Salmanizadeh Farzad, Ameri Arefeh, Khajouei Reza, Ahmadian Leila
Health Information Sciences Department, Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran.
BMC Health Serv Res. 2024 Dec 4;24(1):1538. doi: 10.1186/s12913-024-12008-6.
Nurses constitute the largest number of hospital information system (HIS) users. Therefore, their awareness level and access to HIS functions based on their needs are particularly important. The present study aims to determine nurses' access levels to HIS functions and examine the compliance between defined and required access levels to core functionalities of a comprehensive HIS.
This observational and survey study was conducted on nurses using the census method (n = 110) in two phases. In the first phase, nurses' current access levels to core functionalities of the hospitalization management subsystem were identified in HIS. In the second phase, nurses' awareness of defined access levels to HIS functions and compliance with their needs were investigated using a valid and reliable questionnaire (α = 0.90). The data were analyzed by descriptive and analytical statistics (t-test and one-way ANOVA).
The hospitalization management subsystem had 57 functions in 6 task groups. The information technology (IT) department enabled nurses to access 35 functions but did not allow them to access 22. 58.0% of the nurses were aware of those 35 functions they had access to, and 35.9% were aware of those 22 functions they needed access to. There was a significant correlation between nurses' awareness of current and defined access levels (p < 0.0001), so the mean defined access levels were 23.42, greater than the mean level of nurses' awareness of their current access to core functionalities.
Users' lack of awareness and access to HIS functions more or less than required could reduce user satisfaction, acceptance, and efficiency of optimal use of these systems. Therefore, hospital administrators and policymakers should determine users' access levels based on their needs in accordance with the actual workflow and periodic evaluations. The method used in our study could help policymakers, managers, and staff at the hospital IT department accurately identify users' needs for HIS functions.
护士是医院信息系统（HIS）的最大用户群体。因此，他们基于自身需求对HIS功能的认知水平和访问权限尤为重要。本研究旨在确定护士对HIS功能的访问权限水平，并检验综合HIS核心功能的定义访问权限与所需访问权限之间的一致性。
本观察性调查研究分两个阶段采用普查法对护士进行研究（n = 110）。在第一阶段，确定护士在HIS中对住院管理子系统核心功能的当前访问权限水平。在第二阶段，使用有效且可靠的问卷（α = 0.90）调查护士对HIS功能定义访问权限的认知以及对自身需求的符合情况。数据采用描述性和分析性统计方法（t检验和单因素方差分析）进行分析。
住院管理子系统在6个任务组中有57项功能。信息技术（IT）部门使护士能够访问35项功能，但不允许他们访问22项。58.0%的护士知晓自己有权访问的这35项功能，35.9%的护士知晓自己需要访问的那22项功能。护士对当前访问权限和定义访问权限的认知之间存在显著相关性（p < 0.0001），因此定义访问权限的平均水平为23.42，高于护士对自身当前对核心功能访问权限的认知平均水平。
用户对HIS功能的认知不足以及访问权限或多或少不符合要求，可能会降低用户满意度、接受度以及这些系统的最佳使用效率。因此，医院管理人员和政策制定者应根据实际工作流程和定期评估，依据用户需求确定其访问权限。我们研究中使用的方法可帮助政策制定者、管理人员以及医院IT部门的工作人员准确识别用户对HIS功能的需求。
