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德国医护人员的健康信息技术特征与组织变量之间的关系。

The relationship between health IT characteristics and organizational variables among German healthcare workers.

机构信息

Department of Infection Prevention and Infectious Diseases, University Hospital Regensburg, Regensburg, Germany.

LMU Center for Leadership and People Management, LMU Munich, Munich, Germany.

出版信息

Sci Rep. 2021 Sep 7;11(1):17752. doi: 10.1038/s41598-021-96851-1.

Abstract

Health information technologies (HITs) are widely employed in healthcare and are supposed to improve quality of care and patient safety. However, so far, their implementation has shown mixed results, which might be explainable by understudied psychological factors of human-HIT interaction. Therefore, the present study investigates the association between the perception of HIT characteristics and psychological and organizational variables among 445 healthcare workers via a cross-sectional online survey in Germany. The proposed hypotheses were tested using structural equation modeling. The results showed that good HIT usability was associated with lower levels of techno-overload and lower IT-related strain. In turn, experiencing techno-overload and IT-related strain was associated with lower job satisfaction. An effective error management culture at the workplace was linked to higher job satisfaction and a slightly lower frequency of self-reported medical errors. About 69% of surveyed healthcare workers reported making errors less frequently than their colleagues, suggesting a bias in either the perception or reporting of errors. In conclusion, the study's findings indicate that ensuring high perceived usability when implementing HITs is crucial to avoiding frustration among healthcare workers and keeping them satisfied. Additionally healthcare facilities should invest in error management programs since error management culture is linked to other important organizational variables.

摘要

健康信息技术(HIT)在医疗保健中得到广泛应用,旨在提高医疗质量和患者安全。然而,到目前为止,它们的实施效果喜忧参半,这可能可以用人类与 HIT 交互的一些研究不足的心理因素来解释。因此,本研究通过在德国进行的一项横断面在线调查,调查了 445 名医护人员对 HIT 特征的感知与心理和组织变量之间的关系。使用结构方程模型检验了提出的假设。结果表明,良好的 HIT 可用性与较低的技术过载和较低的与 IT 相关的压力相关。反过来,经历技术过载和与 IT 相关的压力与较低的工作满意度相关。工作场所有效的错误管理文化与较高的工作满意度和略低的自我报告医疗错误频率相关。大约 69%的被调查医护人员报告的错误频率低于同事,这表明错误的感知或报告存在偏差。总之,研究结果表明,在实施 HIT 时确保高感知可用性对于避免医护人员的沮丧和保持他们的满意度至关重要。此外,医疗机构应该投资于错误管理计划,因为错误管理文化与其他重要的组织变量相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ac/8423839/bbf9dec30feb/41598_2021_96851_Fig1_HTML.jpg

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