| 内容記述2 | In the information Grand Design (2001) in the healthcare field, the Ministry of Health, Labor and Welfare promoted informatization with the aim of increasing the use of patients' electronic records. The objective of training nurses to use informatics has been difficult to attain. Information education for onsite training has not been fully categorized and systematized. Consequently, this paper examines the current condition of nurses' practical ability in information utilization and in accessing patients' electronic records during the onsite training that froms the basis of information utilization in practical nursing. The purpose was to acquire fundamental data concerning the effective usage of patients' electronic records during onsite training and for information education in the future.
We studied juniors at school of nursing (99 students). Among the practical abilities in their information utilization, they recognized that they were skilled in sending, communicating, and collecting information, but were less capable in the creation of information. Communication with a limited amount of information using electronic tools popular among students deprives these students of opprtunities to simplify information and to think to create information. Because we fear a deterioration of the ability to create information, we believe it is necessary to strengthen this ability. The students feel less freedom in access control to patients' electronic records, but they can learn the importance of protecting privacy by recognizing that it is indispensable in the maintenance of patient confidentiality. On the other hand, cautiousness and time wasted in accessing the appropriate information can become obstacles in their training. It is necessary to improve the learning environment in order to make full use of information while maintaining confidentiality. Moreover, as a means to protect personal information, we pay careful attention to creating and managing memos regarding patients and limiting the places that have access to patient information, however, we have very few guidelines for the prevention of information leaks resulting from accedd to electronic, information. It is necessary to realize the danger of electronic information leaks and to increase awareness of careful handling of personal information, as well as to make a clearer location and extent of accessing patients' information and management of collected information. It is important to train students to utilize information processing techniques, paying careful attention to security, and to apply acquired information to caring service by connecting nurses' knowledge with onsite training, thoroughly examining the need for information, and carefully selecting the information to be collected. |
