Factors Influencing the Use of Information Generated by a Clinical Information System

2.50
Hdl Handle:
http://hdl.handle.net/10755/153667
Type:
Presentation
Title:
Factors Influencing the Use of Information Generated by a Clinical Information System
Abstract:
Factors Influencing the Use of Information Generated by a Clinical Information System
Conference Sponsor:Sigma Theta Tau International
Conference Year:2002
Conference Date:July, 2002
Author:Botter, Mary, PhD
P.I. Institution Name:University of Vermont
Title:Assistant Professor
Objective: Automated clinical information systems (CIS) are widely used in health care settings throughout the United States. Their intended purpose is to generate information for use in clinical decision making by registered nurses (RNs) and other health care providers. Expenditures for this type of information technology are significant, yet no previous research had been conducted regarding RNs actual use of information generated by an automated CIS. Thus, the purpose of this research was to describe how and why information obtained from an automated CIS is used, or not used, by RNs in clinical decision making. Design: Because of the complexity of healthcare organizations and decision-making processes, as well as the lack of previous research on the use of CIS information, a qualitative design and a case study approach were used for this study. The case was an acute care hospital. Population, Sample, Setting, Years: This organizational case study was conducted in a community hospital that had used an automated clinical information system with bedside, mobile, and desktop terminals for over three years. Informants included staff and charge RNs on all in-patient units. The study was conducted over a period of 10 months in 2001. Concept or Variables Studied: CIS generated information use in RN clinical decision making. Methods: Multiple sources of data were used to encourage convergent lines of inquiry. Purposive and theoretical sampling guided data collection from: registered nurses, observations of decision situations; physical artifacts (e.g. CIS printouts); and archival records (e.g. medical records). A constant comparative method was used for data analysis. Findings An interpretive description of how and why CIS information is used in RN decision making was an outcome of this study. Specifically, factors influencing RN use and non-use of CIS information in clinical decision making were identified. An unanticipated finding was that the RNs participating in this study had difficulty articulating types of decisions they make while caring for patients during the course of a shift. Conclusions: Results from this study support the theory that multiple perspectives of information use in decision making are necessary to reflect this complex process. Although the majority of findings are consistent with the theoretical and empirical literature, there are some exceptions. Implications: Further research regarding the use of CIS information in RN decision making is clearly warranted. The findings from this study will be used as the basis for development of an instrument to be used in a multi-organizational case study. Additionally, findings from this and subsequent studies may be used as the basis for research examining the relationships between the use and non-use of CIS information with patient outcomes. Several recommendations for nurse administrators and information system vendors resulted from this research. For example, the findings could be used to develop a framework for assessment of factors influencing the use of information by RN with an organization. The factors identified in this study also provide a basis for the development of strategies to positively influence use of information in clinical decision making. Additionally, the findings suggest implications related to the design, marketing and implementation of CIS.

Repository Posting Date:
26-Oct-2011
Date of Publication:
Jul-2002
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleFactors Influencing the Use of Information Generated by a Clinical Information Systemen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153667-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Factors Influencing the Use of Information Generated by a Clinical Information System</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">2002</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July, 2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Botter, Mary, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Vermont</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">mary.botter@vtmednet.org</td></tr><tr><td colspan="2" class="item-abstract">Objective: Automated clinical information systems (CIS) are widely used in health care settings throughout the United States. Their intended purpose is to generate information for use in clinical decision making by registered nurses (RNs) and other health care providers. Expenditures for this type of information technology are significant, yet no previous research had been conducted regarding RNs actual use of information generated by an automated CIS. Thus, the purpose of this research was to describe how and why information obtained from an automated CIS is used, or not used, by RNs in clinical decision making. Design: Because of the complexity of healthcare organizations and decision-making processes, as well as the lack of previous research on the use of CIS information, a qualitative design and a case study approach were used for this study. The case was an acute care hospital. Population, Sample, Setting, Years: This organizational case study was conducted in a community hospital that had used an automated clinical information system with bedside, mobile, and desktop terminals for over three years. Informants included staff and charge RNs on all in-patient units. The study was conducted over a period of 10 months in 2001. Concept or Variables Studied: CIS generated information use in RN clinical decision making. Methods: Multiple sources of data were used to encourage convergent lines of inquiry. Purposive and theoretical sampling guided data collection from: registered nurses, observations of decision situations; physical artifacts (e.g. CIS printouts); and archival records (e.g. medical records). A constant comparative method was used for data analysis. Findings An interpretive description of how and why CIS information is used in RN decision making was an outcome of this study. Specifically, factors influencing RN use and non-use of CIS information in clinical decision making were identified. An unanticipated finding was that the RNs participating in this study had difficulty articulating types of decisions they make while caring for patients during the course of a shift. Conclusions: Results from this study support the theory that multiple perspectives of information use in decision making are necessary to reflect this complex process. Although the majority of findings are consistent with the theoretical and empirical literature, there are some exceptions. Implications: Further research regarding the use of CIS information in RN decision making is clearly warranted. The findings from this study will be used as the basis for development of an instrument to be used in a multi-organizational case study. Additionally, findings from this and subsequent studies may be used as the basis for research examining the relationships between the use and non-use of CIS information with patient outcomes. Several recommendations for nurse administrators and information system vendors resulted from this research. For example, the findings could be used to develop a framework for assessment of factors influencing the use of information by RN with an organization. The factors identified in this study also provide a basis for the development of strategies to positively influence use of information in clinical decision making. Additionally, the findings suggest implications related to the design, marketing and implementation of CIS.<br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T12:25:48Z-
dc.date.issued2002-07en_GB
dc.date.accessioned2011-10-26T12:25:48Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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