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KMID : 1004620150210030377
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Clinical Nursing Research
2015 Volume.21 No. 3 p.377 ~ p.388
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Use Case Development for Next Generation Electronic Nursing Record Systems Utilizing Clinical Workflow Analysis and a Delphi Survey
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조인숙:Cho In-Sook
최완희:Choi Wan-Hee/현미숙:Hyun Mi-Suk/박연옥:Park Yon-Ok/이유나:Lee Yu-Na/이수연:Lee Soo-Youn/황옥희:Hwang Ok-Hee
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Abstract
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Purpose: To identify user requirements for electronic nursing record (ENR) systems so as to ensure system usability.
Methods: A mixed methods approach were applied in three steps : (i) task and workflow analysis with literature review of nursing documentation, (ii) literature reviews of system usability, and (iii) Use Case idenfication and consensus-based validation. We analyzed the nursing activity logs collected from a time-motion investigation of six hospitals. The Use Cases were validated by eight clinical experts from different hospitals and two experts from academia in a sequential Delphi survey. Consensus was achieved for the significance score and agreement among the panel.
Results: Eight task groups and patterns of task flow were observed, which were translated into nine Use Cases. The specification of Use Cases was derived from principles, guidelines, and recommendations on nursing documentation and electronic health record systems, which was organized into three requirements of each Use Case: functionality, information, and design characteristics. Each Use Case achieved an agreement of 50~70%, and significance scores of 4 or 5 on a 5-point Likert scale.
Conclusion: The nine Use Case identified were considered to be important and adequate in terms of both clinical and informatics contexts.
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KEYWORD
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Medical Records Systems, Computerized Nursing Records, User-Computer Interface, Computer Systems Development, System Requirements
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