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병원정보시스템을 사용하고 있는 종합병원 간호사의 업무 분석

Analysis of Nursing Activity in General Hospital Using Hospital Information System

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Objectives: This study intended to identify the staff nurse's activity in general hospital, where its Hospital Information System is well established and Electronic Nursing Record System was being used for 2 years. Methods: Procedure was done with the following steps; In the first step, nursing activity time was analysed by checklist, which 28 nurses filled out by themselves. The group interview was followed. Results: During the day shift, the direct nursing activities took 37.04%, indirect nursing 40.74%, ward management 18.52% and personal time 3.70% respectively. In evening shift, nurses used 29.41% on direct nursing, 45.10% on indirect nursing, 19.61% on ward management and 5.88% on personal time. In night shift, direct nursing took 17.91%, indirect nursing 46.27%, ward management 17.91% and personal time 11.98%. The group interview reported the differences in nursing activities which recognized by the included staff nurses after the introduction of ENR; speed and convenience in working, the correctness and speed of recording, reduction of indirect nursing time including recording time and increase of direct nursing time and patient education. Conclusions: The introduction of HIS including ENR system was verified to be effective on improvement of nursing quality, by bringing reduction of indirect nursing time and increase of direct nursing time.

Abstract

Objectives: This study intended to identify the staff nurse's activity in general hospital, where its Hospital Information System is well established and Electronic Nursing Record System was being used for 2 years. Methods: Procedure was done with the following steps; In the first step, nursing activity time was analysed by checklist, which 28 nurses filled out by themselves. The group interview was followed. Results: During the day shift, the direct nursing activities took 37.04%, indirect nursing 40.74%, ward management 18.52% and personal time 3.70% respectively. In evening shift, nurses used 29.41% on direct nursing, 45.10% on indirect nursing, 19.61% on ward management and 5.88% on personal time. In night shift, direct nursing took 17.91%, indirect nursing 46.27%, ward management 17.91% and personal time 11.98%. The group interview reported the differences in nursing activities which recognized by the included staff nurses after the introduction of ENR; speed and convenience in working, the correctness and speed of recording, reduction of indirect nursing time including recording time and increase of direct nursing time and patient education. Conclusions: The introduction of HIS including ENR system was verified to be effective on improvement of nursing quality, by bringing reduction of indirect nursing time and increase of direct nursing time.

참고문헌 (20)

  1. Chae YM, "Legal review of implementing biomedical information", Collected Papers of Biomedical Informatics, 38(1), pp.140~ (2001)
  2. Chae YM, "Biomedical Information Management", pp.183~184 (1994), Sumunsa
  3. Jo IS, "A study of initial assessment of clinical electronic nursing record system on the basis of standard terminology system", Journal of Korean Society of Medical Informatics, 9(4), pp.413~421 (2003)
  4. Kim EM, "The status of regular nursing statements used in electronic nursing records", Clinical Nursing Research, 11(1), pp.149~164 (2005)
  5. Lee JH, "A study on computerized medical records and the effects", Journal of Korean Society of Medical Informatics, 6(4), pp.87~97 (2000)
  6. Hwang JI, "Nurses’ demand level toward hospital information system and the change of attitude before and after the implementation", Journal of Korean Society of Medical Informatics, 7(1), pp.57~66 (2001)
  7. Hwang JI, "Impact of hospital computerization; Experiences of nurses", Journal of Korean Society of Medical Informatics, 12(1), pp.83~94 (2006)
  8. Murff HJ, "Physician satisfaction with two order entry systems", JAMA, 8(5), pp.499~509 (2001)
  9. Bates DW, "Effects of computerized physician order entry and a team intervention on prevention of serious medication errors", JAMA, 280(15), pp.1311~1316 (1998)
  10. Weir C, "The impact of physician order entry on nursing roles", Proc AMIA Annu Fall Symp, pp.714~717 (1996)
  11. Bowies KH, "The barriers and benefits of nurse management information system", Computers in Nursing, 5(1), pp.191~196 (1997)
  12. Kim CY, "A research on changes in working pattern and satisfaction and adaptation level from implementation of order communication system", Journal of Korean Society of Medical Informatics, 5(1), pp.51~66 (1999)
  13. Kim HR, "Comparison in nursing practice workload between the before and after implementation of order communication system at single university hospital", pp.2004
  14. Park MH, "Analysis of long term influence of hospital information system on nursing practice pattern, job satisfaction level and the attitude toward the system", Journal of Korean Society of Medical Informatics, 11(4), pp.361~369 (2005)
  15. Choi WJ, "Impact of nursing information system on nursing practice", Journal of Society of Medical Informatics, 9(2), pp.163~169 (2003)
  16. Andreoli K, "Computer in nursing care: The state of art", Nursing Outlook, 33(1), pp.16~21 (1985)
  17. Tieney WM, "Toward electronic medical record that improve care", Annals of Internal Medicine, 122(9), pp.725~726 (1995)
  18. Park JS, "Analysis of nursing practice of night shift nurses in a university hospital", Keimyung Nursing Science, (1), pp.163~167 (2001)
  19. Park JS, "Analysis of nursing practice of day and evening shift nurses in a university hospital", Keimyung Nursing Science, (1), pp.169~182 (2001)
  20. Park MH, "Analysis of initial impacts of electronic nursing record implementation", Journal of Korean Society of Medical Informatics, 11(2), pp.S1~6 (2005)

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