護理排班系統的創新與擴散

Innovation and Diffusion of a Nursing Scheduling Information System

10.6142/VGHN.26.3.237

翁新惠(Shin-Huey Wung)；鄭詩慈(Shih-Tsu Cheng)；馮容莊(Rung-Chuang Feng)

護理排班系統 ； 創新擴散理論 ； nursing scheduling system ； diffusion of innovation theory DOI

榮總護理

26卷3期（2009 / 09 / 01）

237 - 243

繁體中文

排班作業是人力資源管理的重要業務，除了必須配合組織政策及個人的需求外，需考慮的因素極多且費時耗力。隨著護理資訊化作業之推廣與運用，本文藉由Rogers創新擴散理論，闡述運用資訊科技之優勢，以終端使用者自建系統模式，由護理人員開發自動化排班系統，改善護理排班作業。建置資訊化排班系統相較於人工排班作業的具體效益有：1.節省排班時間，排班流程從排班表準備、要班、排班、調班至班表輸出，均採電腦化系列作業，另附加排班相關資訊及病室排班業務查詢等功能；2.提昇護理人員排班滿意度。而本排班系統能自單一單位設計概念，成功推展運用在六個不同性質單位，乃因具備了相對優勢、相容性、複雜性、可試驗性及可觀察性五項影響接受創新之特質。其過程中掌握了創新擴散的核心價值，確認接受者的需求，鼓勵成員參與，透過不斷溝通及修正，使護理人員適應改變，此一推展經驗可提供機構或組織創新成果平行展開之參考。

Scheduling is important in human resource management; it has to coordinate the executive and personnel demands. Along with the nursing informatics utilization, this article is presented by Rogers DOI theory, describing superiority of the informatics technology, and develops scheduling system by end user computing in order to improve workflow. The benefits compared with the original bill were: 1. time saving, computing scheduling designed in a series of works, comprised schedule preparation, requests, scheduling, adjustment and printing automatically, and additional function of information inquiry; 2. Improved nursing staff's degree of satisfaction. A successful innovation, had five special characteristics: relative advantage, compatibility, complexity, trial ability, and observation. Besides, the innovation also fitted users' needs, encouraged members' participation, communication and revision. The experience of the DOI process can be possibly useful as references in clinical setting.

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