新智慧／資訊科技在台大醫療體系護理實務之應用

The Application of New Intelligence/Information Technology in Nursing Practice of Medical Network of National Taiwan University (NTU)

胡文郁(Wen-Yu Hu) ； 詹靜媛(Jing-Yuan Zhan) ； 姜遠萍(Yuan-Ping Chiang) ； 陳姝年(Chu-Nien Chen) ； 陳瑞儀(Jui-Yi Chen) ； 李芳珊(Fang-Shan Li) ； 趙育玲(Yu-Ling Chao) ； 尤翠棉(Tsui-Mien Yu) ； 張榮珍(Jung-Chen Chang)

《台灣醫學》 25卷5期 (2021/09) Pp. 621-633

https://doi.org/10.6320/FJM.202109_25(5).0007

摘要

COVID-19疫情全球肆虐，掀起科技數位創新研發與跨域合作的浪潮，人工智慧（artificial intelligence，Al）及機器學習（machine learning，ML）等導入醫療照護場域，護理專業亦應用資訊科技（information technology，IT）整合大量資訊，以簡化護理作業流程，以及提升護理品質與管理績效。本文檢視台大醫療體系（總院及各分院）之「科技資訊與智慧護理」，於「臨床實務、教學及研究」面向之發展與應用，護理部自1995年成立「護理資訊小組」，從「使用者」角度出發，積極朝智慧醫療服務發展邁進。在院方整體規劃下，已陸續建置「床邊服務系統、專責護理師呼叫系統、室內定位系統、照服員線上管理系統、護理資訊系統2.0及臨床決策支援系統及護理應用程式（App; N-Portal）上線」等智慧型設備；值AI導入的同時，當反思如何優化護病互動關係，以彰顯護理「同理關懷」的特色，建立病人有感的「智能護理」模式，造就台灣獨特護理資訊發展的里程碑與深遠影響力。

關鍵字

護理 ； 人工智慧 ； 資訊科技 ； 醫療體系 ； 台大醫院

並列摘要

Since the COVID-19 pandemic, we have witnessed a new wave of technological innovation and cross-disciplinary collaboration around the world. Artificial intelligence (AI) and machine learning (ML) have been applied to the medical and healthcare settings. The nursing profession has also used information technology (IT) to integrate a large amount of data to optimize nursing processes in order to improve the quality of care and the effectiveness of management. This article seeks to explore the development and application of ＂IT and smart nursing＂ in clinical practice, education, and research. The Nursing Department of National Taiwan University Hospital set up ＂the Nursing Information Committee＂ in 1995. From the ＂user＂ perspective, it strongly encourages our units to develop smart-nursing services with IT applications. These technological advances include bedside service systems, a primary nurse call system, a room positioning system, an attendant online management system, a nursing information system 2.0, supporting system for clinical-decisions, and nursing application (App, N-Portal), to name a few. When AI is imported into nursing, we should reflect on how to augment the nurse-patient interactions in order to highlight empathetic compassion as a unique feature of nursing. In addition, we reflect on this ＂Smart Nursing＂ model as a development milestone, we should consider its influential impact on the development of nursing informatics.

並列關鍵字

nursing ； artificial intelligence (AI) ； information technology (IT) ； medical network ； NTUH

參考文獻

馮容莊、葉雨婷：護理新視界—護理資訊的演變與發展。護理雜誌 2014;61:78-84.

Simamora RH. Socialization of information technology utilization and knowledge of information system effectiveness at hospital nurses in Medan, North Sumatra. Int J Adv Comput Sci Appl 2019;10:117-21.

Barzekar H, Ebrahimzadeh F, Luo J, et al. Adoption of hospital information system among nurses: A technology acceptance model approach. Acta Inform Med 2019;27:305-10.

Edelman LS, McConnell ES, Kennerly SM, et al. Mitigating the effects of a pandemic: facilitating improved nursing home care delivery through technology. JMIR Aging 2020;3:e20110.

De Munter J, Waeytens I, Kruse V. University Hospital Ghent Cancer centre nurse-led e-health support in cancer care during the SARS-CoV-2 pandemic: Results of a single centre observation. Ann Oncol 2020;31:S1138.