The Impact of Healthcare Informatics on the Organization

Dienemann, Jacqueline; Castle, Barbara Van de

doi:10.1097/00005110-200311000-00001

Cited by 13 publications

(14 citation statements)

References 2 publications

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“…A standardized format and lack of nursing effort in patient care have been criticized when nurses used computers for healthcare documentation (Lee et al 2002, Darbyshire 2004). Healthcare providers have been viewed as preferring to apply their own judgement to patient care instead of following a protocol or standardized format (Dienemann & van de Castle 2003). Using their own descriptions of a patient's condition should be encouraged, although saving patient information on a different computer for repeated use may pose a data confidentiality issue in the future.…”

Section: Discussionmentioning

confidence: 99%

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

Lee

2008

Journal of Clinical Nursing

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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.

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Section: Discussionmentioning

confidence: 99%

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

Lee

2008

Journal of Clinical Nursing

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Section: Discussionmentioning

confidence: 99%

“…It was easy to use and its layout was pleasant. The finding is important because with their experiences in working with patients, staff can eliminate unworkable solutions and improve quality and impressiveness operations (Ammenwerth et al 2003, Dienemann & Van de Castle 2003. The content of the information was relevant: the Mieli.Net portal contains essential, interesting and well-defined information in relevant format.…”

Section: Discussionmentioning

confidence: 99%

“…2004). With their experience in working with patients, nurses can eliminate unworkable solutions, improve the quality, profitability and effectiveness of such operations (Ammenwerth et al . 2003, Dienemann & Van de Castle 2003) and ensure that newly developed methods will satisfy users' needs (Sachdeva 2001, Farrell et al .…”

Section: Introductionmentioning

confidence: 99%

“…They also have a key role in the implementation process of the information technology (IT) applications including Internet portals in clinical practice (Modai et al 2002, MacDonald et al 2004. With their experience in working with patients, nurses can eliminate unworkable solutions, improve the quality, profitability and effectiveness of such operations (Ammenwerth et al 2003, Dienemann & Van de Castle 2003 and ensure that newly developed methods will satisfy users' needs (Sachdeva 2001, Farrell et al 2004.…”

Section: Introductionmentioning

confidence: 99%

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A preliminary usability evaluation of Web‐based portal application for patients with schizophrenia

Koivunen¹,

Välimäki

Pitkänen

et al. 2007

Psychiatric Ment Health Nurs

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This study evaluated the usability of a Web-based portal application developed for the use of nursing staff with patients suffering from schizophrenia and related psychosis. The study was designed solely to gain direct inputs from the nursing staff (N = 76, n = 38) in acute inpatient wards in two Finnish psychiatric hospitals. The data were collected by questionnaire covering the functionality, content and benefits of the portal. The evaluation showed that the portal is user-friendly enabling a user to move inside the service and to find the relevant information. The content of the portal was interesting, understandable and easy to read. Some nurses were concerned about the effects of the portal on the patients' care, well-being or personal contacts between nursing staff and patients. Some nurses have difficulties in evaluating the portal because they did not actively use it in clinical practice during the testing period. Emphasis should be put on nurses' motivation and concerns regarding possible negative effects of the portal, which may influence the future implementation of eHealth applications in clinical practice.

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Commitment of project participants to developing health care services based on the Internet technology

Kouri

Karjalainen-Jurvelin

Kinnunen

2005

International Journal of Medical Informatics

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The Impact of Healthcare Informatics on the Organization

Cited by 13 publications

References 2 publications

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

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

A preliminary usability evaluation of Web‐based portal application for patients with schizophrenia

Commitment of project participants to developing health care services based on the Internet technology

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