| 摘要: | 隨著醫療資訊的發展，醫療數位化已是全球性的趨勢，除了可以控管成本之外，更可有效率管理相關資料，以達到即時、效率及無紙化的效應，更可增加照護品質與工作效率。因此，在科技發展及資訊產品進步快速的環境下，手術資訊化已成為醫院資訊管理系統非常重要之一環，手術護理記錄作業不能一成不變，而是要迎頭趕上時代的腳步。當醫院花費了龐大的資金、資源建構了資訊系統後，期待能有一套評估其績效的工具，來提供醫院衡量資訊系統的品質績效。因此，本研究以DeLone and McLean（2003）資訊系統成功模型為基礎，以品質構面及電腦焦慮為自變數，探討使用者對於手術護理記錄資訊系統滿意度的因素及其後續績效的影響。本研究以手術室護理人員為研究對象進行問卷調查，共發出110份問卷，回收102份，有效回收率為92.7%，資料分析方面以SPSS及PLS（Partial least squares, PLS）1.04軟體進?回收問卷之敘述性統計分析及信?、效?檢定及假說檢定，利用結構方程模式來驗證研究模式的因果關係。經由研究結果發現：(1)系統品質、資訊品質及服務品質對系統的滿意度有正向顯著的影響；(2)電腦焦慮則對使用者滿意度沒有顯著的影響；(3)使用者滿意度也會對績效產生正向影響。因此，本研究結果可提供實施手術護理記錄資訊系統之醫療院所，瞭解有哪些因素可能會影響到使用者滿意度及對績效的影響，此外，亦期望本研究結果，能提供醫療院所於推動手術護理記錄資訊系統之決策參考以及系統功能設計之參考依循，本量表亦可供後續研究學者繼續深入探討與重要?考。
As medical information developed, medical digitized has been a global trend. Besides controlling the costs, it can manage related information efficiently in order to reach immediate, efficient and paperless effect. Moreover, it also can promote quality of care and working efficiency. Therefore, under the science and technology quickly developing and information products quickly progressing environment, operation care recording information system has been an important link in the hospital’s management information system, the operation care recording work cannot be static, but catching up the world’s footsteps. Hospital expects having an assessment method to measure the information system quality performance after they cost huge funds and resources to construct the information system. Thus, this research is based on the information system success model by DeLone and McLean(2003), taking quality facets and computer anxiety as variables to measure the effect of operation room nurses satisfaction of operation care recording information system. Thus, the main purpose of this stusy is to investigate the critical factors and continuing effects of user satisfaction of operation care recording information system. The research investigated operation room registered nurses by using questionnaire survey. This paper studies a total of 110 questionnaires were issued, recovering valid questionnaires 102 shares and the rate of return was 92.7%. In terms of data analysis, we use SPSS and PLS (Partial least squares, PLS) 1.04 as the statistics software to get the descriptive statistical analysis, credibility, validity and hypothesis test. Use structural equation model to verify the causality of researching model. Therefore, our study findings are as follows: (1) system, information and service quality have significant positive impact on system satisfaction; (2) computer anxiety had non-significant impact on user satisfaction; (3) user satisfaction has positive impact on performance, presenting highly relevant. Therefore, results of the research can provide hospital implementing operation care recording information system to understand which factor may affect the user satisfaction and performance. Besides, we also expect the research can provide medical institution as decision and system function design consultation while promoting the operation care recording information system. This scale can also provide follow-up research scholars as an important reference and have a thoroughly investigation |
