[[alternative]]Study of Nurses’ Innovation Adoption of Barcode Technology

[[abstract]]摘要 病人辨識是進行任何醫療處置中首要進行的項目，依評鑑需求各醫院亦訂定兩種以上的病人辨識方式以達病人安全的國際目標，近年資訊科技的蓬勃發展，醫療院所也開始發展護理資訊領域及醫療資訊作業，以提升醫療品質及行政效率。條碼科技具操作簡單、準確、靈活、實用的特性被廣泛運用於病人辨識、輸血核對、給藥確認及檢驗等流程。本研究為橫斷式研究，利用量性方法，採描述性、相關性相關研究設計，以科技接受模式與創新擴散理論為架構，探討北部某醫學中心護理人員對於條碼科技之創新接受度，以內外產兒科一般病房及加護病房之護理人員為收案對象，透過結構式問卷及開放性問題進行資料收集，問卷設計包含條碼科技的創新特性、護理人員的認知有用性、認知易用性、創新接受度及對使用條碼系統經驗之開放性題目，於2014年3月3日至5月2日進行收案，共徵得200位護理師同意參與本研究為收案對象，研究結果顯示在條碼科技應用於採檢作業中，條碼科技的創新特性：相容性r=.364、可試用性r=.344及可觀察性r=.579，能提升護理人員的創新接受度（p <.001）；而科技接受模式之認知有用性r=.722與認知易用性r=.720亦對護理人員創新接受度有正向的提升效果（p <.001）、護理人員於N層級的護理師較N1、N2層級的護理師有較正向的接受度（p <.05,F=3.95）。條碼科技導入採檢系統上線前後，全院生化檢驗項目檢體報告花費時間達顯著差異（p <.05, t=10.03），條碼導入後每筆檢體報告花費時間較導入前平均減少109分鐘；檢體退件率由2.18%下降為0.29%，其中以「檢體缺病人姓名」由0.42%下降為0.00%及「檢體與檢驗單姓名不符」由0.36%下降為0.00%的成效最為顯著。本研究所得之結果發現護理人員對條碼科技運用於採檢作業具有正向的接受度，及認同檢驗報告時間與檢體退件之改善成效，希能提供未來資訊系統導入護理臨床作業系統之參考，提供護理人員一個最合宜的系統，提升個人實際使用行為，以達到提升病人安全、護理照護品質與效率為目標。關鍵字：條碼科技、創新接受度、檢體報告時間、檢體退件[[abstract]]Patient identification is first priority before medical treatment. According to the requisitions of the hospital Accreditation, providing more than two way of patient identification to achieve the goal of patient safety. Hospitals have begun to develop nursing information field and medical information operation in recent years, to enhance quality of care and administrative efficiency. Barcode technology with characteristics of simple, accurate, flexible and practical features which are widely used in patient identification, blood transfusion verification, administration and inspection processes. This study was a cross-sectional study, use by quantitative methods with descriptive and correlation research design. Base on technology acceptance model and innovation diffusion theory framework, to discuss the innovation acceptability of barcode technology of nurses were work in medical center. The data collation was preformed since 2014 3rd of March to 2nd of May ,by a structured questionnaire design includes the features of innovative barcode technology, perceived usefulness, perceived ease of use innovation acceptance and the open-end questions in experience using barcode systems. 200 nurses were including in this study.The results of this study are displayed in barcode Technology used in inspection operations, compatibility(r = .364), trialability (r = .344), observability (r = .579) and promote the innovation acceptability of nurses (p <. 001); perceived usefulness (r = .722) and perceived ease of use (r = .720) also has a positive effect in innovation and acceptance of nurse (p <.001). In the levels of nursing, the N nurses have more positive acceptance (p <.05, F = 3.95) than the N1, N2 level nurses. After barcode technology into the specimen collection system, blood biochemical test reporting time was significant differences (p <.05, t = 10.03); the rate of specimens being returned has significant improved in patient and specimens accuracy(from the 2.18% dropped to 0.29%). The results of this study found that nurses with positive attitude in barcode technology for specimen collection, and identified with blood biochemical test reporting time and the effect of specimens being returned. This study provides a reference in nursing information systems and to supply suitable clinical Information environment for nurses. To enhance their using behavior and improve patient safety, nursing care quality and efficiency. Keywords: Barcode technology, innovation and acceptance, blood biochemical test reporting time, specimens being returne