什么决定了临床决策支持系统在护理中的使用? 多重回归分析的结果
Florian Kücking1, Steffen Zukunft1, Helga Schell2
1Health Informatics Research Group, Osnabrück University of Applied Science, Osnabrück Germany.
Studies in health technology and informatics
|September 5, 2024
概括
基于证据的护理实践并没有直接增加临床决策支持系统 (CDSS) 的使用. 相反,用户友好性和满意度等因素显著影响采用,类似于其他医疗IT系统.
科学领域:
- 护理信息学 护理信息学
- 卫生信息技术 信息技术
- 基于证据的实践.
背景情况:
- 护士有望使用基于证据的知识,但存在落实差距.
- 临床决策支持系统 (CDSS) 旨在弥合护理中的证据与实践差距.
研究的目的:
- 调查基于证据的护理 (EBN) 实践如何影响CDSS使用.
- 通过UTAUT模型识别其他影响CDSS采用的因素.
主要方法:
- 研究了EBN对CDSS利用的影响.
- 应用了结合EBN和UTAUT结构 (社会影响,促进条件,绩效预期,努力预期,满意度) 的回归模型.
主要成果:
- 在EBN实践中,没有显著预测CDSS的使用.
- 绩效预期和满意度是CDSS利用的重要预测指标.
- 一个综合模型解释了CDSS使用中27.9%的差异.
结论:
- CDSS的采用受到与其他医疗IT系统类似的因素的影响,强调用户友好和实用性.
- 绩效预期和用户满意度是CDSS在护理领域采用的关键驱动因素.
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