探討南部某醫學中心情緒困擾系統建置之成果

Establishing and Evaluating an Emotional Distress System at a Medical Center in Southern Taiwan

顧艷秋(Yan-Chiou Ku) ； 蔣秀容(Shiou-Rong Jeang) ； 鄭婷霞(Cheng Ting-Hsia) ； 洪正隆(Hung Chung-Lung) ； 王珮珩(Pei-Hern Wang)

《榮總護理》 33卷1期 (2016/03) Pp. 2-12

https://doi.org/10.6142/VGHN.33.1.2

摘要

情緒困擾為近年臨床醫護界相當吸引人的議題之一，已經引起一波濃厚的研究興趣，但在資訊化建置的部分尚未被探討。本研究目的旨在了解建置情緒困擾系統評估紀錄之完整性及正確性成果，採描述性研究設計，立意取樣方式，選取南部某醫學中心推動e化之8個病房護理人員119人為研究對象，資料來源取自2011年4月1日至9月30日，為期6個月，以護理病歷NIS系統電子檔中之護理人員紀錄35822筆、病人住院天數35510筆進行資料分析。研究結果顯示，護理人員情緒困擾系統評估紀錄之完整性平均94%、正確性95%，於全院上線後6個月、12個月、18個月陸續追蹤系統成效，完整性與正確性可提升至100%，顯示醫院建置情緒困擾系統，可增加護理人員於情緒困擾評估紀錄的完整性與正確性成效，期待研究結果可作為行政管理者對相關系統建置與發展之參考。

關鍵字

情緒困擾 ； 系統建置 ； 完整性 ； 正確性

並列摘要

Although emotional distress has recently become a topic of interest in the field of clinical health care in recent years and has attracted the attention of several researchers, the construction and implementation of an information system has not been discussed. In this study, research samples were selected from eight wards of a medical center in Southern Taiwan, which promotes the e-system, through purposive sampling, and the completeness and accuracy of data in different columns of an emotional distress system were investigated using the descriptive statistics research design. During the 6-month research period from April 1 to September 30, 2011, a total of 35,822 records were collected from 119 nursing staff members, and finally, 35,510 records were analyzed further. The results illustrated that nurses' e-records showed an average of 94% completeness and 95% accuracy, indicating that the accuracy of the nurses' e-record assessment was higher for emotional distress than for integrity. However, both the completeness and accuracy rates reached 100% within 6, 12, or 18 months after the entire medical center started using the system. In conclusion, introducing an emotional distress system to a medical center can increase the completeness and accuracy of the emotional distress evaluation e-records of the nursing staff members. This finding can be a reference for management and administration personnel when constructing, implementing, and developing relevant systems.

並列關鍵字

emotional distress ； system construction ； completeness ； accuracy

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