使用途径:结构方程模型比较内部网准则和CDSS
Florian Kücking1, Hanna Burkhalter2, Ann-Kristin Rotegård3
1Research Centre of Health and Social Informatics, Osnabrück University of Appl. Sci., Osnabrück, Germany.
Studies in health technology and informatics
|October 3, 2025
概括
实施临床决策支持系统 (CDSS) 需要组织支持和社会影响. 成功的采用还需要信任和知识,以减少感知到的努力,提高医疗保健实践.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 护理实践 护理实践
- 技术采用 技术采用
背景情况:
- 基于证据的实践实施在医疗保健中面临挑战.
- 本研究研究了从内网文件系统 (IFS) 过渡到临床决策支持系统 (CDSS) 期间影响系统使用的因素.
研究的目的:
- 调查影响系统使用的因素在从IFS过渡到CDSS的过程中如何变化.
- 确定医疗保健机构系统利用的关键决定因素.
主要方法:
- 在瑞士一家医院的护士工作人员中进行了两波调查.
- 数据包括系统利用率,基于证据的护理 (EBN) 因素,技术接受和使用统一理论 (UTAUT) 变量以及人口统计数据.
- 用结构方程建模来分析数据.
主要成果:
- 促进条件和社会影响对IFS和CDSS的利用产生了重大影响.
- 基于证据的护理因素,特别是信任和知识,仅在CDSS模型中影响了努力预期.
- 组织和社会因素始终促进系统使用.
结论:
- 成功采用CDSS需要建立对技术的信任,并扩大知识以减少所感知的努力.
- 有针对性的培训,结构性支持和社会认可对于在临床实践中有效实施CDSS至关重要.
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