基于人种学的家庭重症护理信息系统支持社会技术分析

M. Jelonek, Thomas Herrmann, Michael Ksoll, Nina Altmann
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引用次数: 1

摘要

在家庭重症监护领域开发信息系统和协作支持面临着需求启发的经验工作的挑战条件。一方面,各种各样的方面和与情况相关的特征需要经过深思熟虑的分析,并与护理人员和亲属密切互动,以确定技术支持的需求和限制。另一方面,相关的地方很难到达。为了能够在现场探望和观察病人,需要得到护理人员、病人和与他们一起生活的亲属的同意,并且必须保持高度的隐私和机密性。基于人种学数据的收集和分析,本文提供了一个全面的分类,以表征护理人员在重症监护领域的工作,使信息系统设计师在这一领域的工作更有效率:活动,人际互动,文件,资格,与技术的互动,客户的自主权,医疗记录的历史,以及对重症监护的反馈。最后,将这些分类与卫生保健信息系统社会技术设计的相关工作进行比较。
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Ethnographically Derived Socio-technical Analysis for Information System Support in Intensive Home Care
Developing information systems and collaboration support in the field of intensive home care is faced with challenging conditions of empirical work for requirements elicitation. On the one hand, the huge variety of aspects and situation-related characteristics require a deliberate analysis and close interaction with caregivers and relatives to identify the needs and constraints of technical support. On the other hand, the relevant places are hardly accessible. To be able to visit and observe the clients in situ, consent is needed by the caregiver, the client, and the relatives living with them, and a high level of privacy and confidentiality has to be maintained. Based on an ethnographical data gathering and analysis, this article provides a comprehensive categorization that characterizes the work of caregivers in intensive home, to make the work of information system designers in this field more efficient: activities, interpersonal interaction, documentation, qualification, interaction with technology, client autonomy, history of medical records, and feedback on intensive home care. Finally, these categories are compared with related work of socio-technical design of health care information systems.
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