Nursing information: users’ experiences of a system in Taiwan one year after its implementation

Abstract

L E E T -T ( 2 0 0 8 ) L E E T -T ( 2 0 0 8 ) Journal of Clinical Nursing 17, 763-771 Nursing information: users' experiences of a system in Taiwan one year after its implementation Aim and objective. The purpose of this study was to explore nurses' experiences during the first year of the installation of a nursing information system (NIS). The objective was to identify the major issues that emerged regarding the users' concerns of this technology in their daily practice. Background. The success of the implementation of an information system depends mostly on the users' acceptance of this technology; however, nurses' experience of a system installation for a particular length of time, as in this study, has seldom been explored. This is a report on a qualitative study that explored nurses' experiences of a NIS use during the first year of its installation. Design. Descriptive qualitative interviews with nurse participants were used to collect data at a medical centre in Taiwan. Method. Four focus groups were conducted with the 23 nurse participants in November 2005. The interview guide included questions about the impact of computer use on the nurses' workflow and the electronic documentation process. Results. Six major themes emerged regarding the nurses' NIS use, including their dissatisfaction with insufficient personal computers and printers, the slow system response time, workflow change, poor content design, decreased charting quality and the impact on their interpersonal relationships. Conclusions. Organizations may need to redesign the computer interface, to provide better hardware and to maintain a more reliable network function to meet the nurses' needs during the adoption process, as well as to modify or devise appropriate documentation regulations. Relevance to clinical practice. As they continue to use electronic documentation, nurses may become accustomed to the technology and use it more easily as it becomes the required documentation method. However, understanding the barriers and difficulties they encountered could maximize their technology use and improve both the nursing efficiency and the documentation quality.

A survey of student nurses' and midwives' experiences of learning to use electronic health record systems in practice

“…Sheikh et al (2011) highlighted the slower than expected implementation of EHRs nationally and the students' experiences confirmed that implementation is incomplete, with no EHRs in some settings. A further barrier, encountered by about a quarter of students, was insufficient computers available, a result supporting previous research (Lee, 2008;Mahon et al, 2010).…”

“…Internationally, EHR systems are being implemented and evaluated (Lee, 2008;Green and Thomas, 2008;Zwaanswijk et al, 2011). In 2002, England's Department of Health proposed a strategy for a national EHR system and in 2005, the NHS 'Connecting for Health' was formed to support the EHR agenda.…”

Use of a human factors approach to uncover informatics needs of nurses in documentation of care

“…This cannot be done with the traditional randomized control trial methodology. While early studies of clinical information needs focused on physicians, more recent studies have found that nurses' information needs differ from those of physicians, and may include information about protocols and procedures [7], drug therapy, and diagnosis [8]. Nursing responsibilities in healthcare organizations run the gamut from educating patients to medication administration to executing physician orders and ensuring safety.…”

The relationship between in-service training nurses’ attitudes toward computer in health care and computer anxiety in Turkey

“…Nursing is not only a care giving profession, but has become a technology-proficient profession as well (Lee, 2008). In this context, Staggers et al (2002) produced a research based master list of informatics competencies for nurses of four levels: beginning nurses, experienced nurses, informatics specialists, and informatics innovators.…”

“…Besides producing, processing, storing, distributing and using information, the computers increase the level of learning by simultaneously addressing several senses, create permanent learning, save from time, place and learning speed and support life-long learning. With such attributes, the computers support efficient fulfillment of the roles, functions and responsibilities of the nurses/in-service training nurses, increase the quality of health care and enhance quality and efficiency of nursing practice (McNeil et al, 2003;Jiang et al, 2004;Lee, 2008;ANCC, 2010;Chow et al, 2011;Kaya, 2011;Lın et al, 2014).…”