在重症监护病房使用计算机化重症监护信息系统的障碍和促进因素:一个定性面试研究
Alica Thissen1, Eduardo Salgado-Baez1,2,3, Daniel Fürstenau1,4
1Institute of Medical Informatics, Charité - Universitätsmedizin Berlin, Charitéplatz 1, Berlin, DE.
改进计算机化重症监护信息系统 (CCIS) 需要解决可用性问题并让用户参与其中. 加强CCIS的实施,使重症监护室 (ICU) 工作人员的工作满意度提高.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 人与计算机的交互
- 临床系统工程 临床系统工程
背景情况:
- 计算机化重症监护信息系统 (CCIS) 影响临床护理和重症监护病房 (ICU) 工作满意度.
- 系统可用性和用户培训是影响CCIS有效性的关键因素.
- 用户的阻力可能源于感知到的系统控制和缺乏参与开发.
研究的目的:
- 调查CCIS使用的障碍.
- 为CCIS的实施和使用提供建议.
- 通过用户反识别可用性因素,补充现有文献.
主要方法:
- 与ICU护士和医生进行了十次半结构化的定性访谈.
- 采访的重点是对CCIS的集体评估.
- 使用 MAXQDA 的演性和诱导性内容结构方法分析了转录的采访.
主要成果:
- 在七个类别中确定了86个可用性问题,包括不清楚的信息呈现,漫长的文档步骤,分散的数据,冗余的输入和缓慢的系统速度.
- 其他挑战包括培训,共同决定,感知约束,遵守标准操作程序 (SOP) 和流程更改.
- 用户对CCIS的满意度直接影响了工作满意度.
结论:
- CCIS的可用性显著影响用户对IT系统的满意度.
- 持续的用户测试和透明的员工参与对于加强CCIS至关重要.
- 适当的培训,SOP实施以及对组织框架和反机制的投资对于成功实施CCIS至关重要.
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