Review: evaluating information systems in nursing

Oroviogoicoechea, Cristina; Elliott, Barbara; Watson, Roger

doi:10.1111/j.1365-2702.2007.01985.x

Cited by 63 publications

(65 citation statements)

References 56 publications

(118 reference statements)

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“…In realistic evaluation, "The main aspect is that of generative mechanisms based on causality being, not external, but an internal potential of the programme or intervention that is activated in the right conditions" [1] (pp 572). Evaluation tries to uncover causal relationships between context, mechanisms and outcomes: what works for whom in what circumstances [10].…”

Section: Design and Methodsmentioning

confidence: 99%

“…Nevertheless, such evaluation can be considered to be in its early stages. Limited insight has been developed and many relevant questions for effective design and implementation remain unanswered [1].…”

Section: Introductionmentioning

confidence: 99%

“…The potential of critical realism is widely recognised in organisational studies [13,14], although it still has few empirical applications. In IT system evaluation research it is still, largely, absent but could be applied to overcome some of the problems with traditional approaches [1,9].…”

Section: Introductionmentioning

confidence: 99%

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A quantitative analysis of the impact of a computerised information system on nurses’ clinical practice using a realistic evaluation framework

Oroviogoicoechea

Watson

2009

International Journal of Medical Informatics

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Measurements.A questionnaire was distributed to all nurses working in in-patient units of a university hospital in Spain (n= 227). Quantitative data were analysed using SPSS 13.0. Descriptive statistics were used for an overall overview of nurses' perception. Inferential analysis, including both bivariate and multivariate methods (path analysis), were used for cross-tabulation of variables searching for CMO relationships. Conclusion.Results from the study looking at subtle variations in users and units provide insight into how important professional culture and working practices could be in IT (information technology) implementation. The socio-technical approach on IT systems evaluation suggested in the recent literature appears to be an adequate 3 theoretical underpinning for IT evaluation research. Realistic evaluation has proven to be an adequate method for IT evaluation.

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Section: Design and Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A quantitative analysis of the impact of a computerised information system on nurses’ clinical practice using a realistic evaluation framework

Oroviogoicoechea

Watson

2009

International Journal of Medical Informatics

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“…Urquhart et al [41], cited in Oroviogoicoechea et al's review [43], suggested quality of health care is directly related to the quality of information available to healthcare workers thus information management is an essential part of health care delivery. The interviewees' documentation time was perceived to be reduced, allowing staff to spend more time with residents, it is the same as Chau and…”

Section: The Benefits To the Residentsmentioning

confidence: 99%

The benefits of introducing electronic health records in residential aged care facilities: A multiple case study

Zhang

Shen

2012

International Journal of Medical Informatics

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Purpose: Information and communications technology solutions have been introduced into the residential aged care system in order to improve the effectiveness and efficiency of aged care, however to date, the actual benefits have not been systematically analysed. The aim of this study was to identify the benefits of electronic health records (EHR) in residential aged care services and to examine how the benefits have been achieved. Method: A qualitative interview study was conducted in nine residential aged care facilities (RACFs) belonging to three organisations in the Australian Capital Territory (ACT), New South Wales (NSW) and Queensland, Australia. A longitudinal investigation after the implementation of the aged care EHR systems was conducted at two data points: January 2009 to December 2009 and December 2010 to February 2011. Semi-structured interviews were conducted with 110 care staff members selected through theoretical sampling, representing all levels of care staff who worked in those facilities. Results: Three categories of benefits were perceived by the care staff members according to who gain the benefits: the benefits to individual care staff members, to residents and to the RACFs. The benefits to individual care staff members include an improvement of documentation efficiency, information and knowledge growth as well as empowering the staff; the benefits to residents are an improvement in the quality of individual residents' health records, the higher quality of care and smoother communication between the residents and aged care staff; the RACFs gain an increased ability to manage information and acquire funding, an increase in their ability to control the care quality and improvements in the working environment and educational benefits. Three factors leading to these benefits were examined: the nature of the aged care EHR systems in comparison with paper-based records; the way the systems were used by the staff and one benefit that could lead to another. Conclusions: In this study, EHR systems were perceived to have substantial benefits for care staff, residents and the aged care organisations introducing the systems. The benefits were derived from the nature of the aged care EHR systems, staff members' continuous use of the systems, and one benefit led to the other. -2 - AbstractPurpose: Information and communications technology solutions have been introduced into the residential

