Related Experiment Videos
As good as it gets? Going online with a clinical information system
Computers in Nursing
|July 30, 1999
Summary
Nursing staff attitudes toward clinical information systems (CIS) became less positive over time. Adaptability, unit technical level, and job experience influenced perceptions, but age and personal computer experience did not.
Area of Science:
- Nursing Informatics
- Health Information Technology
- Human-Computer Interaction
Background:
- The implementation of clinical information systems (CIS) is a significant technological shift in healthcare.
- Understanding nursing staff attitudes is crucial for successful CIS adoption and workflow integration.
- Previous research has explored user satisfaction, but longitudinal attitude changes require further investigation.
Purpose of the Study:
- To analyze nursing staff attitudes towards a clinical information system (CIS) at three distinct time points: pre-implementation, 1 month post-implementation, and 6 months post-implementation.
- To identify factors correlating with nursing staff perceptions of the CIS.
- To assess the temporal dynamics of nursing staff attitudes during and after CIS rollout.
Main Methods:
- A 12-item questionnaire was administered to nursing staff at three intervals.
- Surveys were completed pre-training (before system use), after 1 month of CIS use, and after 6 months of CIS use.
- Statistical analysis examined relationships between perceptions and demographic/experiential factors, as well as attitude changes over time.
Main Results:
- A positive correlation was found between CIS perceptions and staff adaptability, unit technical level, and years of job experience.
- No significant relationship was observed between CIS perceptions and nurse age or personal computer experience.
- While attitudes generally trended less positive over time, the decline from pre-implementation to 1 month was not statistically significant, whereas the decline from 1 month to 6 months was significant.
Conclusions:
- Nursing staff attitudes toward CIS are influenced by individual adaptability, unit technological environment, and professional experience.
- Long-term use (6 months) of a CIS can lead to a statistically significant decline in positive attitudes.
- Healthcare organizations should consider these factors to proactively manage user experience and support during and after CIS implementation.