Barriers and facilitators influencing the implementation of an interactive Internet-portal application for patient education in psychiatric hospitals
Barriers and facilitators influencing the implementation of an interactive Internet-portal application for patient education in psychiatric hospitals
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DOI：
10.1016/j.pec.2007.11.002
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发表时间：
2008-03-01
影响因子：
3.5
通讯作者：
Valimaki, Maritta
中科院分区：
文献类型：
--
作者：
Koivunen, Marita;Hatonen, Heli;Valimaki, Maritta
目的：本研究的目的是确定的障碍和促进者影响实施的互动互联网门户应用程序的病人教育在精神病hospital.Methods：收集的数据从护士通过问卷调查的主题开放式问题。数据进行了分析，采用定性内容analysis.Results：四个主要类别形成描述的障碍和促进者的门户网站实施在精神科病房。这些类别是组织资源、护士的个人特征、患者相关因素和门户相关因素。一些主要的障碍被确定为限制使用的门户网站在病人的教育：缺乏计算机，缺乏时间的病人，护士对计算机的使用和缺乏教育的消极态度。门户网站使用的主要促进因素是适当的技术资源，方便的互联网接入，足够的时间门户网站的使用，和工作人员使用computers.Conclusion的动机水平：在精神病护理中实现患者教育与计算机的具体挑战是确保技术资源和工作人员的动机使用计算机。实践启示：在教育过程中检查病人与护士的关系，并从病人的角度来定义应用程序的可用性是很重要的。(c)2007爱思唯尔爱尔兰有限公司保留所有权利。
Objective: The purpose of this study was to identify barriers and facilitators influencing the implementation of an interactive Intemet-portal application for patient education in psychiatric hospitals.Methods: The data were collected from nurses by means of a questionnaire with thematic open-ended questions. The data was analysed using qualitative content analysis.Results: Four main categories were formed to describe barriers and facilitators of portal implementation in psychiatric wards. These categories were organisational resources, nurses' individual characteristics, patient-related factors and portal-related factors. Some major barriers were identified restricting the use of the portal in patient education: lack of computers, lack of time for patients, nurses' negative attitudes towards computer use and lack of education. The main facilitators for portal use were appropriate technological resources, easy Internet access, enough time for portal use, and level of motivation among staff to use computers.Conclusion: The specific challenge in achieving patient education with the computer in psychiatric care is to ensure technological resources and that the staff are motivated to use computers. At the same time, attention should be paid the relationship between patient and nurse.Practice Implications: It is important to examine the patient-nurse relationship in the education process and also to define the usability of the application from the patients' point of view.(c) 2007 Elsevier Ireland Ltd. All rights reserved.