護理人員對行動護理站接受度及其相關因素調查

Nurses' Survey on Acceptance of Mobile Nursing Stations and Related Factors

10.6530/YYN/201807_12(2).0004

黃馨(Hsin Huang)；李亭亭(Ting-Ting Lee)

行動護理站 ； 問卷調查 ； 使用經驗 ； mobile nursing station ； questionnaire survey ； experiences of use

源遠護理

12卷2期（2018 / 07 / 01）

30 - 40

繁體中文

背景：行動護理站在臨床護理照護工作中，已具有舉足輕重的角色，但資訊科技與醫療服務的快速變遷，更顯使用者對行動護理站評價之重要性。目的：瞭解行動護理站的接受度及其相關因素，以期對未來系統的建置和評值科技使用提供參考。方法：橫斷式研究設計，利用問卷調查法，對象為北部某醫學中心使用行動護理站至少三個月之護理人員。結果：共收得805份有效問卷，包含行動護理站各功能使用頻率、護理人員使用行動護理站接受度調查表，以及開放式問答等，發現行動護理站各功能使用頻率介於2.61~3.58，行動護理站接受度平均得分介於2.63~2.94，顯示護理人員對行動護理站之有用性、易用性、態度與意願則持正向的接受度，而各構面最低分，則與資訊設備數量不足及缺乏穩定度有關。結論：護理人員對行動護理站的整體接受度是趨於正向，而各項功能使用頻率也很高，但若資訊設備不足與系統反應時間過長，則影響護理人員使用資訊系統的意願，因此，建議未來仍須持續改善優化行動護理站，可透過長期追蹤或深度訪談，將有助於瞭解使用者的接受心態與行為改變，促使行動護理站能為護理照護工作帶來即時性與便利性，作為機構成效評值之參考。

Background: The use of mobile nursing station under healthcare environment and information technology to facilitate the delivery of nursing practice is essential. Objectives: To understand nurses' acceptance of mobile nursing stations and the factors affecting their acceptance of technology, as a reference for future system development and evaluation on use of technology. Methods: Cross-sectional study design, using questionnaires. Study subjects were nurses who had used the mobile nursing station for at least three months in a medical center in northern Taiwan. Results: The questionnaire contained acceptance of mobile nursing stations, the usage frequency, and open-ended questions. Based on 805 returned questionnaires, the results showed that frequency of use of each function of the mobile nursing station is between 2.61 and 3.58. The average acceptance scores were 2.63 and 2.94, with positive influence on technology acceptance. However, lower scores were insufficient amount of hardware and hardware stability that indicated negative associations. Conclusions: The overall acceptance toward mobile nursing stations is positive and the frequency of use of various functions is high. However, the lack of equipment and prolonged system response time negatively affected the willingness to use the information system. Recommendations: Continue improvement of mobile nursing stations hardware and systems and conduct a long-term follow-up or in-depth interviews as an organization's effectiveness evaluation in order to understand users' attitude and behavior changes on the use of mobile nurse stations.

