基于用户视角的临床护理信息系统临床适用性评价指标体系构建  

Development of an evaluation index system for the clinical usability of clinical nursing information systems from the users'perspective

作　　者：张雯露 何劲 赵婷 陈雪蕾 张郁璇 张静平 Zhang Wenlu;He Jing;Zhao Ting;Chen Xuelei;Zhang Yuxuan;Zhang Jingping(Xiangya School of Nursing,Central South University,Changsha 410006,China;Emergency Department,the Second Xiangya Hospital of Central South University,Changsha 410011,China;Department of Cardiothoracic Surgery,the Third Xiangya Hospital of Central South University,Changsha 410013,China;Inpatient Department,Xiangya Stomatological Hospital of Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅护理学院,长沙410006 [2]中南大学湘雅二医院急诊科,长沙410011 [3]中南大学湘雅三医院心外科,长沙410013 [4]中南大学湘雅口腔医院住院部,长沙410008

出　　处：《中华现代护理杂志》2025年第8期1045-1051,共7页Chinese Journal of Modern Nursing

基　　金：2023年湖南省研究生自主探索项目(2023ZZTS0236)。

摘　　要：目的从护士视角构建全面的临床护理信息系统临床适用性评价指标体系,为临床护理信息系统的改进提供依据。方法通过构建整合模型,采用量性研究的系统综述与质性研究的Meta整合方法,初步构建指标体系,经专家函询对指标体系进行修改与完善,最终确定基于用户视角的临床护理信息系统临床适用性评价指标体系。结果共纳入20名护理信息领域专家。2轮函询的专家积极系数分别为100%、85%,权威系数分别为0.878、0.886,2轮专家函询指标的重要性评分和合理性评分肯德尔和谐系数为0.182~0.231(P<0.05)。最终构建的基于用户视角的临床护理信息系统临床适用性评价指标体系包含4个一级指标、10个二级指标和37个三级指标。结论构建的基于用户视角的临床护理信息系统临床适用性评价指标体系具有科学性、可靠性、先进性和实用性,能够较好地反映护士对临床护理信息系统的评价重点,为推动临床护理信息系统的高质量和可持续发展提供依据。ObjectiveTo construct a comprehensive evaluation index system for the clinical usability of clinical nursing information systems from the perspective of nurses,providing a basis for the improvement of clinical nursing information systems.MethodsUsing an integrated model,this study employed both quantitative research through systematic reviews and qualitative research via Meta-integration methods to preliminarily construct the index system.Expert consultations were conducted to modify and refine the index system.The final version of the evaluation index system for clinical nursing information systems'usability,based on the users'perspective,was established.ResultsA total of 20 experts in the field of nursing information were included in this study.The response rates for the two rounds of expert consultation were 100%and 85%,respectively.The authority coefficients were 0.878 and 0.886,and the Kendall harmony coefficients for the importance and rationality scores of the indices in the two rounds of expert consultation ranged from 0.182 to 0.231(P<0.05).The final evaluation index system included four primary indicators,10 secondary indicators,and 37 tertiary indicators.ConclusionsThe developed evaluation index system for the clinical usability of clinical nursing information systems from the user's perspective is scientific,reliable,advanced,and practical.It effectively reflects the key aspects of nurses'evaluations of clinical nursing information systems and provides a foundation for promoting the high-quality and sustainable development of clinical nursing information systems.

关 键 词：信息化 护理信息系统 适用性评价 评价指标 德尔菲法 用户视角 

分 类 号：R47[医药卫生—护理学]