在住院护士的电子健康记录系统中解决问题的特点和贡献者:混合方法研究研究的二次分析
Oliver T Nguyen1, Alexandria Carey2, Linsey M Steege3
1Department of Industrial and Systems Engineering, University of Wisconsin at Madison, Madison, WI, USA; College of Nursing, University of Florida, Gainesville, FL, USA.
International journal of nursing studies
|November 5, 2025
概括
由于可用性问题和工作系统因素,电子健康记录 (EHR) 的解决方法在护士中很常见. 了解这些解决方案是改善电子病历设计和临床实践的关键.
科学领域:
- 医疗信息学 医疗信息学
- 护理实践 护理实践
- 人与计算机的交互
背景情况:
- 电子健康记录 (EHR) 系统经常存在可用性问题,原因是与临床工作流程不匹配.
- 护士开发EHR解决方案,以弥合系统设计和实际应用之间的差距.
- 这些规避方法的性质和原因,特别是护士之间的,尚未完全理解.
研究的目的:
- 识别和描述住院护士使用的EHR解决方案.
- 确定有助于需要这些解决方案的工作系统因素.
- 了解EHR可用性水平如何影响解决方案的必要性.
主要方法:
- 一项涉及20名住院护士的混合方法研究的二次分析.
- 融合设计重新检查面试数据和可用性调查答案.
- 半结构面试成绩单和文件特征的诱导和演分析,按可用性分组.
主要成果:
- 确定了11个EHR解决方案,其中一些特定于文档特征.
- 所有的工作系统级别,包括EHR设计和临床环境,都影响了解决方案的需求.
- 电子记忆系统的可用性影响了使用的特定解决方案,但并没有影响到底层的工作系统的贡献者.
结论:
- 电子商务系统的解决方案取决于上下文,需要特征和任务特定的研究.
- 规避方法源于临床需要和工作系统问题,如知识差距或整合问题.
- 电子健康记录的可用性和护理工作系统都影响了解决方案的使用,因此需要进一步研究它们的影响.
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