發展護理計劃系統之實證研究

An Empirical Study of Establishing Nursing Care Plan Systems

10.6382/JIM.200503.0027

蕭如玲(Ju-Ling Hsiao)；張怡秋(I-Chiu Chang)

護理計劃系統 ； 護理資訊系統 ； 護理資訊學 ； 醫院資訊系統 ； Nursing Care Plan Systems ； Nursing Information Systems ； Nursing Informatics ； Hospital Information Systems

資訊管理學報

12卷S期（2005 / 03 / 01）

27 - 43

繁體中文

落實護理計劃是國內醫院評鑑之重要項目，尤其在國內之護理資訊正在萌芽之際，了解影響醫院導入護理計劃系統之關鍵因素以及護理計劃系統之現況，是高階主管相當重視之議題。本研究分兩階段進行，首先針對南部某醫學中心以個案研究方式，就研究架構雛型進行修正。再以修正後之研究架構及問卷，採取普查的方式對國內八十五家區域（教學）以上醫院進行問卷調查，調查對象為各醫院統籌資訊系統發展之資訊部門主管。共寄發85份問卷，回收46份問卷，有效回收率54.1%。研究結果發現：高階主管支持、專案小組技能、組織資源配合及使用者參與等四項因素會顯著影響醫院是否導入護理計劃系統。目前約有一半的區域級（教學）以上醫院已導入或正在規劃護理計劃系統發展；早期護理計劃系統大多採自行開發，近年來則以委外方式進行。

The practice of Nursing Care Plan (NCP) has been a very important item for the grading of hospital service in Taiwan, especially in the budding era of the nursing information systems. Understanding the key factors influencing the induction and the current status of NCP systems in Taiwan is a critical issue for the top management in hospitals. There were two steps in this study. Firstly, a case study was conducted in a Medical Center located in the southern Taiwan to justify the research framework. Then, with the modified framework and the questionnaire, a total of 85 districted teaching hospitals and medical center were surveyed. Subjects are either CIO or NCP systems project managers. Forty-six out of eighty-five were mailed back with a return rate of 54.1%. The results revealed that four key factors, including the top managers' support, project group's skills, the allocation of the organization resources, and the participation of the end users, significantly influence the induction of NCP systems. At present, more than half of the districted teaching hospitals and medical centers have inducted or scheduled to develop the NCP systems. Besides, the NCP systems used earlier were developed in house, and the information systems inducted in recent years was outsourced.

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