Journal of Korean Clinical Nursing Research (임상간호연구)
- Volume 21 Issue 3
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- Pages.377-388
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- 2015
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- 1598-9186(pISSN)
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- 2287-3694(eISSN)
DOI QR Code
Use Case Development for Next Generation Electronic Nursing Record Systems Utilizing Clinical Workflow Analysis and a Delphi Survey
차세대 전자간호기록 시스템 유스케이스 개발: 업무흐름 분석과 전문가 델파이 기법 적용
- Cho, Insook (Department of Nursing, Inha University) ;
- Choi, Woan Heui (Department of Nursing, Seoul National University Hospital) ;
- Hyun, Misuk (Department of Nursing, Dongguk University Ilsan Hospital) ;
- Park, Yonok (Department of Nursing, Ajou University Hospital) ;
- Lee, Yoona (Department of Nursing, Korea University Guro Hospital) ;
- Lee, Sooyoun (Department of Nursing, Inha University Hospital) ;
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Hwang, Okhee
(Department of Nursing, National Cancer Center)
- 조인숙 (인하대학교 간호학과) ;
- 최완희 (서울대학교병원 간호과) ;
- 현미숙 (동국대학교일산병원) ;
- 박연옥 (아주대학교병원 간호팀) ;
- 이유나 (고려대학교부속구로병원) ;
- 이수연 (인하대학교부속병원 간호부) ;
-
황옥희
(국립암센터)
- Received : 2015.10.01
- Accepted : 2015.10.21
- Published : 2015.12.31
Abstract
Purpose: To identify user requirements for electronic nursing record (ENR) systems so as to ensure system usability. Methods: A mixed methods approach were applied in three steps : (i) task and workflow analysis with literature review of nursing documentation, (ii) literature reviews of system usability, and (iii) Use Case idenfication and consensus-based validation. We analyzed the nursing activity logs collected from a time-motion investigation of six hospitals. The Use Cases were validated by eight clinical experts from different hospitals and two experts from academia in a sequential Delphi survey. Consensus was achieved for the significance score and agreement among the panel. Results: Eight task groups and patterns of task flow were observed, which were translated into nine Use Cases. The specification of Use Cases was derived from principles, guidelines, and recommendations on nursing documentation and electronic health record systems, which was organized into three requirements of each Use Case: functionality, information, and design characteristics. Each Use Case achieved an agreement of 50~70%, and significance scores of 4 or 5 on a 5-point Likert scale. Conclusion: The nine Use Case identified were considered to be important and adequate in terms of both clinical and informatics contexts.
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