Kamil Hajjul, Rachmah Rachmah, Irvanizam Irvanizam, Wardani Elly
Nursing Leadership and Management Department, Faculty of Nursing, Universitas Syiah Kuala, Banda Aceh 23111, Indonesia.
Department of Informatics, Faculty of Mathematic and Nature Sciences, Universitas Syiah Kuala, Banda Aceh 23111, Indonesia.
J Multidiscip Healthc. 2020 Nov 19;13:1649-1656. doi: 10.2147/JMDH.S270740. eCollection 2020.
Continuum of care relies on seamless communication across health professionals. Paper-based integrated patient care documentation is, therefore, obligated in hospitals in Indonesia to standardize information among health providers. However, there are several pitfalls with paper-based documentation. Reported issues regarding time, workload, incomplete patient charts, and delayed verification were seen as obstacles in the implementation of integrated patient progress notes. In an effort to tackle the issues, Health-ID (Health-Integrated Documentation) software was developed to resolve and organize health documentation to break communication boundaries between health professionals.
This study was part of a system evaluation of the software program after its implementation in a hospital in Indonesia. The aim was to explore health professionals' perceptions of Health-ID.
A qualitative study involving in-depth face-to-face interviews with five key informants and two focus group discussions was conducted. Thematic analysis was used to analyze the data.
Thematic analyses of the interviews and focus group discussion revealed several main themes for each of the two topics that were explored in the discussions and interviews: (1) Perceptions on the use of Health-ID: innovative intervention; useful tool. (2) Perceived barriers to the implementation of the Health-ID: workload; organizational support; millennial gaps.
The study revealed the potential of the Health-ID to generate effective communication and collaboration among health professions. Reported benefits were as follows: integrating technology in patient progress documentation has been shown to ease the work of health professionals, providing fast and reliable information on patient care updates.
连续护理依赖于医疗专业人员之间的无缝沟通。因此，在印度尼西亚的医院中，基于纸质的综合患者护理文档有义务在医疗服务提供者之间规范信息。然而，基于纸质的文档存在一些缺陷。报告的关于时间、工作量、患者病历不完整以及核实延迟等问题被视为实施综合患者病程记录的障碍。为了解决这些问题，开发了健康身份识别（Health-Integrated Documentation，简称Health-ID）软件，以解决和整理健康文档，打破医疗专业人员之间的沟通障碍。
本研究是该软件程序在印度尼西亚一家医院实施后系统评估的一部分。目的是探讨医疗专业人员对Health-ID的看法。
进行了一项定性研究，包括对五名关键信息提供者进行深入的面对面访谈和两次焦点小组讨论。采用主题分析法对数据进行分析。
访谈和焦点小组讨论的主题分析揭示了在讨论和访谈中探讨的两个主题各自的几个主要主题：（1）对使用Health-ID的看法：创新干预；有用工具。（2）实施Health-ID的感知障碍：工作量；组织支持；千禧一代差距。
该研究揭示了Health-ID在医疗专业人员之间产生有效沟通与协作的潜力。报告的益处如下：将技术整合到患者病程记录中已被证明可减轻医疗专业人员的工作负担，提供有关患者护理更新的快速可靠信息。
