Ferdousi R, Arab-Zozani M, Tahamtan I, Rezaei-Hachesu P, Dehghani M
School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran.
Int Nurs Rev. 2021 Mar;68(1):59-66. doi: 10.1111/inr.12603. Epub 2020 Jul 1.
This systematic review and meta-analysis evaluates the attitudes of Iranian nurses towards clinical information systems in nursing practice.
Nurses are essential in the successful adoption and implementation of clinical information systems.
A systematic search was performed in Medline, Embase, Cochrane, CINAHL, Scopus, and Web of Science and Farsi databases, to retrieve relevant studies. The methodological quality of the studies is assessed via the Joanna Briggs Institute's critical appraisal checklist for analytical cross-sectional studies. The random effect model was utilized to analyse the data due to the high heterogeneity in the included studies (n = 17).
Results indicate that clinical information systems impact on at least seven aspects of nursing practice, including documentation, patient safety, quality of treatment, communication, treatment management, nursing tasks and hospital resource management. Results also indicated that one aspect of using clinical information systems in nursing practice is satisfaction with the 'quality and design of clinical information systems', such as ease of use and learning, flexibility and software speed.
Clinical information systems can contribute to different aspects of nursing practice. However, their design should improve significantly in order to help nurses perform their professional activities in an efficient and satisfactory manner.
Before the full deployment of clinical information systems, their usability should be tested. In pilot testing, nurses should provide necessary feedback about how well the systems work and improvements needed to meet their professional goals.
本系统评价和荟萃分析评估了伊朗护士对护理实践中临床信息系统的态度。
护士对于临床信息系统的成功采用和实施至关重要。
在Medline、Embase、Cochrane、CINAHL、Scopus、Web of Science和波斯语数据库中进行系统检索，以检索相关研究。通过乔安娜·布里格斯研究所的分析性横断面研究批判性评价清单评估研究的方法学质量。由于纳入研究（n = 17）中存在高度异质性，因此采用随机效应模型分析数据。
结果表明，临床信息系统至少对护理实践的七个方面产生影响，包括记录、患者安全、治疗质量、沟通、治疗管理、护理任务和医院资源管理。结果还表明，在护理实践中使用临床信息系统的一个方面是对“临床信息系统的质量和设计”的满意度，如易用性和学习性、灵活性和软件速度。
临床信息系统可对护理实践的不同方面做出贡献。然而，其设计应显著改进，以帮助护士高效且满意地开展专业活动。
在全面部署临床信息系统之前，应测试其可用性。在试点测试中，护士应就系统的运行情况以及实现其专业目标所需的改进提供必要反馈。