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“…24 Several studies support this perspectives and add new possibilities, such as: improvement of practice environments, direct care, patient results and satisfaction; reduction in the time spent on documentation and clinical record keeping; development and improvement of clinical reasoning skills and judgment; inclusion of nurses in intensive care processes; promotion of clinical discussions among colleagues and the multidisciplinary team; support of the continuous search for information aimed at generating evidence-based care; and guarantee of the continuity of nursing care. 17,19,21,[25][26][27][28][29][30][31][32][33][34] However, in order to provide nurses with the ability to carry out the documentation of rendered care processes, studies point to the need to standardize data entries included in the electronic health record, as well as recover and analyze information by means of a vocabulary that standardizes the clinical terms of the care practice. The standardization of these clinical terms must meet specified criteria such as validity, specificity, data recovery and ease of communication, and must be presented in a way that supports the understanding, knowledge and intuition of the professionals.…”

Section: Health Information and Computing Systems: The Electronic Recmentioning

confidence: 99%

Contribuições dos registros eletrônicos para a segurança do paciente em terapia intensiva: uma revisão integrativa

Sousa

Sasso

Barra

2012

Texto contexto - enferm.

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3 Doctoral student in Nursing at PEN/UFSC. CNPq and CAPES/Brazil fellow (program for international doctoral internshipProcess number 3858-10-3). Santa Catarina, Brazil. E-mail: danyccbarra@yahoo.com.br ABSTRACT: Integrative review publications that analyzed the contributions of electronic health records for patient safety in intensive care units. The survey was conducted in the databases CINAHL, MEDLINE and SciELO, using the keywords: electronic health records, information systems, nursing informatics, medical informatics, intensive care units, patient safety and security management. A total 64 articles were included and analyzed in two empirical categories: "Information systems and information technology: the electronic record for the continuity of nursing care", "decision support systems: contributions to patient safety" and "indicators of quality of care and patient safety from the records electronics". The studies pointed to contributions to continuity of care, decision making based on decision support systems and the creation of quality indicators and patient safety from electronic records. DESCRIPTORS:Electronic health records. Information systems. Nursing informatics. Safety management. Intensive care units. A SEGURANÇA DO PACIENTE EM TERAPIA INTENSIVA: UMA REVISÃO INTEGRATIVA RESUMO: Revisão integrativa que analisou nas publicações as contribuições dos registros eletrônicos em saúde para a segurança do paciente em unidades de terapia intensiva. A pesquisa foi realizada nas bases de dados CINAHL, MEDLINE e SciELO, utilizando os descritores: registros eletrônicos de saúde, sistemas de informação, informática em enfermagem, informática médica, unidades de terapia intensiva, segurança do paciente e gerenciamento de segurança. Foram incluídos 64 artigos, sendo analisados em três categorias: "sistemas de informação e informática em saúde: o registro eletrônico para a continuidade do cuidado de Enfermagem" e "sistemas de apoio à decisão: contribuições para a segurança do paciente" e "indicadores de qualidade do cuidado e de segurança do paciente partir dos registros eletrônicos". Os estudos apontaram como contribuições a continuidade do cuidado, a tomada de decisão baseada nos sistemas de apoio à decisão e a criação de indicadores de qualidade e segurança do paciente a partir dos registros eletrônicos. CONTRIBUIÇÕES DOS REGISTROS ELETRÔNICOS PARA DESCRITORES:Registros eletrônicos de saúde. Sistemas de informação. Informática em enfermagem. Gerenciamento de segurança. Unidades de terapia intensiva. CONTRIBUCIONES DE LOS REGISTROS ELECTRÓNICOS PARA LA SEGURIDAD DEL PACIENTE EN CUIDADOS INTENSIVOS: UNA REVISÓN INTEGRADORA RESUMEN:Revisión integrativa que analizó en las publicaciones las contribuciones de los registros electrónicos de salud para la seguridad de los pacientes en unidades de cuidados intensivos. La investigación se realizó en las bases de datos CINAHL, MEDLINE y SciELO, utilizando las palabras clave: registros médicos electrónicos, sistemas de información, informática de enfermería, informática méd...

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Review: evaluating information systems in nursing

Cited by 63 publications

References 56 publications

A quantitative analysis of the impact of a computerised information system on nurses’ clinical practice using a realistic evaluation framework

A quantitative analysis of the impact of a computerised information system on nurses’ clinical practice using a realistic evaluation framework

The benefits of introducing electronic health records in residential aged care facilities: A multiple case study

Contribuições dos registros eletrônicos para a segurança do paciente em terapia intensiva: uma revisão integrativa

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