護理專科指標監測資訊化之建置與成效評值

Establishing and Exploring the Effectiveness of an Information System of Nursing Quality Indicators

蔡淑芳(Shu-Fang Tsai) ； 尤琇慧(Hsiu-Hui Yu) ； 張麗銀(Li-Yin Chang)

《榮總護理》 28卷3期 (2011/09) Pp. 233-240

https://doi.org/10.6142/VGHN.28.3.233

摘要

本研究目的在於護理專科指標監測資訊化之建置及評值使用前後護理人員所花費時間及其滿意度。採橫斷式（cross-sectional studies）研究設計，收集手寫與資訊化作業護理人員所花費時間，及使用結構式問卷收集護理專科指標監測單位之護理長、副護理長、小組長、指標小組長、指標負責人等共55位護理人員之滿意度。共計完成18項專科指標監測資訊化，以Wilcoxon Signed-Rank test進行統計分析，結果顯示「確認資料正確性與完整性」、「統計分析」、「檢討改進分析」及「總花費時間」，在手寫作業時中位數分別為12.5、10、10、31.5分鐘，而資訊化後中位數分別為5、5、5、19分鐘。資訊化後花費時間減少39.68%，且均達統計上之顯著差異。對於資訊化滿意度在滿意以上者介於92.73%至100%，以Kruskal-Wallis Test分析，中位數皆達4分以上（以1～5分計分），在不同職稱、年齡、學歷、級階等之滿意度均無統計上顯著差異。以上研究結果可供護理行政管理者建置指標監測資訊化之參考。

關鍵字

護理品質指標 ； 指標監測 ； 資訊化

並列摘要

The purpose of this research was to establish an information system of nursing quality indicators and explore its effectiveness. A quantitative cross-sectional design used a structured questionnaire. The Wilcoxon Signed-Rank test was used to compare the differences. The results showed that durations for completing ” confirming the accuracy and completeness of the data”, ”statistical analysis, ” improvement analysis review” and ”total time” before and after using information system were 12.5,10,10,31.5 minutes and 5,5,5,19 minutes respectively, reducing 39.68% time consumption. The nurses' satisfaction rate was between 92.73% and 100%. Personal characteristics did not influence the satisfaction rate. These results may be of use for nursing administrators as a reference in monitoring information systems which measure quality control indicators.

並列關鍵字

nursing quality indicators ； indicator monitor ； information system