System requirements for a computerised patient record information system at a busy primary health care clinic

Blignaut, P J; McDonald, Theo; Tolmie, Carmien

doi:10.4102/curationis.v24i2.835

Cited by 4 publications

(5 citation statements)

References 2 publications

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“…Also in the present study, the number of portable computers and the network lines’ speed are semi-desirable to run a NCIS, which is consistent with the result of a Montini (2013) study, reporting lack of portable computers, poor wireless communication and the network lines’ speed in a feasibility study of the backup system of a clinical decision in treating tobacco consumption in a dental clinic ( 29 ). But it is not consistent with the results of other studies that reported; the number of portable computers and the network lines’ speed are adequate ( 17 , 23 , 26 , 30 , 31 ). Given that the study findings show that by using information systems, planning and documentation are enhanced due to the communication and integration with other information systems therefore rapid access to a patient information, documentations are comprehensively presented.…”

Section: Discussioncontrasting

confidence: 93%

“…In the study of Ozkan (2006) there was no terminal to search web external resources such as PubMed and off-line inquiry software, for users’ support ( 27 ). Blignaut et al (2001) also showed that there was no off-line search facility in the database ( 31 ). In a study that was conducted to evaluate an electronic system to predicate clinical care, while access to computers and technology was provided, new technology tools have not been predicted ( 9 ).…”

Section: Discussionmentioning

confidence: 99%

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Technological Feasibility of a Nursing Clinical Information System

Jeddi¹,

Adib-Hajbaghery²,

Akbari³

et al. 2016

Electron physician

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IntroductionA successful implementation of an information system is impossible without sufficient knowledge of available technical resources of an institute. The aim of this study was to determine technical feasibility of a nursing clinical information system (NCIS) in Mazandaran province, Iran, 2015.MethodsThis cross-sectional study was conducted in three steps. In the first step, a data gathering tool was developed through an unsystematic literature review. In the second step, a questionnaire was developed and validity of the tool was confirmed by receiving opinions of faculty members and calculating indices of Content Validity Index (CVI) and Content Validity Ratio (CVR). The questionnaire reliability was confirmed by calculating Cronbach’s alpha coefficient (α= 0.72). In the third step, the feasibility of implementation of NCIS was evaluated by forming a panel of IT experts (n= 30), and through a questionnaire. Data were collected by 5-point Likert scale, very low to very high (scoring 1–5). Scores of each item were calculated and score percentage was determined. Chi-square and Fisher Exact tests were used.ResultsMaximum possibility of implementing NCIS were in the hardware area, additional equipment (92.6%), in the area of software, financial software (99.4%), in the area of network equipment, the possibility of integration with other internal systems, (92.6%) and in the area of network security, the possibility of backup version for security purposes (97.4%). Type of employment was statistically significant according to IT experts’ opinions (p= 0.014)ConclusionHardware and software infrastructures for implementation of NCIS were desirable. The provision of more portable computers, advanced equipment such as barcode scanner, Radio-frequency identification (RFID), some approaches for increase accessibility of the system and essential databases from other resources and also increase of network lines’ speed are necessary.

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Section: Discussioncontrasting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Technological Feasibility of a Nursing Clinical Information System

Jeddi¹,

Adib-Hajbaghery²,

Akbari³

et al. 2016

Electron physician

View full text Add to dashboard Cite

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“…However, it is not consistent with the results of some studies that have reported that at the time of information system application, nurses were familiar with computer, felt good when using its tools and easily recovered their data [23,24,42,43]. Blignaut et al (2001) stated that a workshop-like consulting environment helped nurses improve their confidence and familiarity with system before launching a new system [25]. The study of Bond (2007) and Just (2008), conducted in Thailand, reported that nurses familiar with computer skills search their needed information easily and apply them when providing care [22,44].…”

Section: Discussioncontrasting

confidence: 68%

“…Furthermore, the study of Imani et al (2015) reported that most problems that nurses are faced with happen when working with medical information computer programs due to lack of familiarity with computer science and the lack of adequate training [41]. However, it is not consistent with the results of some studies that have reported that at the time of information system application, nurses were familiar with computer, felt good when using its tools and easily recovered their data [23,24,42,43]. Blignaut et al (2001) stated that a workshop-like consulting environment helped nurses improve their confidence and familiarity with system before launching a new system [25].…”

