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題名:加護病房護理人員使用臨床資訊系統之滿意度研究
書刊名:護理暨健康照護研究
作者:趙育玲李亭亭 引用關係
作者(外文):Chao, Yu-lingLee, Ting-ting
出版日期:2015
卷期:11:2
頁次:頁109-118
主題關鍵詞:臨床資訊系統滿意度加護病房Clinical information systemSatisfactionIntensive care unit
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(7) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:7
  • 共同引用共同引用:28
  • 點閱點閱:145
背 景:由於資訊科技之發展,醫療機構紛紛投入資訊系統的建置,以期能提升病人照護過程的安全性及正確性。加護病房若能經由使用一個資訊整合的系統,讓緊急的醫療決策及處置都具即時性或效益性,更可維護病人安全以提升照護品質。目 的:本研究在探討加護病房護理人員使用臨床資訊系統之滿意度。方 法:本研究共收案三個加護病房(一個外科、兩個內科)98位使用臨床資訊系統之護理人員,以結構式問卷探討使用滿意度,問卷內容共20題,含成效滿意度9題、功能滿意度7題、整體滿意度4題,及三題開放性問題於使用上的助益、困難及建議,藉以探究資訊系統使用者之相關使用經驗。結 果:兩個內科加護病房單位平均滿意度(分別為50.00與53.97)皆高於外科加護病房(45.35)。但隨著使用時間的增加,滿意度反而有下降的趨勢;另由開放式的意見顯示,使用者對於系統之自動計算功能如疾病嚴重度、急性生理與慢性健康評分、輸入/輸出紀錄等持正向之看法,但較在意系統的運作速度及易當機等問題。結論/實務應用:工作單位、使用時間、計算功能、系統反應時間及網路穩定性均與人員對資訊系統的滿意度相關。故若能改善資料處理及網路速度,再輔以符合使用需求的介面設計,必能增加人員的科技使用滿意度。
Background: Most healthcare institutions have installed healthcare information systems in order to improve the security and accuracy of healthcare services. Intensive care units (ICUs) largely use these systems to process urgent decisions and interventions. Purpose: This study aimed to evaluate the satisfaction of use of ICU nurses with a clinical information system (CIS). Methods: This study recruited 98 nurses who use a CIS in 3 ICUs (2 Medical ICUs [MICUs] and 1 Surgical ICU [SICU]). Participants answered a usage‐satisfaction questionnaire. The questionnaire consisted of 20 questions, including 9 on outcome satisfaction, 7 on functional satisfaction, 4 on overall satisfaction and 3 open‐ended questions on the benefits, difficulties, and suggestions of use. Results: The means for both MICUs (m_1=50.00, m_2=53.97) were higher than the mean for SICU (m_3=45.35). Additionally, the duration of use associated negatively with satisfaction. Moreover, user comments revealed that participants felt positively toward the system calculation functions (such as Acute Physiology and Chronic Health Evaluation II [APACHE II] Scores, intake/output) but negatively about the system response time and system shutdown problems. Conclusions / Implications for Practice: The present study found that working unit, duration of use, the calculation function, network response time, and system stability were all correlated with CIS satisfaction. Improving the data management process, network speeds, and interface design may effectively increase the willingness of nurses to accept and use clinical information systems.
期刊論文
1.Yui, B. H.、Jim, W. T.、Chen, M.、Hsu, J. M.、Liu, C. Y.、Lee, T. T.(2012)。Evaluation of computerized physician order entry system-a satisfaction survey in Taiwan。Journal of Medical Systems,36(6),3817-3824。  new window
2.Huang, H.、Lee, T. T.(2011)。Evaluation of ICU nurses use of the clinical information system in Taiwan。Computers, Informatics, Nursing,29(4),221-229。  new window
3.Kuo, Y. H.、Lee, T. T.、Mills, M. E.、Lin, K. C.(2012)。The evaluation of a web-based incident reporting system。Computers, Informatics, Nursing,30(7),386-394。  new window
4.Shih, Y. S.、Lee, T. T.、Liu, C. Y.、Mills, M. E.(2013)。Evaluation of an online orientation program for new healthcare employs。Computers, Informatics, Nursing,31(7),343-350。  new window
5.Wu, M. W.、Lee, T. T.、Tsai, T. C.、Lin, K. C.、Huang, C. Y.、Mills, M. E.(2013)。Evaluation of a mobile shift report system on nursing documentation quality。Computers, Informatics, Nursing,31(2),85-93。  new window
6.洪麗娟、韓錦樺、賴吾為(20100900)。某醫學中心加護病房護理人員對臨床資訊系統滿意度之探討。醫療資訊雜誌,19(3),35-46。new window  延伸查詢new window
7.侯宜菁、游惠珠、陳建民、吳榮軒、藍敏方、黃月嬌(20100500)。護理評估資訊系統使用前後對護理紀錄時間及紀錄品質成效之探討。源遠護理,4(1),11-20。  延伸查詢new window
8.涂秀美、蔡芸芳、汪國成、江秀文、李亭亭(20070300)。護理人員對於臨床路徑資訊化目的及介面設計之需求探討。醫療資訊雜誌,16(1),47-59。new window  延伸查詢new window
9.張梅芳、李亭亭、林寬佳(20130400)。護理人員使用行動護理站之成效探討。護理雜誌,60(2),32-40。new window  延伸查詢new window
10.張文信(20070700)。資訊科技的運用與病人安全。醫療品質雜誌,1(4),16-19。new window  延伸查詢new window
11.張博論(20110900)。加護病房資訊系統發展成功的關鍵因素。榮總護理,28(3),219-223。new window  延伸查詢new window
12.張麗銀、林麗英、余幸澄、盧小玨、張美玉(20091200)。運用治療性措施計分系統建構加護病房之病人分類。榮總護理,26(4),324-335。new window  延伸查詢new window
13.Chang, C. P.、Lee, T. T.、Mills, M. E.(2013)。Telecare for the elderly--Community nurses' experiences in Taiwan。Computers, Informatics, Nursing,31(1),29-35。  new window
14.Smith, K.、Smith, V.、Krugman, M.、Oman, K.(2005)。Evaluating the impact of computerized clinical documentation。Computers, Informatics, Nursing,23(3),132-138。  new window
15.Eley, R.、Soar, J.、Buikstra, E.、Fallon, T.、Hegney, D.(2009)。Attitudes of Australian nurses to information technology in the workplace: A national survey。Computers Informatics Nursing,27(2),114-121。  new window
16.陳秀枝(20090600)。與國際接軌--談臺灣護理資訊現況與發展。護理雜誌,56(3),5-11。new window  延伸查詢new window
圖書論文
1.Kennedy, R.、Daddona, A.(2006)。Critical care applications。Essentials of nursing informatics。Boston, MA:McGraw Hill。  new window
2.Colaizzi, P. F.(1978)。Psychological research as the phenomenological views it。Existential phenomenological alternative for psychology。New York, NY:Oxford University Press。  new window
 
 
 
 
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