TY - JOUR
T1 - Two-stage evaluation of the impact of a nursing information system in Taiwan
AU - Lee, Ting Ting
AU - Mills, Mary Etta
AU - Bausell, Barker
AU - Lu, Ming Hui
N1 - Funding Information:
This research was supported by a grant (NSC 94-2516-S-227-005) to Ting-Ting Lee from the National Science Council, Taiwan, R.O.C.
PY - 2008/10
Y1 - 2008/10
N2 - Purpose: This study evaluated the post-implementation impact of a nursing information system and identified issues related to the technology adoption process. Given the high level of investment necessary to implement information systems, evaluation has become vital to ensure successful adoption and use. Improved understanding of implementation difficulties/barriers and factors leading to them can serve as a platform for the development of strategies and education programs for users. Method: The study design was a two-stage data comparison analysis of a nursing information system focusing on computerized nursing care plan use. Data were collected from nurses by questionnaire during the first month (December 2004) and 1 year after system installation (December 2005). Results: While nurses gave the information technology a higher evaluation score at the second stage than at the early stage, the overall ratings were slightly negative at both stages. Age and pressure to use the system were critical factors at both stages, whereas computer skills and perceived time using the system were vital at the beginning stage of implementation. Issues of concern at both stages were system functionality, efficiency, usability, and user support. Conclusion: Implementation of an information system requires consideration of issues involving hardware and software, staff training, organizational policy, and workflow changes.
AB - Purpose: This study evaluated the post-implementation impact of a nursing information system and identified issues related to the technology adoption process. Given the high level of investment necessary to implement information systems, evaluation has become vital to ensure successful adoption and use. Improved understanding of implementation difficulties/barriers and factors leading to them can serve as a platform for the development of strategies and education programs for users. Method: The study design was a two-stage data comparison analysis of a nursing information system focusing on computerized nursing care plan use. Data were collected from nurses by questionnaire during the first month (December 2004) and 1 year after system installation (December 2005). Results: While nurses gave the information technology a higher evaluation score at the second stage than at the early stage, the overall ratings were slightly negative at both stages. Age and pressure to use the system were critical factors at both stages, whereas computer skills and perceived time using the system were vital at the beginning stage of implementation. Issues of concern at both stages were system functionality, efficiency, usability, and user support. Conclusion: Implementation of an information system requires consideration of issues involving hardware and software, staff training, organizational policy, and workflow changes.
KW - Computerized nursing care plan
KW - Evaluation
KW - Nursing information system
KW - Technology
UR - http://www.scopus.com/inward/record.url?scp=48949087617&partnerID=8YFLogxK
U2 - 10.1016/j.ijmedinf.2008.03.004
DO - 10.1016/j.ijmedinf.2008.03.004
M3 - Article
C2 - 18457988
AN - SCOPUS:48949087617
SN - 1386-5056
VL - 77
SP - 698
EP - 707
JO - International Journal of Medical Informatics
JF - International Journal of Medical Informatics
IS - 10
ER -