병원정보시스템의 간호사의 업무패턴 및 업무만족도와 병원정보시스템에 대한 태도에 미치는 장기 효과 분석
Long Term Effects of Hospital Information System on Nurses' Job Pattern and Satisfaction, and Attitudes Toward HIS
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Abstract
Objective: The purpose of this study was to examine the long-term effects of Hospital Information System(HIS) on nurses' job pattern and satisfaction, and attitudes toward electronic medical record system. Methods: Prospective survey using repeated measures design was performed to compare the changes between 2 years and 4 years after introduction of HIS in a tertiary hospital. Participants were 374 nurses working in the target hospital. Questionnaire was developed by researchers based on Walker, Eyman, Krall, Prophet, & Flanagan(1996)'s study and consisted of 21 questions about job pattern, job satisfaction, and attitudes toward computerization and paper record system. Results: Overall time for documentation, shift reporting, communication with other departments were reduced. Otherwise, direct nursing time was not increased after HIS. Nurses showed positive responses on changes of job pattern after HIS while job satisfaction has been decreased. In addition, nurses' attitudes toward hospital information system and paper medical record system showed they were accepting computerized information system. Conclusion: This study identified the long-term positive effects of HIS and the need for nursing sensitive hospital information system. (Journal of Korean Society of Medical Informatics 11-4, 361-369, 2005)
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