護理人員使用跨團隊照護資訊系統的成效探討

The Effectiveness of the Use by Nurses of the Interdisciplinary Care Information System

背景：藉由病歷紀錄及應用資訊系統，不僅可以提升專業間的團隊合作，更可以有效提升病人的照護成果，故近年來病人照護已為跨團隊合作的模式。目的：本研究旨在探討護理人員對使用跨團隊照護系統之接受度及其使用於病歷紀錄完整性與跨團隊照會回覆率之差異。方法：本研究以Davis科技接受模式及DeLone和McLean資訊系統成功模式為基礎，發展了包含系統成功要素（系統品質、資訊品質）、系統使用感受（認知有用性、認知易用性）及使用態度之量表，並使用病歷查核表及分析照會量。結果：本研究共蒐集185份問卷及817份病歷資料，問卷結果顯示護理人員具正向態度及各變項均具正相關，且認知有用性預測量最大，可解釋使用態度60%的變異量。另病歷紀錄分項完整性由41%提升至62%，且社工及呼吸治療團隊回覆率增加，但只有復健團隊照會回覆率下降。結論：護理人員接受跨團隊系統使用，且提升病歷完整性，但對照會回覆率下降，可能與系統功能未能更新有關，建議未來可加入系統自動提醒回覆照會功能，以利人員提升照會回覆率。 Background: Using patient records and information systems not only improves collaboration among healthcare professionals but also enhances patient-care outcomes. Based on this, inter-professional collaboration has been increasingly applied in patient care in recent years. Purpose: To explore the acceptance of nurses of the inter-disciplinary care system, the patient-record completion rate, and the consultation response rate. Methods: A questionnaire was developed based on Davis Technology Acceptance Model and DeLone & McLean Information Systems Success Model that included the key elements of system success (system quality and information quality) and attitudes toward use (perceived usefulness and perceived ease of use). A patient record checklist and the number of consultation responses were collected as well. Results: This study collected 185 completed questionnaires and 817 copies of patient records as well as the associated consultation response rates. The results revealed that nurses held positive attitudes and that questionnaire variables were positively correlated. Additionally, perceived usefulness explained 60% of the variation in attitude toward use. In addition, the rate of completion for patient records in subcategories increased from 41% to 62%. Finally, while the overall team response rate of the social-worker and respiratory groups increased, that of the rehabilitation group decreased. Conclusions: Nurses accept the need to use inter-disciplinary care systems to enhance the completeness of patient records. However, the decreased consultation response rate may relate to the inability to update system functions. It is suggested that an auto-consultation response function be designed to provide reminders in order to improve the consultation response rate.

Background: Using patient records and information systems not only improves collaboration among healthcare professionals but also enhances patient-care outcomes. Based on this, inter-professional collaboration has been increasingly applied in patient care in recent years. Purpose: To explore the acceptance of nurses of the inter-disciplinary care system, the patient-record completion rate, and the consultation response rate. Methods: A questionnaire was developed based on Davis Technology Acceptance Model and DeLone & McLean Information Systems Success Model that included the key elements of system success (system quality and information quality) and attitudes toward use (perceived usefulness and perceived ease of use). A patient record checklist and the number of consultation responses were collected as well. Results: This study collected 185 completed questionnaires and 817 copies of patient records as well as the associated consultation response rates. The results revealed that nurses held positive attitudes and that questionnaire variables were positively correlated. Additionally, perceived usefulness explained 60% of the variation in attitude toward use. In addition, the rate of completion for patient records in subcategories increased from 41% to 62%. Finally, while the overall team response rate of the social-worker and respiratory groups increased, that of the rehabilitation group decreased. Conclusions: Nurses accept the need to use inter-disciplinary care systems to enhance the completeness of patient records. However, the decreased consultation response rate may relate to the inability to update system functions. It is suggested that an auto-consultation response function be designed to provide reminders in order to improve the consultation response rate.