1. Lin, I. C.,Lin, C.,Hsu C. L,Roan, J.,Yeh, J. S.,Cheng, Y. H.(2016).The usage behavior and intention stability of nurses: An empirical study of a nursing information system.The Journal of Nursing Research,24(1),48-57.
   連結：
2. 李亭亭(2015)。健康照護科技之評值方法介紹。護理雜誌，62(3)，17-22。
   連結：
3. 鄭慧萍,李亭亭,劉介宇,侯宜菁(2016)。護理人員對條碼科技之創新接受度探討。護理雜誌，63(2)，69-79。
   連結：
4. Ajzen, I.,Fishbein, M.(1980).Understanding attitudes and predicting social behavior.Englewood Cliffs, NJ:Prentice-Hall.
5. Chang, C. P.,Lee, T. T.,Mills, M. E.(2013).Telecare for the elderly-Community nurses’ experiences in Taiwan.Computers, Informatics, Nursing,31(1),29-35.
6. Chou, C. C.,Chang, C. P.,Lee, T. T.,Chou, H. F.,Mills, M. E.(2013).Technology acceptance and quality of life of the elderly in a telecare program.Computers, Informatics, Nursing,31(7),335-342.
7. Davis, F. D.,Bagozzi, R. P.,Warshaw, P. R.(1992).Extrinsic and intrinsic motivation to use computers in the workplace.Journal of Applied Social Psychology,22,1111-1132.
8. Huang, H.,Lee, T. T.(2011).Evaluation of ICU nurses’ use of the clinical information system in Taiwan.Computers, Informatics, Nursing,29(4),221-229.
9. Kuo, Y. H.,Lee, T. T.,Mills, M. E.,Lin, K. C.(2012).The evaluation of a web-based incident reporting system.Computers, Informatics, Nursing,30(7),386-394.
10. Lee, T. T.(2007).Nurses’ experiences using a nursing information system: Early stage of technology implementation.CIN: Computers, Informatics, Nursing,25(5),294-300.
11. Lu, Y. C.,Xiao, Y.,Sears, A.,Jacko, J. A.(2005).A review and a framework of handheld computer adoption in healthcare.International Journal of Medical Informatics,74(5),409-422.
12. Putzer, G. J.,Park, Y.(2012).Are physicians likely to adopt emerging mobile technologies? Attitudes and innovation factors affecting smartphone use in the Southeastern United States.Perspectives in Health Information Management,Spring,1-22.
13. Shih, Y. S.,Lee, T. T.,Liu, C. Y.,Mills, M. E.(2013).Evaluation of an online orientation program for new healthcare employs.Computers, Informatics, Nursing,31(7),343-350.
14. Valle, R. S.(Ed.),King, M.(Ed.)(1978).Existential phenomenological alternatives for psychology.New York, NY:Oxford University Press.
15. Wu, M.W.,Lee, T. T.,Tsai, T. C.,Huang, C. Y.,Wu, F. F. S.,Mills, M. E.(2015).Evaluation of a mobile station electronic health record on documentation compliance and nurses’ attitudes.Open Journal of Nursing,5,578-688.
16. Yui, B. H.,Jim, W. T.,Chen, M.,Hsu, J. M.,Liu, C. Y.,Lee, T. T.(2012).Evaluation of computerized physician order entry system: A satisfaction survey in Taiwan.Journal of Medical Systems,36(6),3817-3824.
17. 李作英(2016)。護理科技領導。兩岸三地護理資訊發表會，台北:
18. 李亭亭,施玉珊(2009)。運用創新擴散理論於促進護理資訊系統之推展。護理雜誌，56(3)，18-22。
19. 張敏,林璟淑,張元玫,李亭亭(2008)。護理資訊應用簡介—某醫院護理資訊系統推行之經驗分享。護理雜誌，55(3)，75-79。
20. 張梅芳,李亭亭,林寬佳(2013)。護理人員使用行動護理站之成效探討。護理雜誌，60(2)，32-40。
21. 陳佳蓉(2011)。台南市，嘉南藥理大學醫務管理系碩士班。
22. 曾旭民,詹碧端,姜靜穎(2009)。應用科技接受模式探討護理人員對行動護理站接受度的影響因素。醫療資訊雜誌，18(1)，23-38。
23. 黃惠玲,李亭亭,林寬佳,江蔚文(2014)。探討門診護理人員對護理指導資訊系統的科技接受度。護理暨健康照護研究，10(4)，255-264。
24. 黃維民,楊淑娟,李蕙伃,陳建志,蘇雅涵(2017)。探討護理資訊系統漫溢度及持續使用意圖之研究—以南部某區域教學醫院為例。資訊科技國際期刊，11(1)，54-66。
25. 楊美倫,盧小玨,王曼蒂(2007)。護理人員對行動護理站接受程度之初探。榮總護理，24(4)，350-358。
26. 詹前隆,郭惠敏,鄭青青(2013)。行動護理站使用情形及滿意度之調查。醫療資訊雜誌，22(2)，35-48。
27. 趙育玲,李亭亭(2015)。加護病房護理人員使用臨床資訊系統之滿意度研究。護理暨健康照護研究，11(2)，109-118。
28. 盧小玨,王曼蒂,陳碧蓮,楊美倫,林文綾,宋佳潁,王玉倫(2006)。護理資訊系統之建置。榮總護理，23(3)，300-308。

1. 鄭清源,趙正敏,陳薇如,張翠芬(2023)。探討使用e化智能系統行為意圖之影響因素：UTAUT 2的應用和擴展。醫務管理期刊，24(3)，320-341。