Comparisons of Nurse and Care-Provider Attitudes and Productivity During Implementation of Computerized Documentation

2.50
Hdl Handle:
http://hdl.handle.net/10755/152592
Type:
Presentation
Title:
Comparisons of Nurse and Care-Provider Attitudes and Productivity During Implementation of Computerized Documentation
Abstract:
Comparisons of Nurse and Care-Provider Attitudes and Productivity During Implementation of Computerized Documentation
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:McKenzie, Carole Ann, CNM, PhD
P.I. Institution Name:The University of Texas At Tyler
Title:Assistant Professor
ABSTRACT COMPARISONS OF NURSE AND CARE PROVIDER ATTITUDES AND PRODUCTIVITY DURING IMPLEMENTATION OF COMPUTERIZED DOCUMENTATION PURPOSE: To document the attitudes and productivity of nurses, physicians and other care providers in a clinic setting when computerized documentation was implemented and compare those attitudes to labor and delivery staff. DESIGN: Pre and post test of clinic staff with comparison at like times of labor and delivery staff METHODOLOGY: A pre and six months post implementation survey was used to collect information related to demographics, attitudes, training and productivity with clinic staff. Comparisons were made to like periods with labor and delivery staff and comparisons were made with nurses and other health care providers, including physicians and nurse-midwives. Subjective comments were also collected. FINDINGS: Attitudes improved over time with clinic nursing staff (N=27) but not to the extent that labor and delivery staff (N=22) improved. There were significant differences in the attitudinal adjustments of nurses and providers. Physicians had the most difficulty adjusting to the system and had the most complaints. On-call/overtime and Xeroxing of clinic records for labor and delivery led to significant cost savings. Age and higher levels of education did not correlate with satisfaction with computer documentation. CONCLUSIONS: Clinic staff appear to adjust less quickly to a major changeùpossibly attributable to personality differences in the type of nurses who choose clinic versus labor and delivery. Productivity improves dramatically in all instances. Physicians and other providers had the most difficulty in adjusting and were the most vocal about the process and their concerns. It may relate to a perception of lack of control and personality as well.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleComparisons of Nurse and Care-Provider Attitudes and Productivity During Implementation of Computerized Documentationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152592-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Comparisons of Nurse and Care-Provider Attitudes and Productivity During Implementation of Computerized Documentation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">McKenzie, Carole Ann, CNM, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The University of Texas At Tyler</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">cmckenzie@mail.uttyl.edu</td></tr><tr><td colspan="2" class="item-abstract">ABSTRACT COMPARISONS OF NURSE AND CARE PROVIDER ATTITUDES AND PRODUCTIVITY DURING IMPLEMENTATION OF COMPUTERIZED DOCUMENTATION PURPOSE: To document the attitudes and productivity of nurses, physicians and other care providers in a clinic setting when computerized documentation was implemented and compare those attitudes to labor and delivery staff. DESIGN: Pre and post test of clinic staff with comparison at like times of labor and delivery staff METHODOLOGY: A pre and six months post implementation survey was used to collect information related to demographics, attitudes, training and productivity with clinic staff. Comparisons were made to like periods with labor and delivery staff and comparisons were made with nurses and other health care providers, including physicians and nurse-midwives. Subjective comments were also collected. FINDINGS: Attitudes improved over time with clinic nursing staff (N=27) but not to the extent that labor and delivery staff (N=22) improved. There were significant differences in the attitudinal adjustments of nurses and providers. Physicians had the most difficulty adjusting to the system and had the most complaints. On-call/overtime and Xeroxing of clinic records for labor and delivery led to significant cost savings. Age and higher levels of education did not correlate with satisfaction with computer documentation. CONCLUSIONS: Clinic staff appear to adjust less quickly to a major change&ugrave;possibly attributable to personality differences in the type of nurses who choose clinic versus labor and delivery. Productivity improves dramatically in all instances. Physicians and other providers had the most difficulty in adjusting and were the most vocal about the process and their concerns. It may relate to a perception of lack of control and personality as well.</td></tr></table>en_GB
dc.date.available2011-10-26T11:42:04Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:42:04Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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