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影響病房護理師使用電子白板系統成效之重要因素

Critical Factors Affecting Nurses' Performance of Using Electronic Whiteboard System

摘要


前言:智慧醫療可提供病患完善的健康照護,已成為國內重要的醫療產業發展之一,而護理站電子白板系統是智慧醫療中重要的一環。醫院病房臨床資訊若能經由電子白板系統,方便護理人員快速取得患者資訊,縮短查詢時間,可提升其工作效能,因此影響護理師使用電子白板系統的重要因素值得加以探討。方法:本研究為橫斷性(cross-sectional)研究,參考資訊系統成功模式(Information Systems Success Model)及任務-科技配適理論(Task-Technology Fit)發展問卷並完成信度、效度檢定,以北部某區域醫院使用電子白板病房之187位護理師為研究對象,扣除空白問卷後回收有效樣本為178份,回收率為95.2%。並使用SPSS22.0及smart PLS 2.0軟體進行分析。結果:本研究發現,電子白板系統品質的可靠性會顯著影響滿意度(β=0.149, t = 2.023*);資訊品質的格式及服務品質的保證性會顯著影響使用意願(β= 0.170, t = 2.095*;β= 0.338, t = 2.688**);滿意度會顯著影響使用意願(β= 0.459, t = 4.318***);使用意願及滿意度會顯著影響個人效益(β= 0.168,t=2.724*;β= 0.267, t=4.637*);符合性會顯著影響個人效益及滿意度(β= 0.519, t = 4.321***;β= 0.528,t = 5.705***)。另護理師主觀自覺使用電子白板可節省團體及個別交班時間,比率分別為58.4% (104人)及52.8% (94人),而39.9% (71人)認為可增加直接照護病患的時間。結論:影響護理師使用電子白板系統成效之因素與「使用意願」、「滿意度」及「符合性」相關,並直接影響其主觀自覺之「個人效益」,且病房護理師多數認為電子白板系統可節省團體及個別交班時間。因此醫院在建置護理站電子白板系統時,應提供適當的教育訓練,讓護理師了解電子白板與護理工作之關係及幫助,因此提高護理師對電子白板的滿意度,進而提升使用意願。

並列摘要


Lack of hospital nurse manpower is an urgent problem which hospitals face on a day-to- day basis. If electronic whiteboard systems can help hospitals facilitate clinical information and improve workefficiency, then the use of these systems is worth further research. This study use the Information Systems Success Model, Task-Technology Fit to development questionnaire, and pass the Reliability, Validity Analysis. Test object are ward nurses in a north area hospital of use whiteboard. After retrieving the questionnaires, we determined that the effective samples for nurses who use the whiteboards was 178; this led to a recovery rate of 95.2%. SPSS 22.0 and smart PLS 2.0 software were used to analyze the data. The results show that Reliability of System quality will significantly affect nurse’s satisfaction(β = 0.149, t = 2.023 *), Format of Information quality and Assurance of Service quality will significantly affect Use Intention(β = 0.170, t = 2.095 *; β = 0.338, t = 2.688 **), Satisfaction will significantly affect Use Intention(β = 0.459, t = 4.318 ***), Use Intention and satisfaction will significantly affect Individual impact(β = 0.168, t = 2.724 *; β = 0.267, t = 4.637 *), Conformity will significantly affect Individual impact and Satisfaction (β = 0.519, t = 4.321 ***; β = 0.528, t = 5.705 ***). Nurses believe that the electronic whiteboard can save group and individual shift time of respectively ratio is 58.4% and 52.8%, 39.9% think it can increase direct care time. In short, the electronic whiteboard system's Use Intention, Satisfaction, and Conformity will directly affect a nurse's individual impact. So we can through appropriate training, indicate the conformity between electronic whiteboard and nursing work, to enhance the effectiveness of electronic whiteboard.

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