Author Affiliations: Department of Nursing, Taipei Veterans General Hospital (Mss Nian and Liu); College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan (Drs Lee and Huang); Department of Health Care Management, National Taipei University of Nursing & Health Sciences (Dr Liu); and Taipei Municipal Guandu Hospital / Department of Nursing, Taipei Veterans General Hospital (Dr Chou), Taiwan; and School of Nursing, University of Maryland, Baltimore (Dr Mills).
Comput Inform Nurs. 2024 Aug 1;42(8):593-600. doi: 10.1097/CIN.0000000000001106.
The nursing charge system for inpatient accounting has been utilized in healthcare institutions for years. However, the level of its effectiveness in meeting the needs of nursing services, including further development, has not been systematically evaluated. A cross-sectional study based in Delone and McLean's information system success model was applied to explore the level of effective nursing charge system usage across the five dimensions of system quality, information quality, service quality, user satisfaction, and net benefits. We conducted a survey of the inpatient units of a medical center in Taiwan from June 23, 2021, to July 23, 2021. A total of 214 valid questionnaires were collected. Using a 5-point Likert scale, the dimension with the highest score was information quality (3.71), followed by service quality (3.37), user satisfaction (3.36), net benefits (3.31), and system quality (3.23). Older nurses ( r = -0.176) and those with more clinical experience ( r = -0.151) viewed the nursing charge system as having less information quality. The comfort level with using the computer was positively associated with system quality ( r = 0.396), information quality ( r = 0.378), service quality ( r = 0.275), user satisfaction ( r = 0.417), and net benefits ( r = 0.355). The opinions of nurses are vital. User feedback and advice should be investigated regularly to achieve system optimization.
住院患者会计护理计费系统在医疗机构中已经使用多年。然而，其在满足护理服务需求方面的有效性，包括进一步发展，尚未得到系统评估。本研究应用了基于德洛内和麦克莱恩的信息系统成功模型的横断面研究，以探索有效护理计费系统在系统质量、信息质量、服务质量、用户满意度和净收益五个维度上的使用水平。我们于 2021 年 6 月 23 日至 7 月 23 日对台湾一家医疗中心的住院病房进行了调查。共收集了 214 份有效问卷。采用 5 分李克特量表，得分最高的维度是信息质量（3.71），其次是服务质量（3.37）、用户满意度（3.36）、净收益（3.31）和系统质量（3.23）。年长的护士（ r = -0.176）和具有更多临床经验的护士（ r = -0.151）认为护理计费系统的信息质量较差。使用计算机的舒适度与系统质量（ r = 0.396）、信息质量（ r = 0.378）、服务质量（ r = 0.275）、用户满意度（ r = 0.417）和净收益（ r = 0.355）呈正相关。护士的意见至关重要。应定期调查用户反馈和建议，以实现系统优化。
