일개 종합병원 전자간호기록시스템 도입 후 중기 평가연구
Intermediate Evaluation after the Introduction of Electronic Nursing Record System in a General Hospital
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Purpose: This study intended to evaluate the intermediate effects of using Electronic Nursing Record System which was introduced 4 years and 4 months ago. Methods: Participants were 65 nurses engaged in 3 shifts in a general hospital. The specific methods were identification of nursing activity times by means of nurses' self-recording in structured forms, survey of user satisfaction using questionnaires, and examination of nurses' responses to open-ended questions about using the system. Results: The direct nursing activities took more than 50% of the time during day and evening shifts. In night shift, direct nursing activities took more than 41% of the time. Comparing to the initial evaluation, measured at 10 months after the introduction, the time spent in indirect nursing activities have decreased about 10% in each shift. The user satisfaction was 3.54 points which was higher than 3.33 points measured at 10 months after the introduction. The nurses recommended some changes needed in the current system to make it better, such as speeding up the system. Conclusion: The intermediate evaluation shows reduced indirect nursing time, increased direct nursing time, and improved user satisfaction
Abstract
Purpose: This study intended to evaluate the intermediate effects of using Electronic Nursing Record System which was introduced 4 years and 4 months ago. Methods: Participants were 65 nurses engaged in 3 shifts in a general hospital. The specific methods were identification of nursing activity times by means of nurses' self-recording in structured forms, survey of user satisfaction using questionnaires, and examination of nurses' responses to open-ended questions about using the system. Results: The direct nursing activities took more than 50% of the time during day and evening shifts. In night shift, direct nursing activities took more than 41% of the time. Comparing to the initial evaluation, measured at 10 months after the introduction, the time spent in indirect nursing activities have decreased about 10% in each shift. The user satisfaction was 3.54 points which was higher than 3.33 points measured at 10 months after the introduction. The nurses recommended some changes needed in the current system to make it better, such as speeding up the system. Conclusion: The intermediate evaluation shows reduced indirect nursing time, increased direct nursing time, and improved user satisfaction
참고문헌 (26)
- 김도연, "병원정보시스템을 사용하고 있는 종합병원 간호사의 업무 분석", 석사, pp.2006
- 김은만, "전자간호기록에 사용된 표준간호진술문의 활용실태", 임상간호연구, 11(1), pp.149~164 (2005), 병원간호사회
- 김창엽, "처방전달체계 도입에 따른 사용자의 업무형태변화와 만족도 및 적응도 조사", 대한의료정보학회지, 5(1), pp.51~66 (1999)
- 김혜련, "일 대학병원의 처방전달시스템 도입 전⋅후 간호업무량의 변화 비교", 석사, pp.2004
- 박명화, "병원정보시스템의 간호사의 업무패턴 및 업무만족도와 병원정보시스템에 대한 태도에 미치는 장기 효과 분석", Healthcare Informatics Research, 11(4), pp.361~369 (2005), 대한의료정보학회
- 박명화, "전자간호기록 도입 초기 효과 분석: 간호사의 업무형태 및 태도 변화를 중심으로", 2005년 대한의료정보학회 추계학술대회, 통권 : 11, pp.S1~s6 (2005)
- 박정숙, "일 대학병원 낮번,초번 간호사의 업무분석", 계명간호과학, 5(1), pp.169~183 (2001)
- 신아미, "대구일 종합병원 전자간호기록 시스템에 대한 사용자 만족도 조사", 한국보건정보통계학회지, 34(1), pp.29~39 (2009), 한국보건정보통계학회[DOI]
- 신영희, "일 종합병원 밤번 간호사들의 간호활동 분석", 계명간호과학, 5(1), pp.163~168 (2001)
- 이인실, "전자간호기록 도입 전후 개심술 환자의 간호기록 비교 분석", 석사, pp.2007
- 이정숙, "일개 3차 의료기관 중환자실의 간호업무량 측정 및 적정 간호인력 수요산정", 임상간호연구, 8(2), pp.61~75 (2003), 병원간호사회
- 이정희, "의무기록 전산화 및 효과에 관한 연구-간호기록 중심-", 대한의료정보학회지, 6(4), pp.87~97 (2000)
- 장현숙, "일개 3차 진료기관의 환자 간호요구에 따른 간호업무량(Nursing Workload)측정", 석사, pp.1990
- 정정희, "일개 3차 의료기관 내⋅외과계 중환자 간호단위의 간호인력 수요산정", 석사, pp.2000
- 조인숙, "표준 용어체계 기반의 임상 전자간호기록 시스템 초기 평가연구", 대한의료정보학회지, 9(4), pp.413~421 (2003)
- 최원자, "간호정보시스템이 간호업무에 미치는 영향 - 직？간접 간호시간 중심으로 -", Healthcare Informatics Research, 9(2), pp.1~16 (2003), 대한의료정보학회
- 최은영, "분당서울대학교병원 EMR시스템에 대한 사용자 만족도", Healthcare Informatics Research, 12(1), pp.45~55 (2006), 대한의료정보학회
- 하미숙, "전자간호기록시스템 도입 전⋅후 중환자실 간호기록 분석", 석사, pp.2007
- 황지인, "병원 전산화의 영향: 간호사의 경험", Healthcare Informatics Research, 12(1), pp.83~94 (2006), 대한의료정보학회
- Axford, R. L, "Impact of clinical information systems on nursing practice. Nurses' perspectives", Computers in Nursing, 14(3), pp.156~163 (1996)
- Chin, J. P, "Development of an instrument measuring user satisfaction of the human-computer interface", Proceedings of the ACM CHI 88 Human Factors in Computing Systems Conference, pp.213~218
- Erb, P. S, "Vital signs measured with nursing system", Computers in Healthcare, 10(3), pp.32~34 (1989)
- Kurihara, Y, "Full implementation of a computerized nursing records system at Kochi Medical School Hospital in Japan", Computers in Nursing, 19(3), pp.122~129 (2001)
- Meon,A, "Evaluation of nurses' use of an electronic health care record system", Vard i Norden, 18(4), pp.36~40 (1998)
- Sinclair,V.G, "The impact of information systems on nursing performance and productivity", Journal of Nursing Administration, 21(2), pp.46~50 (1991)
- Smith, K, "Evaluating the impact of computerized clinical documentation", Computers, Informatics, Nursing, 23(3), pp.132~138 (2005)