Factors affecting and affected by user acceptance of computer-based nursing documentation:: Results of a two-year study
Factors affecting and affected by user acceptance of computer-based nursing documentation:: Results of a two-year study
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DOI：
10.1197/jamia.m1118
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发表时间：
2003-01-01
影响因子：
6.4
通讯作者：
Eichstädter, R
中科院分区：
文献类型：
--
作者：
Ammenwerth, E;Mansmann, U;Eichstädter, R
目标：护理过程的记录是临床记录中重要但经常被忽视的部分。已引入纸质系统来支持护理流程文档。然而，经常报告诸如文档质量低等问题。目前尚不清楚基于计算机的文档系统是否可以减少这些问题以及哪些因素影响用户的接受度。 设计：我们在海德堡大学医院的四个病房引入了基于计算机的护理文档系统，并在一项前测后测干预研究中系统地评估了其先决条件及其效果。为了分析用户接受度，我们集中于从问卷和访谈中获取的主观数据。测量：使用已发布的问卷中的项目和为本研究的特殊目的而必须开发的项目开发了一份问卷。结果：定量结果指出了影响新的基于计算机的文档系统的接受度的两个因素：之前对护理过程的接受度和之前使用计算机时的自信心。在一个病房，引入护理文件系统后，多样化的接受分数大幅下降。对该病房的探索性定性分析指出了基于计算机的护理文件系统的进一步成功因素。结论：我们的结果可用于协助基于计算机的护理文件系统的规划和引入。他们证明了计算机经验和病房护理流程接受度的重要性，但也指出了其他因素，例如护理工作流程和护理文件系统功能之间的配合。
Objectives: The documentation of the nursing process is an important but often neglected part of clinical documentation. Paper-based systems have been introduced to support nursing process documentation. Frequently, however, problems such as low quality of documentation are reported. It is unclear whether computer-based documentation systems can reduce these problems and which factors influence their acceptance by users.Design: We introduced a computer-based nursing documentation system on four wards of the University Hospitals of Heidelberg and systematically evaluated its preconditions and its effects in a pretest-posttest intervention study. For the analysis of user acceptance, we concentrated on subjective data drawn from questionnaires and interviews.Measurements: A questionnaire was developed using items from published questionnaires and items that had to be developed for the special purpose of this study.Results: The quantitative results point to two factors influencing the acceptance of a new computer-based documentation system: the previous acceptance of the nursing process and the previous amount of self-confidence when using computers. On one ward, the diverse acceptance scores heavily declined after the introduction of the nursing documentation system. Explorative qualitative analysis on this ward points to further success factors of computer-based nursing documentation systems.Conclusion: Our results can be used to assist the planning and introduction of computer-based nursing documentation systems. They demonstrate the importance of computer experience and acceptance of the nursing process on a ward but also point to other factors such as the fit between nursing workflow and the functionality of a nursing documentation system.