Nursing Nursing Informati tion Syste tem A relevant t substi titu tute te of th the paper record M.B. Michel-Verkerke Saxion University of Applied Sciences, Enschede, The Netherlands MIE 2011 Oslo, August 31 Nurse Donna Taylor uses a computer on wheels (COW) in the Emergency Department of Baptist Memorial Hospital DeSoto to enter patients' chart information. Photo by Thomas Busler/The Commercial Appeal http://www.commercialappeal.com/photos/2009/mar/05/105455/ This photograph is retrieved from the Internet. Neither the nurse, nor the hospital are involved in my research. Kom verder. Saxion.
Kom verder. Saxion. Agenda Agend a eory: Relev Relevan ance ce an and accepta tance Theory Th thods: Questi tionnaire an and inte terviews Meth Case: Nursing Nursing Informati tion Syste tem Case: ts: Use Use an and use useful fulne ness ss Results Conclusion: N Nurs rses es pref prefer er N NIS IS Conclusion Dia 2 - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Kom verder. Saxion. Th Theory eory • Jo Job relev relevan ance ce, outp tput t quality ty an and resu result lt demonstr trability ty contr tribute te to to perceiv perceived ed use useful fulne ness ss in in TA TAM3 ( M3 (Venkate tesh & & Bala Bala, , 2008) 2008) Dia 3 - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Kom verder. Saxion. IS ISSM ( M (De DeLone & McLean & McLean, 2003) , 2003) • Relev Relevan ance ce an and use useful fulne ness ss are aspects ts of Informati tion Quality ty Dia 4 - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Kom verder. Saxion. USE E IT USE E IT model User Do Domain Informati tion Technology Do Domain Product Relevance Requirements Process Resistance Resources Micro-relevance: degree to which IT-use helps to solve the here-and- now problem of the user in his working process (Spil et al, 2006) Dia 5 - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Kom verder. Saxion. Research questi tion: • Wh What at is micro-relevant t to to th the users of th the Nursing Nursing Informati tion Syste tems? an and • Do Does th the NIS meet t th the nurses’ expecta tati tions in th these aspects ts? Dia 6 - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Kom verder. Saxion. Case Case • Ev Evaluati tion of NIS afte ter implementa tati tion to to replace replace paper paper nur nursi sing ng record in record in six six wa wards in in te teaching hospita tal Dia 7 - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Kom verder. Saxion. Meth thods: : • Inte terviews: – USE E IT-model: – 6 n 6 nurs rses es no not usi using ng N NIS IS + + 6 6 use users • Questi tionnaire: – Sta tate tements ts : five-point- t-scale – Few Few open open questi tions – Res Respon ponse w e was as 48% (93 of 48% (93 of all 195 all 195 use users) ) Dia 8 - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Kom verder. Saxion. Inte terview results ts • Pr Provid viding ing go good care, care, so so pati tient feels feels we well, is most t importa tant t • Nurses Nurses pref prefer er to to use use N NIS IS, , • NIS NIS is is orderly orderly, , readable readable, m , more ore informati tion, bette tter acces access • Pa Paper er fo forms ms cau cause se extr tra wo work • Tim Time is e is alw always ays short t Dia 9 - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Kom verder. Saxion. NIS NIS is is use used daily daily or or we weekly fo for essenti tial functi tions Copy history from previous record 76% Copy data from history to care plan 85% Make nursing plan 79% Report on category 63% Report on multi-disciplinary problem or 51% nursing plan Make multi-disciplinary problem 29% Use nursing plan example 10% Dia 10 - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Kom verder. Saxion. Support t of care prov providin iding (M) (M) Quick first impression of patient 3.78 Quick complete view of patient 3.22 Quick insight in necessary care 3.65 Quick overview of provided care 3.49 Quick insight in goals 3.06 Better support of multi-disciplinary 3.13 collaboration Dia 11 - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Kom verder. Saxion. Usefulness Usefulness (M) (M) Perform tasks better 2.94 Spend more time on direct care 2.43 Useful and usable 3.70 Do not want to do without anymore 3.37 Advantages compensate amply for 3.51 disadvantages NIS has advantages compared to paper record 3.64 Dia 12 - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Kom verder. Saxion. Informati tion quality ty (M) (M) Reports are kept up-to-date 4.01 No patient data in wrong record 2.68 Quality of recording raises 3.59 Oral and written reports are not contradictory 3.89 Precisely the information I need 3.21 Contains all information I need 3.26 Access anytime 3.40 Can enter all information I want 3.54 Dia 13 - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Kom verder. Saxion. Op Open en questi tions Advanta tages Di Disadvanta tages Readability 45% Technical problems 50% Not everybody uses NIS 11% accurately No access for patient 15% Dia 14 - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Kom verder. Saxion. Di Discussion: : con con’s ’s • NIS NIS does es no not save ti time, except except fo for copyin copying data ta • Tech Technical ical problem problems with th COW COW’s • Main Mainly ly essenti tial functi tions are are use used • Ris Risk of k of errors errors, , becau because of of complexity ty of of so some me functi tions Dia 15 - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Kom verder. Saxion. Di Discussion: pro’s : pro’s • Nurses Nurses pref prefer er N NIS IS • NIS NIS sup supplies lies complete te, leg legible ible pati tient data ta • Access Access an anyw ywhere ere, , anyti time Dia 16 - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Kom verder. Saxion. Conclusions Conclusions • NIS NIS is is go good substi titu tute te fo for paper paper record record • Informati tion is more micro-relevant t th than ti time (probably probably) ) • Comb Combining ining qualita tati tive an and quanta tati tive meth thods in in so socio cio- te technical approach approach create tes added added va value ue Dia 17 - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Kom verder. Saxion. Micro-relev Micro- relevan ance ce of of a C a COW: W: Nurse Donna Taylor uses a computer on wheels (COW) in the Emergency Department of Baptist Memorial Hospital DeSoto to enter patients' chart information. Photo by Thomas Busler/The Commercial Appeal http://www.commercialappeal.com/photos/ 2009/mar/05/105455/ This photograph is retrieved from the Internet. Neither the nurse, nor the hospital are involved in my research. Dia 18 - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Kom verder. Saxion. Questi tions? ? m. m.b.mi miche hel@utw twente te.nl - MIE 2011 - 31 August 2011 - M.B. Michel-Verkerke
Recommend
More recommend
