评估护理文档质量:使数据的二次使用成为可能
Minna Mykkänen1, Johanna Ikonen2, Ulla-Mari Kinnunen2,3
1Wellbeing Services County of North Savo, General Services Department Administration, Kuopio University Hospital, Kuopio, Finland.
Computers, informatics, nursing : CIN
|February 2, 2026
概括
评估护理文档质量对于数据驱动的医疗保健至关重要. 然而,许多芬兰单位忽视了质量评估,阻碍了基于知识的管理和实践发展.
科学领域:
- 医疗信息学 医疗信息学
- 护理管理 护理管理
- 数据质量数据质量
背景情况:
- 高质量的护理文档对于二次数据使用至关重要.
- 数据质量不佳可能会影响临床决策.
- 有效的基于知识的管理依赖于可靠的护理数据.
研究的目的:
- 评估护理文档的质量.
- 评估评估数据对基于知识的管理的利用情况.
- 探索日常护理实践的发展.
主要方法:
- 横截面研究设计. 截面研究设计.
- 芬兰注册护士信息系统的在线调查 (2023年春季).
- 描述性统计方法应用于2970名受访者的数据.
主要成果:
- 51%的单位没有评估护理文档质量.
- 66%的单位没有审查评估结果.
- 58%的单位没有使用护理数据进行基于知识的管理.
- 与公立医院相比,私营医疗保健部门在数据审查和管理方面表现出更高的参与度.
- 护理经理在数据使用方面比护士报告的结果更为积极.
结论:
- 芬兰在护理文档质量评估和数据利用方面存在重大差距.
- 私营部门对护理数据的二次使用更为先进.
- 需要进一步努力,通过改善护理数据质量和在所有医疗保健机构的利用来促进基于知识的管理.
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