ABSTRACT
Para identificar a experiência de enfermeiros com computadores na atenção primária, foi realizada uma pesquisa exploratória do tipo Survey de abordagem quantitativa desenvolvida com 152 enfermeiros da Secretaria Municipal de Saúde de uma capital do Sul do Brasil, pelo preenchimento do Questionário Staggers sobre a Experiência Computacional de Enfermeiros, entre setembro de 2014 e janeiro de 2015. Na amostra, profissionais do sexo feminino n=146 (96,05%), assistenciais n=67 (44,08%) e especialistas n=59 (38,82%), na faixa etária entre 31 e 40 anos n=70 (46,05%), e com tempo de atuação de até 10 anos n=68 (44,74%), referem utilizar computadores com frequência n=122 (80%), para atividades assistenciais e administrativas. Conclui-se que o computador está presente neste processo de trabalho de enfermagem, entretanto, são necessárias ações de educação permanente para melhor incorporação das competências em informática, visando utilização efetiva das tecnologias da informação e comunicação nos serviços de saúde e de enfermagem na atenção primária (AU).
An exploratory research (survey) using a quantitative method was conducted to identify the experiences of nurses with the use of information technology in primary health care. The research involved 152 nurses of the Health Department of a city in Southern Brazil. The respondents completed the questionnaire Staggers on Nursing Computing Experience between September 2014 and January 2015. In the sample, female professionals n=146 (96.05%), assistant nurses n=67 (44.08%) and specialists n=59 (38.82%), aged 31-40 years n=70 (46.05%), with up to 10 years of experience n=68 (44.74%), reported frequent use of computers n=122 (80%), in care and administrative activities. It is concluded that computers are part of the nursing activities. However, permanent educational actions are needed to improve the incorporation and effective use of information technology skills in health care services and nursing in primary health care
Para identificar la experiencia con computadores de enfermeros de atención primaria, se realizó investigación exploratoria tipo Survey, de abordaje cuantitativo, desarrollada con 152 enfermeros de la Secretaría Municipal de Salud de capital del Sur de Brasil, mediante completado del Cuestionario Staggers sobre Experiencia en Computación de Enfermeros, entre setiembre 2014 y enero 2015. Constitución de la muestra: profesionales de sexo femenino n=146 (96,05%), de atención n=67 (44,08%) y especialistas n=59 (38,82%), en faja etaria entre 31 y 40 años n=70 (46,05%), tiempo de actuación hasta 10 años n=68 (44,74%), informan uso frecuente de computadores n=122 (80%), para actividades de atención y administrativas. Se concluye que el computador está presente en este proceso de trabajo de enfermería, aunque se necesitan acciones de educación permanente para optimizar compresión de competencias informáticas, apuntando a utilización efectiva de tecnologías de información y comunicación en servicios de salud y enfermería en la atención primaria (AU).
Subject(s)
Humans , Primary Health Care , Computer Literacy , Nursing InformaticsABSTRACT
This descriptive and cross-sectional study was designed to address nurses' computer literacy and attitudes towards the use of computers in health care and to determine the correlation between these two variables. This study was conducted with the participation of 688 nurses who worked at two university-affiliated hospitals. These nurses were chosen using a stratified random sampling method. The data were collected using the Multicomponent Assessment of Computer Literacy and the Pretest for Attitudes Towards Computers in Healthcare Assessment Scale v. 2. The nurses, in general, had positive attitudes towards computers, and their computer literacy was good. Computer literacy in general had significant positive correlations with individual elements of computer competency and with attitudes towards computers. If the computer is to be an effective and beneficial part of the health-care system, it is necessary to help nurses improve their computer competency.
