Journal article
Challenges and facilitators to nurse use of a guideline-based nursing information system: Recommendations for nurse executives
Applied nursing research, v 27(1), pp 25-32
Feb 2014
PMID: 24360777
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The aims of this study were to develop empirical data on how nurses used an evidenced-based nursing information system (NIS) and to identify challenges and facilitators to NIS adoption for nurse leaders.
The NIS was part of the electronic health record with 200 evidence-based, interdisciplinary clinical practice guidelines from which clinicians selected to guide the patient's care.
A purposeful sample of 12 randomly selected nurses in three units across two hospitals participated in scenario-testing. Sessions were audio-recorded, transcribed, content analyzed, and coded for themes.
Major themes emerged: computer placement in patient rooms; difficulty using NIS; documentation completeness; efficiency; time spent at the bedside; team communication; training; unintended consequences of workflow changes; perceived NIS value as challenge to adoption.
Nurse executives' opportunities to improve adoption include enhancing communication to/from front-line clinicians about the hospitals' goals, perceived NIS value at the bedside, and constructive feedback especially for patient care/safety and software functionality.
Metrics
Details
- Title
- Challenges and facilitators to nurse use of a guideline-based nursing information system: Recommendations for nurse executives
- Creators
- Paulina S Sockolow - Drexel University College of Nursing and Health Professions, 245N 15th St, Philadelphia, PA, USAMichelle Rogers - Drexel University College of Information Science and Technology, Philadelphia, PA, USAKathryn H Bowles - University of Pennsylvania School of Nursing, Room 340 Fagin Hall 418 Curie Blvd. Philadelphia, PA, USAKristin E Hand - University of Pennsylvania School of Nursing, Philadelphia, PA, USAJessie George - University of Pennsylvania Health System, Philadelphia, PA, USA
- Publication Details
- Applied nursing research, v 27(1), pp 25-32
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Information Science; Health Sciences Division
- Web of Science ID
- WOS:000331019400003
- Scopus ID
- 2-s2.0-84893012820
- Other Identifier
- 991014878151704721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Nursing