運用創新擴散理論提升疾病管理資訊系統使用率

Applying the Diffusion of Innovation Theory to Improve the Prevalence of Use of a Disease Management Information System

胡靜文(Ching-Wen HU) ； 陳鈴芳(Ling-Faung CHEN) ； 林曉君(Hsiao-Chun LIN) ； 謝秀娟(Hsiu-Chuan HSISH) ； 鄧慶華(Ching-Hwa TENG)

《護理雜誌》 65卷4期 (2018/08) Pp. 109-116

https://doi.org/10.6224/JN.201808_65(4).14

摘要

背景：本單位推動疾病管理資訊系統，但使用資訊系統缺乏共識、資訊系統以業務導向設計、缺少教育訓練、雙軌作業及操作介面不友善，護理人員使用意願低。目的：旨在提升護理人員對疾病管理資訊系統使用率。解決方案：運用創新擴散理論強化疾病管理資訊系統的創新特質，其具體改善措施有：採納建議、修正及優化系統、提供試用、舉辦教育訓練、經驗分享、定期稽核及修訂作業標準流程。結果：疾病管理資訊系統使用率由33.3%提升至100%。結論：本專案運用創新擴散理論強化疾病管理資訊系統的創新特質，引導護理人員適應及改變，重新提升對疾病管理資訊系統使用率及滿意度。

關鍵字

創新擴散理論 ； 疾病管理資訊系統 ； 個案管理

並列摘要

Background & Problems: The unit promoted the use of a disease management information system, but lacked consensus regarding its use. The problems that were identified included: the business-oriented design of the information system, lack of education and training, dual-track operations, and awkward operation interface. Use of the information system among nurses in the unit had thus decreased over time. Purpose: To increase the prevalence of use of the disease management information system. Resolution: The diffusion of innovation theory was applied to strengthen the innovative characteristics of the disease management information system. The improvement measures adopted included: incorporation of recommendations, revision of the information system, provision of testing, arranging education and training sessions for the nurses, implementation of a regular audit system, and the revision of standard operating procedures. Result: The prevalence of use of the disease management information system increased from 33.3% pretest to 100% posttest. Conclusions: This project applied the diffusion of innovation theory to strengthen the innovative characteristics of the disease management information system, guide the nurses to adapt and change, and improve their use of and satisfaction with the disease management information system.

並列關鍵字

diffusion of innovation theory ； disease management information system ； case management

參考文獻

蔡佩妤、陳美君、張桂玲、莊鎮安、洪敏瑛（2016）．以整合資訊系統提升腫瘤個案管理師篩選個案流程之一致率．腫瘤護理雜誌，16（1），85–96。[Tsai, P. Y., Chen, M. C., Chang, G. L., Chuang, C. A., & Hong, M. Y. (2016). Enhancing the consistency of case screening procedures on integrated information systems. The Journal of Oncology Nursing, 16(1), 85–96.] https://doi.org/10.3966/168395442016061601009

翁新惠、鄭詩慈、馮容莊（2009）．護理排班系統的創新與擴散．榮總護理，26（3），237–243。[Wung, S. H., Cheng, S. T., & Feng, R. C. (2009). Innovation and diffusion of a nursing scheduling information system. VGH Nursing, 26(3), 237–243.] https://doi.org/10.6142/VGHN.26.3.237

盧燕嬌、陳麗琴（2017）．智慧醫療與健康照護．護理雜誌，64（4），26–33。[Lu, Y. C., & Chen, L. C. (2017). Smart medicine and healthcare. The Journal of Nursing, 64(4), 26–33.] https://doi.org/10.6224/JN.000051

馮容莊、葉雨婷（2014）．護理新視界─護理資訊的演變與發展．護理雜誌，61（4，附冊），78–84。[Feng, R. C., & Yeh, Y. T. (2014). A new vision of nursing: The evolution and development of nursing informatics. The Journal of Nursing, 61(4, Suppl.), 78–84.] https://doi.org/10.6224/JN.61.4S.78

張梅芳、李亭亭、林寬佳（2013）．護理人員使用行動護理站之成效探討．護理雜誌，60（2），32–40。[Chang, F. M., Lee, T. T., & Lin, K. C. (2013). Exploring nurse, usage effectiveness of mobile nursing station. The Journal of Nursing, 60(2), 32–40.] https://doi.org/10.6224/JN.60.2.32