Section: Discussionmentioning

confidence: 99%

Behavioral Feasibility of the Clinical Nursing Information System

Jeddi¹,

Shaeri²,

Akbari³

et al. 2019

TONURSJ

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Background: Analysis of humanitarian issues affecting the implementation time of information systems to increase the acceptance of these systems is essential. Objective: The aim of this study was to assess the behavioral feasibility of the clinical nursing information system. Methods: An applied cross-sectional study was conducted with 348 nurses in 2015. Data were collected by face to face interviews and a questionnaire containing 33 questions, which were rated on a 5-point Likert scale. Face and content validity of the questionnaire was confirmed, and its reliability was estimated 0.90 through Cronbach's alpha coefficient. Data were analyzed using chi-square tests and t-test. Results: An average score of behavioral feasibility was 67.44%. The rate of supply provided for implementing the clinical nursing information system was 55.2%, which was in a semi-favorable level. The necessity of system deployment in the clinical nursing sector had the highest frequency (88.2%) and interference of redesigning structures with the current work had the lowest frequency (43.6%). Conclusion: The possibility of implementation of the clinical nursing information system in a behavioral dimension is at a semi-favorable level. To increase the acceptance of the system, presenting a new system as a positive change and further training of the nurses is recommended.

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“…The results of these studies can be classified as studies with positive attitudes and views and studies with negative attitudes and views [4][5][6][7][8]. These attitudes and views were shown to be affected by several common expectations, such as the ease of use, availability of useful extra features, costs, need for training, and confidentiality and security concerns [9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Performance, Barriers, and Satisfaction of Healthcare Workers Toward Electronic Medical Records in Saudi Arabia: A National Multicenter Study

Otaybi¹,

Al‐Raddadi²,

Bakhamees³

2022

Cureus

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BackgroundElectronic medical record (EMR) systems are nowadays available internationally, including in Saudi Arabia. Nevertheless, there are still many obstacles to overcome before their effective implementation. This crossnational study aimed to investigate the perceptions and practices of healthcare workers toward implemented EMR systems. MethodsA cross-sectional study was conducted across selected hospitals in the four cities of Al-Ahsa, Dammam, Medina, and Riyadh in Saudi Arabia. Healthcare workers of all specialties were invited to participate in the study during the six-month study period from August 2019 to February 2020. The questionnaire was submitted online through institutional e-mails. ResultsThe study included a total of 2684 healthcare providers. Almost half of the respondents (47.1%) were aged between 35 and 50 years. High experience with computer use was observed among 38.3% of them, while 54.3% attended EMR training activities. The performance scores of EMR's compared to previous routines had a median of 24 (interquartile range {IQR} = 0-38). The satisfaction scores with EMR's ranged between 16 and 80 with a median of 53 (IQR = 48-61). Older participants (>50 years), non-Saudis, and those who attended EMR training had statistically significant higher scores of both EMR performance and EMR satisfaction, (p<0.001). Those working in other medical specialties (not major) had statistically significant higher scores of EMR performance alone (p<0.001), while general practitioners (p<0.001) and females (p = 0.001) had statistically significant higher scores of EMR satisfaction alone. EMR systems' positive impact on quality of care was the highest agreed-upon benefit reported, while the temporary loss of access to patient records if computers crashed or power failed was the highest agreed-upon barrier. ConclusionsThe attitude and satisfaction of healthcare workers in Saudi Arabia towards EMR systems are acceptable particularly among those who are older, non-Saudi, and have attended EMR training. Improved quality of care was the main noted benefit of EMR's, followed by improved productivity. The temporary loss of access to patient records if computers crashed or power failed, followed by privacy and security concerns, was the major EMR barrier mentioned.

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System requirements for a computerised patient record information system at a busy primary health care clinic

Cited by 4 publications

References 2 publications

Technological Feasibility of a Nursing Clinical Information System

Technological Feasibility of a Nursing Clinical Information System

Behavioral Feasibility of the Clinical Nursing Information System

Performance, Barriers, and Satisfaction of Healthcare Workers Toward Electronic Medical Records in Saudi Arabia: A National Multicenter Study

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