30 1. 서론 2. 연구방법 2.1. 연구대상 34 1

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1 34 1 Journal of the Korean Society of Health Information and Health Statistics Volume 34, Number 1, 2009, pp 신아미 1), 박희준 2), 정선주 1), 박명화 3), 윤경일 2), 김윤년 2) 1), 2), 3) Analysis Survey of User Satisfaction with Electronic Nursing Record System in a General Hospital in Daegu AMi Shin 1), HeeJoon Park 2), SunJu Jung 1), MyongHwa Park 3), KyungIl Yoon 2), YoonNyun Kim 2)1) Health Care Information and Technology Center, Keimyung University 2) Dept. of Medical Informatics, School of Medicine Keimyung University 3) Dept. of Nursing, Keimyung University Abstract Objective: This study was tried to survey nurse's satisfaction on the ENR(electronic nursing record) system in general hospital in Daegu. Methods: 250 nurses who were working in the A general hospital in Daegu participated to survey through Questionnaire for User Interaction Satisfaction about satisfaction of electronic nursing record system. Results: Mean score of Questionnaire for User Interaction Satisfaction was 3.18 and this result was statistically higher than middle score of 3. Score of terminology & message was the highest and score of capabilities was lowest in all categories of Questionnaire for User Interaction Satisfaction. Results of stepwise multiple regression between overall evaluation and other categories were that categories of learning, capabilities, screen influenced category of overall evaluation and category of learning was the biggest influence variable. Conclusion: Users seem to be satisfied with the electronic nursing record system and this results could help to modify better electronic nursing record system in A hospital. Keywords: User satisfaction, Electronic nursing record system : kiyoun@dsmc.or.kr

2 30 1. 서론 2. 연구방법 2.1. 연구대상 34 1

3 연구도구 α 2.3. 연구진행절차및자료수집 2.4. 자료분석 34 1

4 32 3. 결과 3.1. 대상자의일반적특성 3.2. QUIS 5개항목에대한분석결과 Table 1. General characteristics of respondent (N=244) Category n (%) Age Educational level Nursing career <26 33 (16) (34) (15) 35< 70 (34) missing 39 (-) three year college 75 (30) four year college 139 (57) graduate school 25 (10) others 3 (1) missing 2 (-) 1 year 29 (12) 2-5 year 73 (30) 6-9 year 42 (17) above 10 year 96 (40) missing 4 (-) 34 1

5 33 Table 2. Results of one-sample t-test on QUIS of 5 categories (N=244) Categories Questionnaire Scale 1 Scale 5 Mean±SD t p Overall evaluation Screen Terminology & Message Learning Capabilities Overall impression terrible wonderful 3.54 ± Overall satisfaction frustrating satisfying 3.44 ± Overall efficiency dull stimulating 3.26 ± Overall difficulty difficult easy 3.30 ± Overall function inadequate adequate 3.08 ± Overall flexibility rigid flexible 3.00 ± Mean 3.26 ± Read of characters on the screen hard easy 3.17 ± Highlighting on the screen not at all very much 2.84 ± Arrangement of information on screen confusing clear 3.16 ± Sequence on the screen confusing clear 3.29 ± Mean 3.11 ± Consistency of used terminology consistent 3.35 ± Relationship between terminology and work never always 3.52 ± Position of messages on the screen inconsistent inconsistent consistent 3.38 ± Usage of messages confusing clear 3.39 ± Computer keeps you informed about what it was doing never always 3.46 ± Usage of error massages unhelpful helpful 2.90 ± Mean 3.33 ± Learning to operate the system difficult easy 3.31 ± Learning new function difficult easy 3.39 ± Remembering names and use of commands difficult easy 3.54 ± Tasks can be performed in a straight- forward manner Usage of Help message to learn operating the system never always 3.57 ± 0.75 unhelpful helpful 3.01 ± Usage of references confusing clear 2.89 ± Mean 3.28 ± System speed slow fast 2.65 ± System reliability unreliable reliable 3.17 ± System noise noisy quite 2.91 ± Correcting mistakes difficult easy 2.93 ± Considered system user's commands never always 3.06 ± Mean 2.94 ± Mean 3.18 ±

