Availability, Utilization, and Support Systems of Ehealth Resources in Nursing Practice among Nurses in Cape Coast, Ghana

Frank Nukunu
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Abstract

Information and communication technology (ICT) is transforming healthcare delivery at a fast rate. Nurses who form most of the health workforce are strategically positioned to champion the transition to digital health care. Ghana is fast adopting eHealth. However, there is little evidence on how well nurses are using these technologies. A descriptive cross-sectional study using a quantitative approach was conducted to examine the availability, utilization, and support systems of eHealth resources in the nursing profession. A multi-stage sampling technique was employed. Data collated from 206 registered nurses in Cape Coast revealed that respondents were predominantly female (61.7%), and 38.3% were males. The result suggests that good resources for eHealth service delivery were available with association wards and resources availability (χ2=19.691, P= .012). Comparatively, the A&E ward had the most resources compared to the medical ward (p=.018), OPD (p=.012), Surgical ward (p=.013), Theatre (p=.003), Children ward (p=.000), Obs/Gynae ward (p=.002), ICU (p=.042) and NICU (p=.011). Also, most nurses have received adequate training, technical support, and internet connectivity towards eHealth resources usage. The study further revealed that most facilities did not have access to eLibraries. Monitoring and evaluation were either erratic or non-existent. Though the study results showed some promise in the digitization of healthcare in Ghana, there is more to be done to bridge the gap between the health needs of the population and the technologies required to meet them.
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加纳海岸角护士护理实践中电子健康资源的可用性、利用和支持系统
信息和通信技术(ICT)正在快速改变医疗保健服务。护士构成了卫生人力的大部分,在战略上处于有利地位,可以支持向数字卫生保健的过渡。加纳正在迅速采用电子医疗。然而,很少有证据表明护士如何很好地使用这些技术。采用定量方法进行了一项描述性横断面研究,以检查护理专业中电子健康资源的可用性、利用率和支持系统。采用多级采样技术。从海岸角206名注册护士收集的数据显示,受访者主要是女性(61.7%),男性为38.3%。结果表明,医院有良好的电子卫生服务资源,且病房和资源可获得性存在关联(χ2=19.691, P= 0.012)。与内科(p= 0.018)、OPD (p= 0.012)、外科(p= 0.013)、手术室(p= 0.003)、儿童病房(p= 0.000)、妇产科(p= 0.002)、ICU (p= 0.042)和NICU (p= 0.011)相比,A&E病房的资源最多。此外,大多数护士都接受了充分的培训、技术支持和互联网连接,以利用电子卫生资源。该研究进一步揭示,大多数设施没有进入图书馆。监测和评价要么不稳定,要么根本不存在。尽管研究结果显示加纳在医疗保健数字化方面有一些希望,但要缩小人口健康需求与满足这些需求所需技术之间的差距,还有更多工作要做。
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