant health IT-usability issues that negatively impact patients, nurses, and healthcare organizations. Solutions include enhancing the voice of nursing at the national and local levels, creating a digital strategy for nursing, providing incentives to improve usability in health IT, and accelerating the understanding of nurses' work intended to inform and translate nurses' work into health IT design.
背景
健康信息技术（IT）的可用性问题是护士管理人员和护士的关键关注点。
目的
本研究的目的是了解护士在使用健康信息技术时面临的可用性痛点，确定其影响和重要性，讨论责任，并制定可能的解决方案，以改善护士的健康信息技术用户体验。
方法
采访了27位专家，包括急性护理、长期护理和供应商环境中的护理领导者、信息学家、管理人员、工程师、研究人员和人为因素专家。半结构化问题指导访谈，并使用内容分析来确定主题。
结果
出现了四个主题：1）用户体验痛点，2）问题的重要性，3）责任差距，4）针对可用性问题采取行动。
结论
护士继续忍受重大的健康信息技术可用性问题，这些问题对患者、护士和医疗保健组织产生负面影响。解决方案包括在国家和地方层面增强护理的声音，制定护理数字战略，提供激励措施以改善健康信息技术的可用性，以及加速对护士工作的理解，以便将护士的工作告知并转化为健康信息技术设计。
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