隨著資訊科技的日新月異,資訊系統在醫療照護品質上已扮演著重要的角色,更在健保制度、成本控制之下,手術資訊化已成為醫院資訊管理系統中重要的一環。除此之外,為了使護理人員工作流程簡化、提高護理服務品質及照護成效,各大醫療院所積極發展護理資訊系統,各式記錄表單也由傳統手寫方式逐漸轉為電腦化與資訊化,提供更為有效益的照護模式。 本研究目的主要是先透過整合中區某醫學中心現有手術作業資訊系統,發展手術全期護理資訊系統,並藉由問卷量表了解手術室護理人員應用手術全期護理資訊系統之成效及滿意度。研究發現:(1)資訊系統的可用性程度與人員年齡及使用電腦是否有無壓力有顯著負相關性,而會操作電腦軟體數呈現正相關性,(2)整體滿意度與人員使用電腦是否有無壓力呈現負相關性,且與操作電腦軟體數呈現正相關性,(3)人員整體滿意度與可用性程度(內容設計、功能性質、使用成效功能)皆呈現正相關性。而在(4)病歷審查結果發現:電腦護理紀錄單張的完整較於手寫護理紀錄單張完整。 希望本研究成果對於未來各醫院發展手術全期護理資訊系統時能做為參考,或可協助各家醫院資訊人員發展手術全期護理資訊系統時加以考量,以提供臨床護理人員一個好用、合用、適用的資訊系統。
With the advancement in information technology, information systems have been playing a crucial role in the delivery of medical care. Moreover, after the establishment of a public healthcare system accompanied by the limitation on medical budget, digitalization of information for the operation room is of increasing importance in the hospital settings. In order to streamline the workflow of the nurses, offer information for decision-making, and improve the quality of service and care provided by the nurses, major hospitals are devoted to developing an information system for the nurses. The medical history that used to be written in various kinds of charts is now recorded electronically in the computer systems, thus increasing the efficiency of care. The objective of this study is to develop an information system for the perioperative nursing care through reviewing the current system of the operation room of a medical center in the Central region. Furthermore, a survey was conducted to determine the level of success and satisfaction of the nurses in the operation room with regard to the use of the information system. The main findings were: (1) The usability of the information system is negatively correlated with the age and the stress level of the personnel with regard to computer usage but positively correlated with the ease at which the personnel operates computer softwares. (2) The overall satisfaction is inversely correlated with the stress level of the personnel while positively correlated with the level of ease with softwares. (3) Personnel overall degree of satisfaction is directly correlated with the usability of the software (e.g. design of content, functionality). (4) In assessing the medical charts, it was found that digital records were more complete than their handwritten counterparts. The result of this study may be used as a reference for the development and evaluation of the information system for the perioperative nusing care in the future and provide a basis upon which a more useful, user-friendly, and suitable system can be developed for the practicing nurses.
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