建構以臨床照護為基礎的電子白板與使用者滿意度探討

Creating a clinically-based electronic whiteboard and investigating user satisfaction surveys

隨著智慧化潮流，建置以臨床照護為基礎的電子白板，透過資訊科技有助於能立即掌握動態訊息與簡化工作流程等優勢。因此，建置符合臨床適用的電子白板為當務之急。有鑑於此，個案醫院於2019年於智慧病房推動電子白板，2020年護理部接續建置以臨床照護為基礎電子白板。然而，目前建置的電子白板之使用現況與滿意度尚未被探討。本研究目的建構以臨床照護為基礎的電子白板及探討電子白板使用現況與使用者滿意度。方法：本研究依兩階段進行，第一階段建構以臨床照護為基礎的電子白板，透過標竿醫院觀摩、專家訪談、文獻參考、使用者需求評估等，由護理部與資訊室共同完成電子白板建置與優化。第二階段是使用問卷調査以探討護理師對於電子白板使用現況與滿意度，採用描述性、推論性統計進行資料分析。建構以臨床照護為基礎的電子白板之結構與功能介面，包含(1)病床分布多元化、(2)病人清單個別化、(3)病床動態即時化、(4)護理派班智慧化、(5)醫師值班連結化、(6)逃生動線圖示化、(7)護理指標數據化、(8)儀錶板統整化。以方便取樣10個護理單位共50名護理師完成調查問卷，研究對象平均年齡為33歲（SD= 8.76），電子白板使用現況以護理派班、病床分布、病人清單等為最常使用的前三項，而電子白板使用頻率與滿意度呈正相關（r =.466, p =.001）。比較內外科病房差異，在外科病房電子白板使用頻率及滿意度較高，有達統計顯著差異。本研究建置具實用性以臨床照護為基礎的電子白板，不僅呈現臨床照護資訊，更達到與跨科資訊共享的合作平台。未來可提供各科部建置以臨床照護為基礎的電子白板之參考。

Building an electronic whiteboard based on clinical care has the advantage of following the trend of intelligence as information technology makes it easier to quickly understand dynamic information and streamline work processes. Therefore, constructing a clinically applicable electronic whiteboard is of paramount importance. Consequently, in 2019, our hospital promoted the installation of electronic whiteboards in smart wards, and in 2020, the nursing department continued to build electronic whiteboards based on clinical care. However, the current state of satisfaction with electronic whiteboards has not been explored. This study aims to construct an electronic whiteboard based on clinical care and explore the current state and satisfaction with the use of electronic whiteboards. This study was conducted in two stages. The first stage was to construct an electronic whiteboard based on clinical care. Benchmark hospital visits, expert interviews, and user needs assessments were employed to establish and optimize this electronic whiteboard. The second stage was to survey using questionnaires, which were used to explore the status of the electronic whiteboard’s implementation and user feedback. The research data were analyzed using descriptive and inferential statistics SPSS software. The first stage completed the construction and optimization of the electronic whiteboard structure project, which included (1) diversification of bed distribution, (2) individualization of patient lists, (3) real-time bed dynamics, (4) intelligent nursing dispatch, (5) physician on-duty connection, (6) escape animation graphic, (7) data-based nursing indicators, and (8) dashboard integration. In the second stage, a total of 50 nurses in ten nursing units completed the questionnaire. The average age of the subjects was 32.8 years old (SD = 8.76). In the survey on the current situation of the use of electronic whiteboards, the top three items with the highest frequency of use were nursing dispatch, bed distribution, and the list of patients. The frequency of electronic whiteboard use was positively correlated with satisfaction (r = .466, p = .001). When comparing the differences between medical and surgical wards, the findings confirmed that the frequency and satisfaction of using electronic whiteboards were higher in surgical wards and indicated that there were statistically significant differences. This study has established a practical“clinical care-based electronic whiteboard,”which not only presents clinical care information but also achieves a collaborative platform with cross-disciplinary information sharing. Future implementation of electronic whiteboards based on clinical care may be supported by references to scientific knowledge from other departments.