Impact of a nursing information system on practice patterns in Taiwan

Ting Ting Lee*, Mary Etta Mills, Ming Huei Lu

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


The purpose of this study was to measure changes in nursing practice patterns between the beginning stage and a later phase of implementing the nursing information systems. The study was a two-stage data comparison analysis. The data were collected during the first 2 weeks and 1 year after installing the nursing information system. Nursing activities were checked from a list with 83 items. Data were collected by a work sampling strategy during two 2-week periods in November 2004 and November 2005. For both stages, nurses spent about 20% of their time on direct care, 25% on indirect care, 9% on unit-related activities, 30% on documentation, and 15% on personal time. After 1 year of using the nursing information system, nurses spent more time on documentation but less on indirect care and unit-related activities. When unit patient census was high, nurses spent more time on direct care. Issues regarding evaluating the impact of information systems on practice patterns were explored.

Original languageEnglish
Pages (from-to)207-214
Number of pages8
JournalCIN - Computers Informatics Nursing
Issue number4
StatePublished - Jul 2008


  • Nursing information system
  • Observation
  • Practice pattern
  • Work sampling


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