Reflections From a Point-of-Care Pilot Nurse Group Experience (original) (raw)

Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users

BMC Medical Informatics and Decision Making, 2011

Background: A growing number of new technologies are becoming available within nursing care that can improve the quality of care, reduce costs, or enhance working conditions. However, such effects can only be achieved if technologies are used as intended. The aim of this study is to gain a better understanding of determinants influencing the success of the introduction of new technologies as perceived by nursing staff. Methods: The study population is a nationally representative research sample of nursing staff (further referred to as the Nursing Staff Panel), of whom 685 (67%) completed a survey questionnaire about their experiences with recently introduced technologies. Participants were working in Dutch hospitals, psychiatric organizations, care organizations for mentally disabled people, home care organizations, nursing homes or homes for the elderly. Results: Half of the respondents were confronted with the introduction of a new technology in the last three years. Only half of these rated the introduction of the technology as positive. The factors most frequently mentioned as impeding actual use were related to the (kind of) technology itself, such as malfunctioning, ease of use, relevance for patients, and risks to patients. Furthermore nursing staff stress the importance of an adequate innovation strategy. Conclusions: A prerequisite for the successful introduction of new technologies is to analyse determinants that may impede or enhance the introduction among potential users. For technological innovations special attention has to be paid to the (perceived) characteristics of the technology itself.

Registered Nurses' Intention To Use Electronic Documentation Systems: A Mixed Methods Study

2019

BACKGROUND: Home care in Ontario has become the fastest growing sector and cornerstone of the healthcare system. As a result of the increased shift to the home care sector in Ontario, there have been several health information technology (HIT) initiatives to improve the quality and delivery of health care services to patients. This is exemplified with the province-wide development and implementation of electronic documentation systems (EDS). Electronic documentation systems have the potential to ensure timely, up-to-date and comprehensive patient health and care-related information is available and accessible to healthcare providers such as registered nurses regardless of their physical location. Access to patient health and care-related information supports high-quality nursing care, decision-making, and care delivery processes. Despite the benefits of EDS (i.e., improved workflow, reduced diagnostic and laboratory tests and adverse drug events), low intention by registered nurses to use these systems is well documented. Existing evidence suggests that an expressed intention to use HIT such as EDS is a direct predictor and antecedent of behavioural usage. Despite the growing efforts to understand registered nurses' perceptions and overall intention to use EDS in practice, there is limited knowledge about registered nurses' intention to use EDS in the context of home care practice. AIMS: The purpose of this study was to understand and examine factors that influence nurses' intention and overall perception of using EDS in their home care practice. The conceptual model framing this study was adapted from the Unified Theory of Acceptance and Use of Technology (UTAUT) to delineate the relationships among factors that influence registered nurses' intention to use EDS in home care practice. METHOD: A sequential, explanatory mixed methods design, using a sample of nurses from Ontario who are currently practicing within the home care sector were recruited to address the study's objectives. Data were collected using both quantitative (online survey) and qualitative (semi-structured individual telephone interviews) methods. Quantitative data were analyzed with descriptive statistics and hierarchical multiple regression analysis and qualitative data were analyzed with content and inductive thematic analysis. RESULTS: Individual, technological and organizational / environmental characteristics were found to influence nurses' intention, level of comfort and experience with EDS usage in home care practice. Additional factors found to influence home care nurses' experience with EDS usage included: the development and employment of workarounds, the influence of nurse-patient interaction amidst system usage, and the ability to provide input towards the system design. ii CONCLUSION: Nurses play a significant role in the delivery of home health care services to Ontarians. The findings highlight the importance for: a) further exploration of the most appropriate model and / or adaptation of a model identifying a range of factors influencing nurses' intention to use EDS in different healthcare contexts; b) continued integration of nursing informatics competencies within nursing curricula; c) an organizational culture that supports the use of EDS in nurses' home practice (i.e., enlisting user champions and providing adequate training and IT support); and d) having representation of nurses in the EDS design and / or implementation processes through a user-centered design approach.

