Application of a computerized nursing care plan system in one hospital: experiences of ICU nurses in Taiwan

Lee, Ting Ting; Yeh, Chao Hsing; Ho, Lun Hui

doi:10.1046/j.1365-2648.2002.02242.x

Cited by 55 publications

(79 citation statements)

References 14 publications

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“…These include computer skills, the implementation process, immediate benefit and the impact on time efficiency [3]. With an increasing fiscal limitation and a great demand by all stakeholders regarding return on investment, it is important to measure the success of EMR implementation [7]. However, in many developing countries the EMR system is not widely to the requesting clinic), eHMIS (to generate monthly, quarterly, and annual reports), and finance.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Electronic Medical Record Implementation from User’s Perspectives in Ayder Referral Hospital Ethiopia

Berhe¹,

Tadesse²,

Berhe³

et al. 2017

J Health Med Inform

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Background: It is widely recognized that the Electronic Medical Record (EMR) has the potential to become the core electronic information and communication system in the health care sector. Implementation of an EMR system increases efficiency and quality of health services, and Users satisfaction. Successful implementation depends on many factors, one of which is how users respond to the new system. Yet no evaluation studies have been on EMR implementation effectiveness at in Ethiopia. To evaluate the EMR implementation effectiveness in Ayder Referral Hospital. Methods:A cross sectional study design was used to assess the availability, use, and usability performance and users satisfaction level of an EMR system implemented at Ayder Referral Hospital. A sample size of 271 was calculated and simple random sampling technique was employed. Data was collected using structured, self-administered questionnaire. The Collected data was entering to SPSS version 20 and clean. Result:The majority of the participants were nurses (64%) and physicians (27%). Availability of computer with EMR installed was (91.8%), and 90.2% of respondents having good typing ability and they were inputting patient data easily. Regarding utilization of the system (94.9%) of respondents use the system daily. The usefulness of the system to obtain the result from clinical laboratory and Follow the result of particular Test was (87.5% and 86.3% respectively). The overall level of utilization dimension was 87.6%. The user satisfactions with four sub-dimension of the system like with context (66.8%), with usefulness (65.6%), with ease of learn (62.6%) and with ease of use (67.4%) of the system. Then, (65.6%) of the total respondents satisfied with overall of the system. The results of overall EMR implementation effectiveness were 73.5% which is rated as good. Conclusion:Utilization rate was high and more than half of the respondents were satisfied with the overall of using the system. At the end the overall effectiveness of EMR implementation was good. There should be improving the lower dimensions such as available more computers in all sites, users support and arrange refreshment training.

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Section: Introductionmentioning

confidence: 99%

Evaluation of Electronic Medical Record Implementation from User’s Perspectives in Ayder Referral Hospital Ethiopia

Berhe¹,

Tadesse²,

Berhe³

et al. 2017

J Health Med Inform

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“…They are the largest proportion of healthcare professionals and interact most with EMR systems due to the nature of their work. They make nursing diagnoses [23], check physician orders [24], write nursing care plans [25], record vital signs, and sometimes transcribe physician orders [26], amongst other roles. Despite this, their views on and perceptions about the use, quality and user satisfaction of EMR have not been as widely investigated as would be expected.…”

Section: Introductionmentioning

confidence: 99%

Nurses’ Views on Electronic Medical Records (EMR) in Turkey: An Analysis According to Use, Quality and User Satisfaction

