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护士视角下电子健康记录系统采用的障碍:一项横断面研究。

Barriers to Adoption of Electronic Health Record Systems from the Perspective of Nurses: A Cross-sectional Study.

机构信息

Author Affiliations: Faculty of Nursing (Dr Arikan) and Akdeniz University Hospital (Ms Kara, Ms Erdogan, Ms Ulker), Akdeniz University, Antalya/Turkey.

出版信息

Comput Inform Nurs. 2021 Nov 15;40(4):236-243. doi: 10.1097/CIN.0000000000000848.

DOI:10.1097/CIN.0000000000000848
PMID:34812779
Abstract

This study report aimed to investigate the barriers to implementation of electronic health record systems from the perspective of nurses. The research data comprised responses from nurses working in a university hospital. Our data collection instruments were the Participant Information Form and EHR Nurse Opinion Questionnaire, which were developed by the researchers. Data analysis was presented as summary statistics, including mean values of variables, standard deviation, frequency, and percentages. A total of 160 nurses participated in the study. The mean age of participants was 30.94 ± 0.59 years, and 77.5% were university graduates. Barriers to adoption of the electronic health record system included high number of patients (82.8%), limited time (79%), lack of knowledge and skills for effective use of the system (22.9%), lack of user-friendly interface and inability to create a common language within the team (17.8%), and attachment to the traditional method (17.2%). Although most nurses thought that the electronic health record system offered some advantages, they reported that factors such as large numbers of patients, limited time, and lack of user-friendly interface hindered its adoption. Innovative strategies should be explored to develop user-friendly designs for electronic health records and to produce solutions for nursing shortages to increase the time allocated for patient care.

摘要

本研究报告旨在从护士的角度调查电子健康记录系统实施的障碍。研究数据包括来自大学医院工作的护士的回复。我们的数据收集工具是参与者信息表和电子健康记录护士意见问卷,由研究人员开发。数据分析以摘要统计数据呈现,包括变量的平均值、标准差、频率和百分比。共有 160 名护士参与了这项研究。参与者的平均年龄为 30.94 ± 0.59 岁,77.5%为大学毕业生。采用电子健康记录系统的障碍包括患者人数多(82.8%)、时间有限(79%)、缺乏有效使用系统的知识和技能(22.9%)、用户界面不友好以及无法在团队中建立共同语言(17.8%)和对传统方法的依恋(17.2%)。尽管大多数护士认为电子健康记录系统有一些优势,但他们报告说,患者人数多、时间有限和用户界面不友好等因素阻碍了其采用。应探索创新策略,开发用户友好的电子健康记录设计,并为护理短缺问题提供解决方案,以增加用于患者护理的时间。

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