Information Processing in Nursing Information Systems: An Evaluation Study from a Developing Country
Abstract
Background: In recent years, information technology has been introduced in the nursing departments of many hospitals to support their daily tasks. Nurses are the largest end user group in Hospital Information Systems (HISs). This study was designed to evaluate data processing in the Nursing Information Systems (NISs) utilized in many university hospitals in Iran. Methods and Materials: This was a cross‑sectional study. The population comprised all nurse managers and NIS users of the five training hospitals in Khorramabad city (N = 71). The nursing subset of HIS‑Monitor questionnaire was used to collect the data. Data were analyzed by the descriptive‑analytical method and the inductive content analysis.
Results: The results indicated that the nurses participating in the study did not take a desirable advantage of paper (2.02) and computerized (2.34) information processing tools to perform nursing tasks. Moreover, the less work experience nurses have, the further they utilize computer tools for processing patient discharge information. The “readability of patient information” and “repetitive and time‑consuming documentation” were stated as the most important expectations and problems regarding the HIS by the participating nurses, respectively.
Conclusions: The nurses participating in the present study used to utilize paper and computerized information processing tools together to perform nursing practices. Therefore, it is recommended that the nursing process redesign coincides with NIS implementation in the health care centers.
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Lin HC, Chiou JY, Chen CC, Yang CW. Understanding the impact of nurses’ perception and technological capability on nurses’ satisfaction with nursing information system usage: A holistic perspective of alignment. Comput Human Behav 2016;57:143‑52.
Lu CH, Hsiao JL, Chen RF. Factors determining nurse acceptance of hospital information systems. Comput Inform Nurs 2012;30:257‑64.
Chatterjee S, Chakraborty S, Sarker S, Sarker S, Lau FY. Examining the success factors for mobile work in healthcare: A deductive study. Decis Support Syst 2009;46:620‑33.
Gorzin A, Ahmadi R, Samadbeik M. Opportunities and Challenges Electronic Health Records Documentation from the Perspective of Nurses. J Clin Res Paramed Sci 2016;4:292‑300.
Oroviogoicoechea C, Elliott B, Watson R. Review: Evaluating information systems in nursing. J Clin Nurs 2008;17:567‑75.
Ammenwerth E, Rauchegger F, Ehlers F, Hirsch B, Schaubmayr C. Effect of a nursing information system on the quality of information processing in nursing: An evaluation study using the HIS‑monitor instrument. Int J Med Inform 2011;80:25‑38.
Ball MJ, Edwards MJ, Hannah KJ. Introduction to nursing informatics. Springer; 2006.
Wolf LD, Potter P, Sledge JA, Boxerman SB, Grayson D, Evanoff B. Describing nurses’ work: Combining quantitative and qualitative analysis. Hum Factors 2006;48:5‑14.
Rogers ML, Sockolow PS, Bowles KH, Hand KE, George J. Use of a human factors approach to uncover informatics needs of nurses in documentation of care. Int J Med Inform 2013;82:1068‑74.
Liaskos J, Mantas J. Nursing Information System. Stud Health Technol Inform. 2001;65:258‑65.
Poissant L, Pereira J, Tamblyn R, Kawasumi Y. The impact of electronic health records on time efficiency of physicians and nurses: A systematic review. J Am Med Inform Assoc 2005;12:505‑16.
Yu P. Electronic versus paper-based nursing documentation systems: The carers weigh in. J Am Geriatr Soc 2006;54:1625-6.
Ahmadian L, Nejad SS, Khajouei R. Evaluation methods used on health information systems (HISs) in Iran and the effects of HISs on Iranian healthcare: A systematic review. Int J Med Inform 2015;84:444‑53.
Ammenwerth E, Brender J, Nykänen P, Prokosch HU, Rigby M, Talmon J. Visions and strategies to improve evaluation of health information systems: Reflections and lessons based on the HIS‑EVAL workshop in Innsbruck. Int J Med Inform 2004;73:479‑91.
Ammenwerth E, Ehlers F, Hirsch B, Gratl G. HIS‑Monitor: An approach to assess the quality of information processing in hospitals. Int J Med Inform 2007;76:216‑25.
Yusof MM, Papazafeiropoulou A, Paul RJ, Stergioulas LK. Investigating evaluation frameworks for health information systems. Int J Med Inform 2008;77:377‑85.
Hariyati R, Sri T, Yani A, Eryando T, Hasibuan Z, Milanti A. The Effectiveness and Efficiency of Nursing Care Documentation Using the SIMPRO Model. Int J Nurs Knowl 2016;27:136‑42.
Langowski C. The times they are a changing: Effects of online nursing documentation systems. Qual Manag Health Care 2005;14:121‑5.
Marasovic C, Kenney C, Elliott D, Sindhusake D. A comparison of nursing activities associated with manual and automated documentation in an Australian intensive care unit. Comput Nurs 1996;15:205‑11.
Lee TT, Mills ME, Bausell B, Lu MH. Two‑stage evaluation of the impact of a nursing information system in Taiwan. Int J Med Inform 2008;77:698‑707.
Sockolow PS, Rogers M, Bowles KH, Hand KE, George J. Challenges and facilitators to nurse use of a guideline‑based nursing information system: Recommendations for nurse executives. Appl Nurs Res 2014;27:25‑32.
Ahmadi M, Habibi KM. Nursing information systems in Iran. Information Systems in Iran. Hakim 2010;13:185‑91.
Ahmadi M, Rafii F, Hoseini F, Koolaee H, Mirkarimi A. Informational and structural needs of nursing data classification in computerized systems. Hayat 2011;17.
Kahouei M, Babamohamadi H. Experiences of nurses in impact of nursing information system on nursing services efficiency. Health Inf Manage 2013;10.
Michel‑Verkerke MB. Information quality of a nursing information system depends on the nurses: A combined quantitative and qualitative evaluation. Int J Med Inform 2012;81:662‑73.
Saranto K, Kinnunen UM. Evaluating nursing documentation– research designs and methods: Systematic review. J adv Nurs 2009;65:464‑76.
Mann C. Commentary on Darbyshire P (2004)‘Rage against the machine?: Nurses’ and midwives’ experiences of using computerized patient information systems for clinical information. Journal of Clinical Nursing. J Clin Nurs 2008;17:2090‑1.
Bosman R, Rood E, Oudemans‑van Straaten H, Van der Spoel J, Wester J, Zandstra D. Intensive care information system reduces documentation time of the nurses after cardiothoracic surgery. Intensive Care Med 2003;29:83‑90.
Korst LM, Eusebio‑Angeja AC, Chamorro T, Aydin CE, Gregory KD. Nursing documentation time during implementation of an electronic medical record. Evaluating the organizational impact of healthcare information systems. Springer; 2005. pp. 304‑14.
Jeddi FR, Hajbaghery MA, Akbari H, Esmaili S. Technological Feasibility of a Nursing Clinical Information System. Electronic Phys 2016;8:2942.
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