Nurses' attitudes towards computerization in clinical practice

Journal of Advanced Nursing, 1990

This descriptive research project was designed to replicate the study of Brodt & Stronge (1980) and to extend and investigate the attitudes of nurses towards computers in clinical practice Lack of an adequate study into nurses’ attitudes to computers was the motive behind this study The research project was earned out in a district general hospital in the United Kingdom Data was collected by means of a Likert's type closed-structure attitude-scale questionnaire The sample consisted of 58 nurses working in a clinical setting The overall conclusion was that nurses’ attitudes to computers were more unfavourable than favourable

Factors Affecting Nurses' Attitudes Toward Computers in Healthcare

CIN: Computers, Informatics, Nursing, 2011

Adapting to technological innovations represents a key process for improving and restructuring healthcare. Technological developments have, in addition to many existing assignments, exposed nursing personnel to new tasks and responsibilities in many areas of practice including homecare, clinic settings, schools, and hospitals. 1-4 Although the introduction of computers, representing a significant facet of technologic developments, to both daily and professional lives of nurses has been rapid, the literature indicates a resistance by nurses to use of computers in healthcare. Nurses argue that use of computers in healthcare is not in accordance with holistic and humanistic approaches, which represent the main philosophy of nursing, and that computers are complex devices to work with, to justify their resistance to use computers in healthcare. 5-12 However, it is being increasingly acknowledged in recent years that technology and therefore computerization will contribute to the decision-making capabilities and skills of nurses, improve the quality of healthcare, and reduce the costs of services. 5,13 Because of the accelerated development of technology, hospitals have expanded the use of computers to many areas. Initially, areas such as human resources, financial, and logistics systems were computerized. Later on, these systems expanded to include clinical communications and storage of patients' historical data, such as physicians' orders, laboratory results, and computerized nursing care plans. The growth of hospital information systems has also had significant impacts on nursing practice. Integration of computers in the work performed by nurses is an innovation that requires nurses to change their working methods and even their function in the department. The successful implementation of computer systems in nursing practice is likely to be directly related to users' attitudes toward computerization. Thus, the attitudes nurses have toward the use of computers are very important, and use of computers in healthcare requires that objective and comparative information on how nurses view the use of computers and the factors affecting these attitudes is available. If

Preparedness of Nurses at Hospitals to Utilize a Paperless Environment

2015

The embracing of Health Information Technology (HIT) by hospitals is viewed as one mechanism to mitigate the ever-growing healthcare supply and demand gap, reduce medical errors, increase efficiency, improve quality of care and automate business processes. This has led to many hospitals investing large sums of money in the hope that HIT can help hospitals achieve this goal. The problem, however, is that similar to other industries that have undertaken this journey towards embracing Information Technology (IT), hospitals have not been very successful and have not achieved the expected benefits of IT. One of the major contributing factors to the high failure rate of IT implementation within the healthcare sector is user acceptance. The reason for low user acceptance can be attributed to HIT being a disruptive technology that changes the existing work procedures and processes. The main objective of this study was to determine the preparedness of nurses to adopt a paperless environment ...

Computer-based nursing documentation in nursing homes: A feasibility study

Studies in health technology and informatics, 2006

The burden of paper-based nursing documentation has led to increasing complaints and decreasing job satisfaction amongst aged-care workers in Australian nursing homes. The automation of nursing documentation has been identified as one of the possible strategies to address this issue. A major obstacle to the introduction of IT solutions, however, has been a prevailing doubt concerning the ability and/or the willingness of aged-care workers to accept such innovation. This research investigates the attitudes of aged-care workers towards adopting IT innovation. Questionnaire survey were conducted in 13 nursing homes around the Illawarra and Sydney regions in Australia. The survey found that an unexpected 89.3% of participants supported the strategy of introducing electronic nursing documentation systems into residential aged-care facilities. 94.3% of them would use such a system depending on circumstances. Despite a shortage of computers in the workplace, which is a major barrier, this ...