沙特阿拉伯一家大学医院的医护人员和学生在患者护理中使用数字健康工具的意愿：定量横断面调查
Willingness to Use Digital Health Tools in Patient Care Among Health Care Professionals and Students at a University Hospital in Saudi Arabia: Quantitative Cross-sectional Survey.
作者信息
Thapa Subash, Nielsen Jesper Bo, Aldahmash Abdullah M, Qadri Fatima R, Leppin Anja
机构信息
Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Prince Naif Bin Abdulaziz Health Research Center, King Saud University, Riyadh, Saudi Arabia.
出版信息
JMIR Med Educ. 2021 Feb 19;7(1):e18590. doi: 10.2196/18590.
BACKGROUND
The adoption rate of digital health in the health care sector is low in many countries. A facilitating factor for successful implementation and adoption of digital health is acceptance by current and future health care professionals.
OBJECTIVE
This study was conducted to identify factors associated with willingness to use digital health tools in patient care among health care professionals and students.
METHODS
This was a quantitative cross-sectional survey study conducted among health care professionals and students at a university hospital in Riyadh, Saudi Arabia. A nonprobability convenience sampling procedure was used to recruit participants. Data were collected using a self-completed e-questionnaire that was distributed by email. Chi-square tests, t tests, and logistic regression were used to analyze the data.
RESULTS
We found that 181 out of 218 health care professionals (83.0%; 75.6% [59/78] physicians; 87.1% [122/140] nurses) and 115 out of 154 students (74.7%; 80.0% [76/95] medical students and 66.1% [39/59] nursing students) were willing to use digital tools in patient care. Willingness to use digital tools was significantly associated with attitude (Adjusted Odds Ratios [AOR] 1.96; 95% CI 1.14-3.36) and self-efficacy (AOR 1.64; 95% CI 1.17-2.30) among health care professionals, and with current year of study (AOR 2.08; 95% CI 1.18-3.68) and self-efficacy (AOR 1.77; 95% CI 1.17-2.69) among students. No significant difference in willingness to use digital tools was found between physicians and nurses (P=.113), and between medical and nursing students (P=.079).
CONCLUSIONS
The findings of this study should encourage policy makers and hospital managers to implement relevant eHealth interventions within routine health care systems in Saudi Arabia. For successful implementation, digital health education programs should be implemented simultaneously, so that current and future health care professionals are able to develop required positive attitudes as well as practical skills and competencies.
背景
在许多国家，医疗保健领域数字健康的采用率较低。当前和未来的医疗保健专业人员的接受程度是数字健康成功实施和采用的一个促进因素。
目的
本研究旨在确定医疗保健专业人员和学生在患者护理中使用数字健康工具的意愿相关因素。
方法
这是一项在沙特阿拉伯利雅得一家大学医院的医疗保健专业人员和学生中进行的定量横断面调查研究。采用非概率便利抽样程序招募参与者。通过电子邮件分发自我填写的电子问卷收集数据。使用卡方检验、t检验和逻辑回归分析数据。
结果
我们发现，218名医疗保健专业人员中有181名（83.0%；医生中为75.6%[59/78]；护士中为87.1%[122/140]）以及154名学生中有115名（74.7%；医学生中为80.0%[76/95]，护理学生中为66.1%[39/59]）愿意在患者护理中使用数字工具。在医疗保健专业人员中，使用数字工具的意愿与态度（调整优势比[AOR]1.96；95%置信区间1.14 - 3.36）和自我效能感（AOR 1.64；95%置信区间1.17 - 2.30）显著相关，在学生中与当前学习年份（AOR 2.08；95%置信区间1.18 - 3.68）和自我效能感（AOR 1.77；95%置信区间1.17 - 2.69）显著相关。在医生和护士之间（P = 0.113）以及医学生和护理学生之间（P = 0.079），使用数字工具的意愿没有显著差异。
结论
本研究结果应鼓励政策制定者和医院管理人员在沙特阿拉伯的常规医疗保健系统中实施相关的电子健康干预措施。为了成功实施，应同时开展数字健康教育项目，以便当前和未来的医疗保健专业人员能够培养所需的积极态度以及实践技能和能力。
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