Dowding Dawn, Merrill Jacqueline A, Barrón Yolanda, Onorato Nicole, Jonas Karyn, Russell David
Author Affiliations: School of Health Sciences, University of Manchester, England (Dr Dowding); School of Nursing and Department of Biomedical Informatics, Columbia University, New York (Dr Merrill); Center for Home Care Policy and Research, Visiting Nurse Service of New York (Mss Barrón and Onorato); Rory Meyers College of Nursing, New York University (Ms Jonas); and Department of Sociology, Appalachian State University, Boone, North Carolina (Dr Russell).
Comput Inform Nurs. 2019 Jan;37(1):11-19. doi: 10.1097/CIN.0000000000000484.
The introduction of electronic health records has produced many challenges for clinicians. These include integrating technology into clinical workflow and fragmentation of relevant information across systems. Dashboards, which use visualized data to summarize key patient information, have the potential to address these issues. In this article, we outline a usability evaluation of a dashboard designed for home care nurses. An iterative design process was used, which consisted of (1) contextual inquiry (observation and interviews) with two home care nurses; (2) rapid feedback on paper prototypes of the dashboard (10 nurses); and (3) usability evaluation of the final dashboard prototype (20 nurses). Usability methods and assessments included observation of nurses interacting with the dashboard, the system usability scale, and the Questionnaire for User Interaction Satisfaction short form. The dashboard prototype was deemed to have high usability (mean system usability scale, 73.2 [SD, 18.8]) and was positively evaluated by nurse users. It is important to ensure that technology solutions such as the one proposed in this article are designed with clinical users in mind, to meet their information needs. The design elements of the dashboard outlined in this article could be translated to other electronic health records used in home care settings.
电子健康记录的引入给临床医生带来了诸多挑战。这些挑战包括将技术融入临床工作流程以及相关信息在各系统间的碎片化。仪表盘利用可视化数据汇总关键患者信息，有潜力解决这些问题。在本文中，我们概述了一项针对家庭护理护士设计的仪表盘的可用性评估。采用了迭代设计过程，该过程包括：（1）对两名家庭护理护士进行情境调查（观察和访谈）；（2）对仪表盘纸质原型进行快速反馈（10名护士）；以及（3）对最终仪表盘原型进行可用性评估（20名护士）。可用性方法和评估包括观察护士与仪表盘的交互、系统可用性量表以及用户交互满意度简表问卷。仪表盘原型被认为具有高可用性（系统可用性量表平均分为73.2[标准差，18.8]），并得到了护士用户的积极评价。重要的是要确保本文所提出的这类技术解决方案在设计时考虑到临床用户，以满足他们的信息需求。本文所概述的仪表盘设计元素可转化应用于家庭护理环境中使用的其他电子健康记录。
