Applying the Taiwanese Electronic Health Record Systems Success Evaluation Model to Explore the Efficiency of Mobile Nursing Station Based on Nurses’ Perspectives

碩士 === 美和科技大學 === 健康照護研究所 === 100 === Background and Research Purpose The aim of this research is to recognize end-users’ opinion of using mobile nursing station by adopting the structure of Taiwanese success electronic health record systems model. Therefore, there are four research purposes: (1...

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Bibliographic Details
Main Authors: Yu-Lin Li, 李宥林
Other Authors: Tieh-Chi Chung
Format: Others
Language:zh-TW
Published: 2012
Online Access:http://ndltd.ncl.edu.tw/handle/36101183340755614966
Description
Summary:碩士 === 美和科技大學 === 健康照護研究所 === 100 === Background and Research Purpose The aim of this research is to recognize end-users’ opinion of using mobile nursing station by adopting the structure of Taiwanese success electronic health record systems model. Therefore, there are four research purposes: (1) exploring nurses’ opinion of using mobile nursing stations based on the knowledge of evidence-based management; (2) exploring nurses’ opinion about what are the important elements of success mobile nursing stations for evaluating end-users’ opinion of using such technology; (3) exploring which demographic variables will affect end-users’ opinion of using such technology; (4) exploring whether there are significantly differences opinion among nurses using such technology between two hospitals within the chain of a health care system. Material and Methods By adopting the idea of the structure of Taiwanese success electronic health record systems model and the cross-sectional research design to establish research hypotheses. It focuses on those who need to use the mobile nursing stations in daily work were recruited as study samples between two hospitals within the chain of a health care system. For this research, data were collected since November 2011 to January 2012. According to the opinion of “Quantitative research method”, both descriptive statistics and inferential statistics (exploratory factor analysis, reliability test, T test, one-way ANOVA with post-hoc analysis, and path analysis) were performed to conduct research hypothesis. Results It sent 930 questionnaires to research samples and 719 valid questionnaires were used for data analysis (returned rate 91.48%). For the results of one-way ANOVA with post-hoc analysis, it found that the elements of User Satisfaction and Organizational Net Benefits will be affected by the variable of Position; the elements of Service Quality and Organizational Net Benefits will be affected by the variable of Education; the elements of Medical Data Quality, User Satisfaction and Organizational Net Benefits will be affected by the variable of Years of Service; the elements of Organizational Behaviours, System Quality, and User Use will be affected by the variable of Use of Time. In addition, results of path analysis also identified that nurses in different hospitals have significantly different opinions of using mobile nursing stations. For the results of path analysis within whole nurses and nurses of hospital A, 15 of 19 hypothesis were accepted, and there are: (1) the element of System Quality, Medical Data Quality, Services Quality, and Safety Quality will be affected by the element of Organizational Behaviours; (2) the element of User Use and User Satisfaction will be affected by the element of System Quality; (3) the element of User Use will be affected by the element of Medical Data Quality; (4) the element of User Satisfaction will be affected by the element of Medical Data Quality; (5) the element of User Satisfaction will be affected by the element of Services Quality; (6) the element of User Use and User Satisfaction will be affected by the element of Safety Quality; (7) the element of User Use will be affected by the element of User Satisfaction; (8) the element of Organizational Net Behaviours will be affected by the element of User Use; (9) the element of Organizational Net Behaviours will be affected by the element of User Use and User Satisfaction. For the results of path analysis within nurses of hospital B, 13 of 19 hypothesis were accepted, and there are: (1) the element of System Quality, Medical Data Quality, Services Quality, and Safety Quality will be affected by the element of Organizational Behaviours; (2) the element of User Use will be affected by the element of System Quality; (3) the element of User Satisfaction will be affected by the element of Medical Data Quality; (4) the element of User Satisfaction will be affected by the element of Services Quality; (5) the element of User Use will be affected by the element of Safety Quality; (6) the element of User Satisfaction will be affected by the element of Safety Quality; (7) the element of User Use will be affected by the element of User Satisfaction; (8) the element of Organizational Net Behaviours will be affected by the element of User Use and User Satisfaction. Conclusion and Suggestions Results of research indicate that the current mobile nursing station is a success information system within the hospitals of health care system. In addition, the eight evaluation elements of this research are not only provide a complete evaluation model for evaluating mobile nursing station, but also establishing a useful evaluation questionnaire to evaluation end-users’ opinion of using such technology. In addition, Position, Education, Years of Services, and Use of Time are the most important demographic variables which will affect nurses’ opinion of using mobile nursing station. Finally, all users of mobile nursing station are holding a positive viewpoint for such information technology and system although there are existing a significantly differences nurses opinions of using mobile nursing stations in different hospitals. It suggests adopting both quantitative and qualitative research method for further research to provide a complete view and value of evaluating end-users’ opinion of using mobile nursing station.