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信息技术在医院环境下护理管理与组织中的整合:范围综述。

The Integration of Information Technology in the Management and Organization of Nursing Care in a Hospital Environment: A Scoping Review.

机构信息

Innovation Health Center, Hospital de Cascais, 2755-009 Alcabideche, Portugal.

Nursing Research, Innovation and Development Center in Lisbon (CIDNUR), Nursing School of Lisbon, 1990-096 Lisbon, Portugal.

出版信息

Int J Environ Res Public Health. 2024 Jul 24;21(8):968. doi: 10.3390/ijerph21080968.

Abstract

The adoption of health technologies is occurring on an unprecedented scale, with enormous potential to improve the health of populations. In this context, information technology (IT) in nursing has emerged with a focus on quality and safety of care for the benefit of the patient. There is insufficient reliable evidence demonstrating how the integration of IT in nursing care influences methodologies for managing and organizing care in terms of structure and care practice, justifying a scoping review that synthesizes the knowledge produced so far. Online databases were used to identify papers published in 2012-2023, from which we selected nine publications that used information technology in the nursing care processes. The participants were hospital nurses and nurse managers. The results show that the integration of IT in healthcare organizations impacts the management and organization of nursing care, and changes in structure, process reorganization, management, training, and the development of nurses' skills. To minimize this impact, the organizational structure must be prepared for a cultural change, with well-defined and communicated policies and procedures, and strong leadership. Within the teams, the importance of process reorganization, continuous training, and skill development emerges, thus enhancing the integration of IT into practice environments in conjunction with care.

摘要

医疗技术的采用正以前所未有的规模进行,这为改善人群健康带来了巨大的潜力。在此背景下,护理信息技术(IT)应运而生,其重点是提高护理质量和安全性,使患者受益。目前,还没有足够可靠的证据表明护理中信息技术的整合如何影响管理和组织护理的方法,无论是在结构还是护理实践方面,因此需要进行范围综述,以综合迄今为止产生的知识。我们使用在线数据库来确定 2012 年至 2023 年发表的论文,并从中选择了九篇在护理过程中使用信息技术的出版物。参与者为医院护士和护士长。结果表明,医疗保健组织中信息技术的整合会影响护理管理和组织,改变结构、流程重组、管理、培训以及护士技能的发展。为了将这种影响降到最低,组织结构必须为文化变革做好准备,制定明确的沟通政策和程序,并拥有强有力的领导。在团队中,流程重组、持续培训和技能发展的重要性凸显出来,从而将 IT 更好地融入与护理相结合的实践环境中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e129/11353944/d63aa44a7837/ijerph-21-00968-g001.jpg

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