Department of Didactics and Educational Research in Health Science, Faculty of Health, Witten/Herdecke University, 58448 Witten, Germany.
PedScience Research Institute, 45711 Datteln, Germany.
Int J Environ Res Public Health. 2022 Mar 18;19(6):3637. doi: 10.3390/ijerph19063637.
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.
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。
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