关键词:
Consultation
Information System
Nursing Administration Research
摘要:
Objective To construct a nursing consultation information system based on consultation process and information interaction needs and explore its application effect. Methods The nursing consultation process and information interaction needs were analyzed;the information process,content modules and information interaction interface were designed;the structured records for nursing consultation were developed. The system was officially applied in January 2024. The application effect was evaluated by comparing the completion time of nursing consultations, nursing consultation record quality score, nursing consultation evaluation completion rate, and satisfaction rate before(August 2023 to October 2023) and after(January 2024 to March 2024) the application of the information system. Results After the application of the nursing consultation information system,the implementation rate of nursing consultation for inpatients increased from 1.27% before the application of the system to 1.47% (P= 0.019). The completion time of nursing consultation in the whole hospital reduced from 351(225,421) minutes before the application of the system to 310(156,402) minutes (P<0.001), and there was a statistically significant difference in the completion time of nursing consultation among the 3 specialties of intravenous therapy, blood purification, and diabetes nursing (P<0.05). The quality score of nursing consultation records increased from 90.5(82.0,100) points to 95.5(92.0,100) points (P<0.001). The completion rate of nursing consultation evaluation was higher than those before the system application, with statistical significance (21.6% vs 78.4%,P<0.001). Conclusion Nursing consultation information system based on information interaction needs can improve the implementation of nursing consultation for inpatients, shorten the completion time of nursing consultations, improve the writing quality of nursing consultation records and the completion rate of nursing consultation evaluation,