护理学报 ›› 2024, Vol. 31 ›› Issue (15): 39-45.doi: 10.16460/j.issn1008-9969.2024.15.039
医务人员临床决策支持系统应用体验质性研究的Meta整合
谢珍妮, 刘畅, 史婷奇
- 南京大学医学院附属鼓楼医院,江苏 南京 210008
摘要： 目的 系统评价医务人员临床决策支持系统应用体验,为临床决策支持系统更好的应用、推广和发展提供参考。方法 计算机检索PubMed、Embase、Medline、Web of Science、The Cochrane Library、万方数据库、维普数据库、中国知网、中国生物医学文献数据库中关于医务人员临床决策支持系统应用体验的质性研究,时限为建库至2024年1月。采用JBI循证卫生保健中心质性研究质量评价标准进行文献质量评价,采用汇集性整合方法对研究结果进行归纳整合。结果 共纳入17篇文献,提炼出74个研究结果,归纳整合为12个类别,综合得出4个整合结果：医务人员技术适应性差,内部支持不足;系统性能有待完善;医务人员肯定和认同临床决策支持系统的价值和意义;临床决策支持系统的改进途径。结论 本研究归纳分析了医务人员自身、医院环境及系统3个方面的局限,并展现了医务人员对临床决策支持系统价值和意义的肯定以及临床决策支持系统的改进途径。需加强与医务人员的沟通交流,不断优化系统,并提供专业的教育与培训,促进临床决策支持系统的有效应用。
中图分类号:
- R192
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