Top

Gіder

2011

J Med Syst

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Electronic medical records are generally used by nurses in hospitals. However, studies investigating views on and evaluations of electronic medical records by nurses are limited in Turkey and in other countries around the world. Thus, in this study, nurses' views on electronic medical record systems will be investigated in terms of use, quality and user satisfaction. Our goal was to investigate the views on electronic medical records used by nurses working at hospital clinics (inpatient care units). Moreover, in this study, we will examine whether there are relationships among the use, quality and user satisfaction of electronic medical records. This study is composed of field research conducted using questionnaires. To prepare the data-measuring instrument, the literature on electronic medical records was reviewed. In addition, during the pilot run of the questionnaire, some revisions were made to the measuring instrument to account for the views of nurse managers in the field. The questionnaire consists of 35 items: 12 items for use, 12 items for quality and 11 items for user satisfaction. A Likert scale type was used in this questionnaire. Responses for usage and quality were assigned a value of 1-5 ('never/almost never/not at all' to 'always/almost always') for each item. Responses for user satisfaction were assigned a value of 1-5 ('not at all', to 'very great') for each item. The study was planned and conducted on nurses working at inpatient care units at one public university hospital, one Turkish Ministry of Health hospital and one private hospital in Kocaeli. A sampling technique was not used because we aimed to conduct the questionnaire among all nurses. At the end of this study, the questionnaire had been conducted on 200 nurses. We found that the average score for the nurses' satisfaction with electronic medical records was 3.28, the average score for using electronic medical records was 1.96, and the average score for the quality of electronic medical records was 3.16. We also determined that there are significant relationships among the use, quality and user satisfaction of electronic medical records. This study revealed that there are significant differences among the mean quality scores for the EMR systems in the Ministry of health hospital, the university hospital and the private hospital. Interestingly, 59.0% of all participants in this study felt that EMR systems were not well integrated into their workflow. In addition, half of all respondents had not been trained in using EMR systems.

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“…As with the ICD for physicians, the classification systems embedded in the nursing plan are tailored to nurses' work. Nursing care plans have gained widespread international attention recently, especially with the implementation of electronic patient records (EPRs) in hospitals (Lee, 2005;Lee et al, 2002;Timmons, 2003;Getty et al, 1999;Lee & Chang, 2004 (Hyun & Park, 2002, p. 100)). The ICNP covers the whole range of diagnoses, interventions and outcomes (Hellesø & Ruland, 2001).…”

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confidence: 99%

“…For instance, some observers have argued that care plans were more significant for the professionalism of nurses than for patient care (Lee & Chang, 2004). In other cases, cultural differences caused difficulties in using a global classification system such as NANDA (Lee et al, 2002).…”

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confidence: 99%

Standardization of Work: Co-constructed Practice

Ellingsen

Monteiro

Munkvold³

2007

The Information Society

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There is strong pressure to achieve greater uniformity, standardisation and application of best practices in the service professions, a sector which is growing in presence and importance. At the same time, there is a conflicting demand for the delivery of high-quality (or highly priced or 'knowledge intensive') specialised or localised services. Our paper analyses information systems' embedded efforts of standardising service work through an in-depth interpretative study of an ongoing standardisation initiative within the field of nursing. Nursing provides a graphic illustration of the dilemmas involved in the standardisation of service work. In nursing, standardisation is commonly a feature of projects to improve both efficiency and quality in health care. In contrast to the dominant conception of standardisation as a largely top-down, imposed process, we offer a view of standardisation as incomplete, co-constructed with users and with significant unintended consequences. The paper contributes by i) developing a theoretical perspective for the standardisation of information-system-embedded 2 service work and ii) operational and practical implications for system design and health care management.

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Application of a computerized nursing care plan system in one hospital: experiences of ICU nurses in Taiwan

Abstract: Nurses prefer tools that can help them save time with paperwork and focus on targeting patient problems. With careful assessment and evaluation of nurses' experiences in the use of clinical computer systems, the success of computer implementation can be enhanced.

Cited by 55 publications

References 14 publications

Evaluation of Electronic Medical Record Implementation from User’s Perspectives in Ayder Referral Hospital Ethiopia

Evaluation of Electronic Medical Record Implementation from User’s Perspectives in Ayder Referral Hospital Ethiopia

Nurses’ Views on Electronic Medical Records (EMR) in Turkey: An Analysis According to Use, Quality and User Satisfaction

Standardization of Work: Co-constructed Practice

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