基于DIKW模型的护理质量监控决策系统的开发及应用

Development and application of nursing quality monitoring decision system based on DIKW model

目的:开发护理质量监控决策系统,以提高护理质量管理水平。方法:成立研究开发小组,基于DIKW模型,开发包含数据-信息-知识-智慧四层次的护理质量监控决策系统,实现护理质量相关数据的全面采集、信息提取、知识提供及智慧决策。系统使用1年后,采用用户体验度量标准工具整体评估可用性问卷(PSSUQ)对护理管理者进行体验度调查,并进行系统使用前及1年后年度质量分析应用效率的比较。结果:应用护理质量监控决策系统后,PSSUQ得分为(1.63±0.65)分,用户使用体验度高于平均水平。护理管理者用于年度质量控制分析的时间缩短(P<0.05),全院质量控制成绩合格率提高、非计划性拔管发生率下降(P<0.05)。结论:基于DIKW模型的护理质量监控决策系统在系统质量维度、信息质量维度、界面质量维度及整体评价维度都为使用者提供了优质的用户体验,且提高了护理管理者的护理质量控制数据分析效率。

Objective:To develop a nursing quality monitoring and decision-making system to improve the level of nursing quality management.Methods:A research and development team was established to develop a nursing quality monitoring and decision-making system based on DIKW model,which included four levels:data,information,knowledge,intelligence,to realize the comprehensive collection,information extraction,knowledge provision and intelligent decision-making of nursing quality related data.Before and After 1 year's use of the system,the Post-Study System Usability Questionnaire(PSSUQ)was used to investigate the experience of nursing managers and compare the application efficiency of annual nursing quality analysis.Results:After the application of nursing quality monitoring decision system,PSSUQ score was 1.63±0.65.The average score of each item and the average score of the four dimensions showed that the user experience was above average.The time spent by nursing managers on annual quality control analysis was decreased,with statistical difference(P<0.05).The pass rate of quality control scores and the incidence of unplanned extubation in the entire hospital were improved(P<0.05).Conclusion:The nursing quality monitoring and decision system based on DIKW model provides excellent user experience in the system,information,interface quality and overall satisfaction dimensions,and can improve the efficiency of nursing managers'nursing quality control data analysis.