Challenges and facilitators to nurse use of a guideline-based nursing information system: recommendations for nurse executives

Applied Nursing Research : ANR
Paulina S SockolowJessie George

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.

References

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Citations

Jul 12, 2016·Applied Nursing Research : ANR·K L RismanJames M Diefendorff
Jan 27, 2015·International Journal of Medical Informatics·Mehdi KahoueiPanoe Seyed Roghani
Feb 1, 2017·Journal of Cognitive Engineering and Decision Making·Emily S PattersonUrmimala Sarkar
Mar 25, 2015·Western Journal of Nursing Research·Jane M CarringtonBrooke A Finley
Dec 2, 2017·Computers, Informatics, Nursing : CIN·Katherine M DuddingJane M Carrington
Sep 5, 2015·Nursing Administration Quarterly·Sheila GephartBrooke Finley
Jan 23, 2015·Nursing Management·Willa Fields
Sep 17, 2020·Australian Health Review : a Publication of the Australian Hospital Association·Kasia BailBernice Redley
Oct 28, 2019·The Journal of Nursing Administration·Gillian StrudwickRani Srivastava
Oct 18, 2016·Computers, Informatics, Nursing : CIN·Sheila M GephartJane M Carrington
Nov 6, 2015·ANS. Advances in Nursing Science·Cynthia A Gaudet
Aug 1, 2020·Computers, Informatics, Nursing : CIN·Dante Anthony Tolentino, Sheila M Gephart
Aug 2, 2020·Journal of the American Medical Directors Association·Paulina S SockolowEllen J Bass

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