臺灣博碩士論文加值系統

隨著電子病歷的發展及護理人力的缺乏，各家醫療機構為減輕護理人員在書寫記錄上負擔、提升照護品質及病人安全相繼建置護理資訊系統，以提供護理人員於臨床照護活動上使用。護理人員是醫院內人數最多的專業族群，同時也是提供病患照護活動的醫療工作者。因此護理人員對於醫院資訊系統的導入與評估扮演很關鍵的角色。本研究是以導入護理資訊系統的醫院內的主要使用者護理人員為主要研究對象，探討護理資訊系統導入成效及其相關因素。主要是以科技接受模式做為理論基礎架構，採用橫斷式研究進行問卷調查並收集資料，共發放167份問卷，回收有效問卷158份，有效回收率94.6%，所蒐集資料以SPSS及PLS進行資料分析。研究模型驗證結果發現，護理人員對於護理資訊系統的使用意圖度主要受之使用者滿意度及知覺有用性影響最大；表示護理資訊系統所能提供的有用性、便利性、不需重複謄寫、可以提升照護品質等讓護理人員感到滿意，而願意去使用護理資訊系統。問項分析結果顯示護理人員非常願意學習及使用護理資訊系統，且可以熟練的操作他。此結果可提供醫院管理者了解護理人員對護理資訊系統的使用意願，並可作為醫院未來發展資訊系統之參考。

Because of the development of electronic medical record and constant lackness of nursing workforce, there are more and more medical institutes build their own nurse information system (NIS). The system expects to provide nurses a platform they can utilize during their day-to-day clinical care activities. The goal of using NIS intends to mitigate the burden of nurses during their medical records writing, improve their care quality, and to promote patient safety. In any hospital, not only are most of the medical professionals nurses, but they are also the direct care providers to patients. Therefore, their participations and standpoints play a key role when to evaluate and implement the nurse information system.
The purpose of this study is to investigate the effectiveness of implementing NIS, and to discuss several issues affecting a successful deployment from the perspectives of nurses who are the major users of the information system. The methodology is based on the theory of Technology Acceptance Model, TAM. The researcher adopted a Cross-Sectional study method for survey and data collection. 167 questionnaires were handed out to subjects. 158 valid questionnaires, about 94.6 percent were collected, and these data were analyzed by using software including SPSS and PLS.
The data analysis depicts that the most significant factors that influence the
willingness of nurses to use NIS are their degrees of satisfaction and their usefulness perceptions towards the system. A nurse information system being able to provide functions that lead to characteristics such as usefulness and convenience, avoidance of tedious repeat writing, and improvement of care quality will make nurses feel satisfied about the system and thus stimulate their interests in using NIS on their work. Item analysis revealed that nurses asked very willing to learn and use care information systems, and can be trained to operate him. This result can be used as hospital managers to understand nurses' willingness to use nursing information systems, and can also be served as references for future development of similar information system in the hospital.

致謝 I
摘要 III
Abstract IV
目錄 VI
表目錄 VIII
圖目錄 IX
第一章 緒論 1
1.1研究背景與動機 1
1.2 護理資訊系統介面 3
1.3研究目的 7
1.4研究流程 8
第二章 文獻探討 9
2.1護理資訊系統 9
2.1.1護理資訊系統的組成與應用 10
2.1.2護理資訊系統的應用與相關研究 10
2.2 資訊系統成功模式 ( Information Systems Success Mode，ISSM) 12
2.3 科技接受模式(Technology Acceptance Model, TAM) 15
第三章 研究方法 3.1研究架構 19
3.2研究假說 21
3.3變數操作性定義與問卷設計 22
3.2.1資訊品質 23
3.2.2服務品質 24
3.2.3系統品質 24
3.2.4知覺有用性 25
3.2.5知覺易用性 26
3.2.6使用意圖 27
3.2.7滿意度 28
3.3 研究對象 29
3.4問卷結構與內容 29
第四章 資料分析 32
4.1樣本敘述性統計量 32
4.2衡量構面分析 34
4.2.1信效度分析 34
4.2.2結構化模型分析 37
4.3 假說檢定 41
4.4 衡量問項分析 42
4.5 樣本檢定與單因子變異數分析 43
第五章 結論與建議 52
參考文獻 55
附錄：本研究問卷 58

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