Subject(s)
Attitude of Health Personnel , Attitude to Computers , Computer Literacy , Nursing Staff, Hospital/psychology , Adult , Cross-Sectional Studies , Female , Humans , Male , Turkey , Young AdultABSTRACT
BACKGROUND: The QUALMAT (Quality of Maternal and Prenatal Care: Bridging the Know-do Gap) project has introduced an electronic clinical decision support system (CDSS) for pre-natal and maternal care services in rural primary health facilities in Burkina Faso, Ghana, and Tanzania. OBJECTIVE: To report an assessment of health providers' computer knowledge, experience, and attitudes prior to the implementation of the QUALMAT electronic CDSS. DESIGN: A cross-sectional study was conducted with providers in 24 QUALMAT project sites. Information was collected using structured questionnaires. Chi-squared tests and one-way ANOVA describe the association between computer knowledge, attitudes, and other factors. Semi-structured interviews and focus groups were conducted to gain further insights. RESULTS: A total of 108 providers responded, 63% were from Tanzania and 37% from Ghana. The mean age was 37.6 years, and 79% were female. Only 40% had ever used computers, and 29% had prior computer training. About 80% were computer illiterate or beginners. Educational level, age, and years of work experience were significantly associated with computer knowledge (p<0.01). Most (95.3%) had positive attitudes towards computers - average score (±SD) of 37.2 (±4.9). Females had significantly lower scores than males. Interviews and group discussions showed that although most were lacking computer knowledge and experience, they were optimistic about overcoming challenges associated with the introduction of computers in their workplace. CONCLUSIONS: Given the low levels of computer knowledge among rural health workers in Africa, it is important to provide adequate training and support to ensure the successful uptake of electronic CDSSs in these settings. The positive attitudes to computers found in this study underscore that also rural care providers are ready to use such technology.
Subject(s)
Attitude of Health Personnel , Attitude to Computers , Decision Support Systems, Clinical , Maternal Health Services , Rural Health Services , Adult , Burkina Faso , Cross-Sectional Studies , Female , Focus Groups , Ghana , Humans , Interviews as Topic , Male , Rural Population , Surveys and Questionnaires , TanzaniaABSTRACT
La Informática Médica (IM) estudia la intersección entre la tecnología computacional, la medicina y la influencia del uso de la historia clínica electrónica y los sistemas inteligentes de apoyo diagnóstico en la toma de decisiones clínicas. El uso inadecuado de la tecnología puede desviar los propósitos de la IM hacia su aprovechamiento impropio por terceros involucrados en la atención clínica, tales como administradores de salud o agentes aseguradores. Se plantea que los principios de uso y usuario apropiado de la aplicaciones en IM sean los fundamentos con los cuales se maneje adecuadamente la tecnología computacional en salud. El desarrollo de estos principios debe basarse en la evaluación de las propias aplicaciones, recalcando que ésta debe realizarse con las mismas consideraciones de otros tipos de intervenciones médicas o quirúrgicas.
Medical Informatics (MI) studies the intersection among computer technology, medicine and the influence of electronic clinical history and the intelligent systems for diagnosis support in clinical decision making. The inadequate use of technology may divert the purposes of MI towards an inadequate use by third parties involved in clinical health care, such as health care managers or insurance agents. The principles for use and appropriate user for MI applications as base are proposed to manage suitably computational technology in health care. The development of these principles must be based in the evaluation of their applications, emphasizing that the evaluation must be carried out with the same considerations as other types of medical or surgical interventions.
A Informática Médica (IM) estuda a interseção entre a tecnologia computacional, a medicina e a influência do uso da história clínica eletrônica e os sistemas inteligentes de apoio diagnóstico na tomada de decisões clínicas. O uso inadequado da tecnologia pode desviar os propósitos da IM para seu aproveitamento inadequado por terceiros envolvidos na atenção clínica, tais como administradores de saúde ou agentes de seguros. Propõe-se que os princípios de uso e usuário apropriado das aplicações em IM sejam os fundamentos com os quais se manipule adequadamente a tecnologia computacional em saúde. O desenvolvimento destes princípios deve se basear na avaliação das próprias aplicações, recalcando que esta se deve realizar com as mesmas considerações de outros tipos de intervenções médicas ou cirúrgicas.
