護理在台灣醫院網站的能見度與內容分析

Analysis of the Visibility and Content of Nursing on Hospital Websites in Taiwan

目的：醫院的官方網站往往是民眾與醫療的第一接觸點，應該可以負起彰顯護理專業在醫療體系的重要性，可是，國外研究顯示醫院網站與護理相關的內容寥寥無幾，意味著護理專業在醫療服務的角色並未受到重視。目前台灣的情況仍然缺乏任何相關研究，因此，本研究旨在探討護理在台灣醫院網站的能見度與內容。方法：本研究於2015年3月1日至8日期間，根據衛生福利部中央健康局特約醫事機構之名單，選取90家醫院，其中醫學中心佔18家、區域醫院佔72家。以Google引擎搜尋各家醫院的網站，並以參考國外相關文獻整理而成的自擬結構式檢查表紀錄各醫院網站的特質。以Fisher精確檢定比較醫學中心和區域醫院在各特質的分布情況。結果：研究結果顯示護理在台灣醫院網站的能見度並不高，並無一家醫院在首頁上設有護理部的直接連結。在護理部網頁的分析方面，50％的醫院有「最新消息」的內容、57％有提供「單位簡介」的內容、52％設有「衛教專區」，39％附有「成果發表」、42％設有招募護理師的連結，29％有相關護理組織網站的連結，此外，只有38％的護理部首頁有標示網頁的更新日期。結論：醫院護理部網站並未充份使用網頁的長處展現護理專業的特色與形象。建議護理部觀摩各醫院的網站，取長補短，建立能凸顯自身特色和需要的護理部網站，亦同時提升社會大眾對護理專業之認識及護理人員的專業形象。

Purposes: The official website of a hospital is often the first point of contact of health services by the public. It should be able to highlight the importance of nursing in the health care system. However, few international studies have examined the presence of nursing on hospital websites, suggesting that the role of the nursing profession in the health care system is not being seriously valued. In view of the lack of similar studies in Taiwan, the aim of the present study was to investigate the presence and content of nursing information on hospital websites in Taiwan. Methods: During March 1 to 8, 2015, 90 hospitals were identified based on the list of contracted medical care institutions, provided by the National Health Insurance Administration, Ministry of Health and Welfare. Of them, 18 were medical centers and 72 were regional hospitals. The websites of these hospitals were located using the Google search engine. The characteristics of the located websites were recorded using a self-constructed structural checklist adapted from the literature. Fisher’s exact test was used to compare the distribution of the characteristics between medical centers and regional hospitals. Results: Results showed that the presence of nursing on the hospital website in Taiwan was not high. None of the hospitals had a direct link to the nursing department on their home page. In terms of the website of the nursing department, 50% had a section on “latest news,” 57% had “general information,” 52% had “health education corner,” 39% had “research publications,” 42% had a link to recruitment, and 29% had links to websites of nursingrelated organizations. In addition, only 38% of the home page of the nursing department indicated when the page was last updated. Conclusions: Hospital website of nursing department had not fully utilized the strengths of the web to showcase the characteristics and image of nursing profession. It is recommended that nursing departments should view and learn from each other when constructing their website that can highlight the unique characteristics and needs of their own department. At the same time, the website should be able to enhance the public's awareness of the nursing profession and the professional image of nursing staff.