探討護理人員對接受新臨床資訊系統的感受及使用意願

An Investigation of the Acceptance and Willingness to Use a New Clinical Technology System among Nursing Staff

殷嘉瑜(Chia-Yu Yin) ； 劉立(Li, Liu) ； 林佳慧(Chia-Huei Lin)

《中華職業醫學雜誌》 28卷2期 (2021/04) Pp. 111-122

摘要

背景：隨著資訊科技的進步，各醫療機構不斷開發全新資訊系統，期望達智慧醫療境界、提升工作效率。然而臨床使用者面對新系統的感受與接受度卻鮮少有研究探討。護理交班是延續護理照顧的重要依據，護理人員要即時掌握並有效處理病人變化是具有挑戰性的，若能運用資訊系統協助進行系統性交班，提升工作效率乃重要議題，而護理人員面對新導入系統的感受之研究仍闕如。目的:本研究目的以臨床使用新「協作平台病安交班系統」為例，探討護理人員對接受使用系統的「知覺有用性」、「知覺易用性」、「使用態度」、「使用意願」情形，並分析各變項之關係。研究方法：本研究為橫斷式研究，以方便取樣，探討護理人員對新系統的知覺有用性、知覺易用性、使用態度及使用意願之感受，研究工具主要為科技接受模式量表，包含「知覺有用性」、「知覺易用性」、「使用態度」及「使用意願」等構面，研究運用單因子變異數分析、Durbin-Watson迴歸分析。結果：護理人員對新導入「協作平台交班系統」的使用感受中，知覺易用性高於知覺有用性（4.6 vs. 4.3），此外，護理人員的知覺有用性、知覺易用性對系統使用態度均呈現顯著正相關（t = 5.942，p = .045），且間接影響使用意願（t = 5.743，p ＜ 0.001）。結論：本研究證實護理人員對接受新系統的意願會受到系統是否容易操作及對系統的態度影響，並且驗證了科技接受模式所述，系統越簡單操作，使用者越覺得有用，進而影響對系統的使用態度及意願。

關鍵字

協作平台 ； 病人安全 ； 交班 ； 科技接受模式

並列摘要

Background: With the advancement of information technology, various medical institutions continue to develop new informative systems, hoping to reach the level of smart medical care and improve work efficiency. However, few studies explore the clinical staff's feelings and acceptance to a new informative system. Nursing handover is an important basis for continuing nursing care and to effectively control information and deal with unpredictable changes of patients' condition for nursing staff is challenging. Therefore, using informative systems to assist nursing staff in systematic handover can improve work efficiency. However, researches regarding to nursing staff's feelings about a newly introduced system remains unclear. Purpose: This study is aimed to use a new ＂collaboration platform for nursing handover of patient safety＂ as an example and to explore the ＂perceived usefulness＂, ＂perceived ease of use＂, ＂attitude to use＂, and ＂willingness to use＂ of nursing staff, as well as to analyze the relationships between those variables. Methods: A cross-sectional, descriptive, correlational study was conducted with an convenient sampling to test 43 nursing staff, who use the new collaborative platform of nursing handover system, to explore their ＂perceived usefulness＂, ＂perceived ease of use＂, ＂attitude to use＂, and ＂willingness to use.＂ The measurements, based on the Technology Acceptance Model, included five major subscales involving: ＂perceived system quality and functional acceptance＂, ＂perceived usefulness＂, ＂perceived ease of use＂, ＂attitude to use＂ and ＂willingness to use＂. Analysis of variance and regression analysis of Durbin-Watson test were applied to analyze. Results: Nursing staff's experiences of using the newly introduced ＂collaborative platform of nursing handover system＂ showed that the ＂perceived ease of use＂ is higher than the ＂perceived usefulness＂ (4.6 vs. 4.3); both of the nursing staff's perceived usefulness and perceived ease of use for the system were significantly and positively associated with the ＂attitude to use＂(t = 5.942, p = .045), and indirectly correlated to ＂willingness to use＂ (t = 5.743, p ＜ 0.001). Conclusion: This study confirmed that the willingness of nursing staff to accept a new informative system can be affected by whether the system is easy to operate and the attitude towards the system. We also verified that the simpler the operation of a system, the more useful the user will think, which would affect the attitude and willingness to use a system.

並列關鍵字

collaborative platform ； patient safety ； nursing handover ； technology acceptance model