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评估电子病历模块在儿科姑息治疗护理文件记录中的应用:采用出声思维法让护士参与进来。

Evaluation of an Electronic Medical Record Module for Nursing Documentation in Paediatric Palliative Care: Involvement of Nurses with a Think-Aloud Approach.

机构信息

Department of Didactics and Educational Research in Health Science, Faculty of Health, Witten/Herdecke University, 58448 Witten, Germany.

PedScience Research Institute, 45711 Datteln, Germany.

出版信息

Int J Environ Res Public Health. 2022 Mar 18;19(6):3637. doi: 10.3390/ijerph19063637.


DOI:10.3390/ijerph19063637
PMID:35329323
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8954648/
Abstract

BACKGROUND: Paediatric palliative care (PPC) is a noncurative approach to the care of children and adolescents with life-limiting and life-threatening illnesses. Electronic medical records (EMRs) play an important role in documenting such complex processes. Despite their benefits, they can introduce unintended consequences if future users are not involved in their development. AIM: The aim of this study was to evaluate the acceptance of a novel module for nursing documentation by nurses working in the context of PPC. METHODS: An observational study employing concurrent think-aloud and semi-structured qualitative interviews were conducted with 11 nurses working in PPC. Based on the main determinants of the unified theory of acceptance and use of technology (UTAUT), data were analysed using qualitative content analysis. RESULTS: The main determinants of UTAUT were found to potentially influence acceptance of the novel module. Participants perceived the module to be self-explanatory and intuitive. Some adaptations, such as the reduction of fragmentation in the display, the optimization of confusing mouseover fields, and the use of familiar nursing terminology, are reasonable ways of increasing software adoption. CONCLUSIONS: After adaptation of the modules based on the results, further evaluation with the participation of future users is required.

摘要

背景:儿科姑息治疗(PPC)是一种针对患有生命有限和危及生命疾病的儿童和青少年的非治愈性护理方法。电子病历(EMR)在记录这些复杂过程方面发挥着重要作用。尽管它们有很多好处,但如果未来的用户不参与其开发,可能会带来意想不到的后果。

目的:本研究旨在评估在 PPC 环境中工作的护士对新护理记录模块的接受程度。

方法:采用同时进行的思考 aloud 和半结构化定性访谈,对 11 名从事 PPC 工作的护士进行了观察性研究。基于接受和使用技术的统一理论(UTAUT)的主要决定因素,使用定性内容分析对数据进行了分析。

结果:发现 UTAUT 的主要决定因素可能会影响对新模块的接受程度。参与者认为该模块具有自我解释性和直观性。一些合理的适应方法,如减少显示中的碎片化、优化令人困惑的鼠标悬停字段,以及使用熟悉的护理术语,可以提高软件的采用率。

结论:根据研究结果对模块进行调整后,需要进一步让未来的用户参与评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e30d/8954648/3fc5e08ebfa9/ijerph-19-03637-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e30d/8954648/bfd79c278566/ijerph-19-03637-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e30d/8954648/fa638cc51299/ijerph-19-03637-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e30d/8954648/6909e711494e/ijerph-19-03637-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e30d/8954648/3fc5e08ebfa9/ijerph-19-03637-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e30d/8954648/bfd79c278566/ijerph-19-03637-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e30d/8954648/fa638cc51299/ijerph-19-03637-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e30d/8954648/6909e711494e/ijerph-19-03637-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e30d/8954648/3fc5e08ebfa9/ijerph-19-03637-g004.jpg

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[1]
Evaluation of an Electronic Medical Record Module for Nursing Documentation in Paediatric Palliative Care: Involvement of Nurses with a Think-Aloud Approach.

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[9]
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引用本文的文献

[1]
Impact of Bottom-Up Cocreation of Nursing Technological Innovations: Explorative Interview Study Among Hospital Nurses and Managers.

JMIR Hum Factors. 2025-3-31

[2]
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J Community Genet. 2024-12

[3]
Social and healthcare professionals' experiences of end-of-life care planning and documentation in palliative care.

Nurs Open. 2023-9

[4]
Digitalisation Medical Records: Improving Efficiency and Reducing Burnout in Healthcare.

Int J Environ Res Public Health. 2023-2-15

[5]
The Use of a Technology Acceptance Model (TAM) to Predict Patients' Usage of a Personal Health Record System: The Role of Security, Privacy, and Usability.

Int J Environ Res Public Health. 2023-1-11

[6]
The Role of Personality and Top Management Support in Continuance Intention to Use Electronic Health Record Systems among Nurses.

Int J Environ Res Public Health. 2022-9-5

本文引用的文献

[1]
Participatory Design of an Electronic Cross-Facility Health Record (ECHR) System for Pediatric Palliative Care: A Think-Aloud Study.

Children (Basel). 2021-9-24

[2]
Implementation of Electronic Medical Records in Mental Health Settings: Scoping Review.

JMIR Ment Health. 2021-9-7

[3]
Participatory Design of an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Study with Nurses and Physicians.

Children (Basel). 2021-8-12

[4]
Understanding the Association Between Electronic Health Record Satisfaction and the Well-Being of Nurses: Survey Study.

JMIR Nurs. 2020-6-23

[5]
Children with medical complexity and paediatric palliative care: a retrospective cross-sectional survey of prevalence and needs.

Ital J Pediatr. 2021-5-12

[6]
The association between perceived electronic health record usability and professional burnout among US nurses.

J Am Med Inform Assoc. 2021-7-30

[7]
Electronic Health Records in Specialized Pediatric Palliative Care: A Qualitative Needs Assessment among Professionals Experienced and Inexperienced in Electronic Documentation.

Children (Basel). 2021-3-23

[8]
Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation: A Mixed Methods Study.

Int J Environ Res Public Health. 2021-3-8

[9]
Evaluation of a clinical decision support system for rare diseases: a qualitative study.

BMC Med Inform Decis Mak. 2021-2-18

[10]
Challenges in user-driven optimization of EHR: A case study of a large Epic implementation in Denmark.

Int J Med Inform. 2021-4

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