探討門診護理人員對護理指導資訊系統的科技接受度

The Technology Acceptance of Outpatient Department Nurses Toward Nursing Instruction Information Systems

黃惠玲(Hui‐Ling Huang) ； 李亭亭(Ting‐Ting Lee) ； 林寬佳(Kuan‐Chia Lin) ； 江蔚文(Wey‐Wen Jiang)

《護理暨健康照護研究》 10卷4期 (2014/12) Pp. 255-264

https://doi.org/10.6225/JNHR.10.4.255

摘要

背景：將決策支援系統（Decision Support System, DSS）整合於護理指導資訊系統，不僅可增加護理人員的使用選項，也可依著病人的照護需求，產生個別化的護理指導內容。目的：本研究除以資訊科技接受模式（知覺有用性、知覺易用性、使用態度、使用意願）為架構，使用問卷調查門診護理人員對護理指導資訊系統的接受度外，並比較決策支援系統導入前後的使用量差異。方法：針對某醫學中心門診護理人員，蒐集其於決策支援系統整合於護理指導資訊系統前後期的科技接受度問卷調查，並由資料庫下載同期前後4個月使用量，以分析其使用次數及使用內容類別。結果：結果顯示，人員對護理指導資訊系統的接受度，以「知覺有用性」認同度最高，其次為「知覺易用性」；在實際使用量從191.3件／月提升至1,308.5件／月（Z=-3.72, p＜.001），且護理指導的種類也有差異（Z=-3.52, p＜.001），但科技接受模式的變項卻未影響實際使用量。結論：DSS導入護理指導資訊系統後，確實提高護理指導量，但科技接受模式的變項卻未影響實際使用量，此可能與系統提供決策參考的特性、內容設計、操作流程與列印速度等原因相關。

關鍵字

決策支援系統 ； 護理指導 ； 護理資訊系統 ； 問卷調查 ； 科技接受模式

並列摘要

Background: The integration of Decision Support System (DSS) with nursing instruction information systems not only provides more alternatives for nursing use but also produces individualized nursing instructions for patient care needs. Purpose: This study applied the Technology Acceptance Model (perceived usefulness, perceived ease of use, use attitude, use intention) as a framework to design a questionnaire to survey the technology acceptance of nurses toward the nursing instruction information system. Furthermore, this study explored the outcome of technology use both with and without an embedded DSS. Methods: Nurses working in an outpatient department of a medical center at which a DSS was embedded into the nursing instruction information system were recruited to complete a questionnaire survey on technology acceptance. Data downloaded from the database for 4‐month pre‐and‐post results were analyzed to compare the differences in usage. Results: Results indicate that perceived usefulness was rated higher than perceived ease of use, with actual use increasing significantly from 191.3 to 1308.5 times per month (Z=‐3.72, p＜.001). Usage in different categories increased significantly as well (Z=‐3.52, p＜.001). Variables of the technology acceptance model did not affect actual use. Conclusion: Although DSS implementation increased actual usage, the variables did not increase usage. This may be attributable to the features of the DSS, interface design, workflow, and print speed.

並列關鍵字

Decision Support System ； nursing instruction ； nursing information system ； questionnaire survey ； Technology Acceptance Model

參考文獻

邱千慈（2010）‧某醫學中心臨床決策支援系統對重複用藥之影響(未發表的碩士論文)‧台北市：國立台灣大學臨床藥學研究所。[Chiu, C. T. (2010). Influence of a novel clinical decision support system on duplicated medication at medical center (Unpublished master’s thesis). National Taiwan University, Taipei City, Taiwan, ROC.]

劉秀珍、陳春賢、李絳桃（2011）‧網路化孕期健康照護系統對懷孕婦女服務滿意度之成效‧助產雜誌，53，29-39。[Liu, H. C., Chen, C. H., & Lee, J. T. (2011). Effectiveness of an Internet prenatal care system on health service satisfaction for pregnancy women. The Journal of Midwifery, 53, 29-39.]

呂姍薇、陳金琳、劉文玲、陳克仁、林淑娟、劉智如（2013）‧提昇門診病人注射胰島素後針器處理正確率‧馬偕護理雜誌，7(2)，37-47。[Lu, S. W., Chen, C. L., Liu, W. L., Chen, K. J., Lin, S. C., & Liu, C. J. (2013). Improving the correctness of disposal of insulin injectors by outpatient. Journal of Mackay Nursing, 7(2), 34-47.]

許嘉麟、張韡瀚、黃美涓、陳皇仲、柯智裕、鄧復旦（2008）‧智慧型高齡者照護設備科技接受問卷之內容效度—以「互動式隨身照護手錶」為例‧台灣職能治療研究與實務，4(2)，104-115。[Hsu, C. L., Chang, W. H., Wong, A. M. K., Chen, H. C., Ke, J. Y., & Tang, F. T. (2008). Content validity of the technology acceptance questionnaire of intelligent care facilities for elders - An example of the interactive, carry-on watch with the function of medical care. Journal of Taiwan Occupational Therapy Research and Practice, 4(2), 104-115.]

李雅美、呂欣芸、袁綺蘋（2011）‧婦科門診手術病人居家護理指導完整率之改善‧嘉基護理，11(2)，11-21。[Li, Y. M., Lu, H. Y., & Yung, C. P. (2011). Improvement of the completion rate of home care instruction in outpatient gynecological surgery patients. Ditmanson Medical Foundation Chiayi Christian Hospital Journal of Nursing, 11(2), 11-21.]