Construction and usability of community health nursing database in rural north-eastern Thailand
Construction and usability of community health nursing database in rural north-eastern Thailand
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DOI：
10.1111/inr.12471
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发表时间：
2018-12-01
影响因子：
4.1
通讯作者：
Ishikawa, M.
中科院分区：
文献类型：
--
作者：
Arakawa, N.;Ota, K.;Ishikawa, M.
数字化可以被纳入资源贫乏国家的农村地区，因为护士在现场工作收集的信息可以得到更好的利用。为了有效地管理社区卫生信息，数字记录的使用和维护是非常重要的。信息数字化为卫生政策的制定提供了必要的信息。目的建立可持续的社区卫生信息数据库，有效地收集和管理社区卫生信息和护理实践。方法采用混合方法设计。第一阶段涉及通过与社区保健护士进行反复系统的焦点小组讨论来开发数据库系统。第二阶段包括对开发的系统进行实际的试验检查，包括客观和主观的评估。结果根据社区主要健康问题设计模板，开发了护理数据库系统。模板由多项选择项和一个自由文本字段组成，该字段允许记录比手写记录更详细，并以标准化格式维护。这使得数据的积累不太可能受到每个护士能力差异的影响。讨论与结论对数据库系统的多方面评价表明，通过规范化记录方式，可以提高信息管理效率，有助于护理质量的提高。对护理和卫生政策的影响护理数据库将实现高质量的信息存储，这将有可能更好地为卫生和卫生保健政策提供信息，并使有关护理挑战和相关社区活动的数据可视化。这些资料对于人力和财政资源分配以及满足培训/教育需要方面的政策制定和执行至关重要。
Introductions Digitization could be incorporated in rural areas of resource-poor countries because information gathered by nurses working on-site could be better used. Background For effective management of community health information, the usage and maintenance of digital records are important. Digitization of information provides essential information for informing health policy. Aim To develop a sustainable database to effectively collect and manage community health information and nursing practice. Methods This study used a mixed method design. Phase 1 involved the development of a database system through repeated systematic focus group discussions with community health nurses. Phase 2 involved a practical trial examination of the developed system with both objective and subjective evaluations. Results A nursing database system was developed with templates designed for the major health problems of communities. The templates were composed of multiple-choice items and a free-text field that allowed records to be more detailed than handwritten records and maintained in standardized formats. This enables accumulation of data that were less likely to be influenced by the variance of ability in each nurse. Discussion and conclusion A multifaceted evaluation of the database system suggested that it could improve the efficiency of information management and contribute to the improvement of nursing care quality through standardization of the recording pattern. Implications for nursing and health policy The nursing database will enable high-quality information storage that will potentially better inform health and healthcare policies as well as enable visualization of data concerning nursing care challenges and activities within the relevant communities. This information is essential for policy development and implementation in areas of human and fiscal resource allocations and meeting training/education needs.