[[alternative]]An Evaluation Study on the Use of Bedside Care Platform System

[[abstract]]護理指導是臨床上醫護人員照護內容之一，良好的護理指導可以降低病人焦慮，提升自我照護能力，因此護理指導的品質十分的重要。本研究為類實驗性研究(quasi-experimental study)，自擬結構式問卷進行調查，以科技接受模式與創新擴散理論為研究架構，探討新北市某區域教學醫院之護理人員及住院病人，使用床邊照護平台於護理指導應用使用滿意度。問卷包含護理人員及住院病人的床邊照護平台的認知有用性、認知易用性、可相容性、可觀察性、以及使用滿意度，且以開放性問題進行資料收集，於106年4月12日至9月30日共徵得166名護理人員及173住院病人填寫，更針對住院病人部份分為床邊照護平台組及傳統護理指導組各45名，於給予跌倒預防知識衛教前與後填寫知識測驗卷；研究結果顯示護理人員床邊照護平台系統的認知有用性(r=.726)、認知易用性(r=.664)、可相容性(r=.751)、可觀察性(r=.766)，可提升其使用滿意度(p<.001)；住院病人床邊照護平台系統的認知有用性(r=.710)、認知易用性(r=.595)、可相容性(r=.411)，可提升住院病人的使用滿意度(p<.001)；知識正確率研究結果顯示，床邊照護組(t=-10.66，p<.001)與傳統護理指導組(t=-10.71，p<.001)的護理指導都可提升病人的知識正確率(p<.001)，而接受床邊照護平台護理指導的知識正確率(t=1.24，p=.004)，比傳統護理指導方式(t=2.39，p=.159)更具顯著性。研究結果發現，護理人員及住院病人對系統的認知有用性、認知易用性、可相容性與使用滿意度皆有正向相關，然而可觀察性在護理人員的滿意度中仍呈現正相關，但在住院病人中之可觀察性與使用滿意度則無顯著相關性；期望以上結果未來能作為日後資訊系統推展，及內容優化之改善參考，更期望可做為其他機構規劃護理指導介入內容設計參考，使其朝向發展更實用的護理指導工具，進而簡化臨床護理業務，提升人員與住院病人的接受度與滿意度，達到雙贏的局面[[abstract]]Nursing instruction is one of the clinical nursing care content. That can reduce patient anxiety and improve the self-care ability. This is a quasi-experimental study by using questionnaire survey. Base on technology acceptance model and the innovation diffusion theory as the research framework to explore whether the nurses and inpatients were satisfied with the use of bedside care platform technology with nurs- ing instructional applications in the hospital. The data collection was performed from April 12 to September 30, 2017, the questionnaires included categories in perceived usefulness, perceived ease of use, compatibility, observability, and satisfaction of bedside care platforms for nurses and inpatients. 166 nurses and 173 inpatients were recruited, additionally；the inpatients were divided into the bedside care platform and the traditional nursing instruction group. Forty-five of the tests were filled in before and after the fall prevention nursing instruction on patients. The results revealed the study variables with the satisfaction scores are as the following: for nurses, bedside care platform system in perceived usefulness (r=.726), perceived ease of use (r=.664), compatibility (r=.751) and observability (r=.766) were presented, and for inpatients in perceived usefulness (r=.710), perceived ease of use (r=.595), and compatibility (r=.411) were shown which improved the satisfaction of hospitalized duration. In addition, the result of knowledge scores found both bedside care instruct- tion group (t =-10.66, p <.001) and the traditional instruction group (t =-10.71, p <.001) could improve the patient's knowledge rate (p < .001), and the knowledge improvement rate of bedside care instruction (t =1.24, p =.004) was more significant than traditional care instruction (t = 2.39, p = 0.159). This study showed that nurses and inpatients perceptions are positively related to perceived usefulness, perceived ease of use, compatibility, and satisfaction of use. While observability was still positively correlated with the satisfaction of nurses, there was no significant correla- tion between observability and satisfaction for the inpatients. We hope the results can be used as a reference for future information system development and content optimization. The result is also expected to be used for other institutions in planning nursing instruction in content design as references, thereby simplifying the clinical practice, improving the satisfaction of inpatients, and achieving a win-win situation