6 전체적인평가와여타항목과의상관성 3.4. 전체적인평가와여타항목과의단계적다중회귀분석결과 Table 3. Correlation between overall evaluation and other categories of QUIS Categories r p Screen Terminology & Message Learning Capabilities Table 4. Results of stepwise multiple regression between overall evaluation and other variables Categories β t p R2 F(p) Learning Capabilities Screen

7 전체적인평가의세부항목과여타세부항목과의단계적다중회귀분석결과 Table 5. Results of multicollinearity test between questionnaire of overall evaluation and other questionnaire Questionnaire r * Dubin-Watson Tolerance VIF Overall impression Overall satisfaction Overall efficiency Overall difficulty Overall function Overall flexibility * Correlation; Variance inflation factors. 34 1

8 36 Table 6. Results of stepwise multiple regression between questionnaire of overall evaluation and other questionnaire Questionnaire β t p R2 F(p) Overall impression Read of characters on the screen Tasks can be performed in a straight- forward manner Consistency of used terminology Tasks can be performed in a straight- forward manner Overall satisfaction Sequence of screen System noise Read of characters on the screen Position of messages on the screen Overall efficiency System speed Considered system user's commands Read of characters on the screen Learning to operate the system Overall difficulty System reliability Position of messages on the screen System noise Sequence of screen Overall function System speed Usage of references Position of messages on the screen Overall flexibility Highlighting on the screen Position of messages on the screen Usage of references 고찰 34 1

10 38 5. 결론 참고문헌 [1] Seo NR. Evaluation of nursing information system in a general hospital(dissertation). Chonbuk National University; Korea, [2] Choi HW. Needs for NIS by the level of nursing information in general hospitals(dissertation). Seoul National University; Korea, 2006 [3] Manning J. McConnell E. Technology assessment: A framework for generating questions useful in evaluating nursing information systems. Computers in Nursing 1997; 15(3): [4] Axford RL & Carter BEL. Impact of clinical information systems on nursing practice-nurses' perspectives. Computers in Nursing 1996; 14(3): [5] Smith DS, Rogers SH & Hood ER. Overtime reduction with the press of button :An unexpected outcome of computerized documentation. Nursing Case Management 1998; 3(6): [6] Park MH, Jung CH, Kim YN, Lee SR, Yoon KI, Ju KJ. Long term effects of hospital information system on nurse's job pattern and satisfaction, and attitudes toward HIS. Journal of Korean Society of Medical Informatics 2005; 11(4): [7] Kim DY, Park MH. Analysis of nursing activity in general hospital using hospital information system. Journal of Korean Society of Medical Informatics 2008; 14(2): [8] Kim SY. Factors affecting the satisfaction with NIS(dissertation). Hanyang University; Korea, [9] Chin HJ, Kim SG. Survey user satisfaction in aspect of user interactions with order communication system in Seoul National University 34 1

11 39 Hospital. Journal of Korean Society of Medical Informatics 2002; 8(1): [10] Bowies K. The barriers and benefits of nurse management information system. Computers in Nursing 1997; 15(4): [11] Sung YH, Cho MS, Hong MS. User satisfaction of nursing information system. Journal of Korean Society of Medical Informatics 2006; 12(3): [12] Hwang JI, Park HA. Nurses' experience: impact of hospital information system on nursing care. Journal of Korean Society of Medical Informatics 2005; 12(1): [13] Sittig DF, Kuperman GJ, Fiskio J. Evaluating physician satisfaction regarding user interaction with electronic medical record system. Proc AMIA Annu Symp. 1999;

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1.. Volume 12, Number 1, 6~16, Factors influencing consultation time and waiting time of ambulatory patients in a tertiary teaching hospital Jee-In Hwang College of Nursing Science, Kyung Hee University :