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Related Experiment Videos

Can information technology help ward sisters become ward managers?

C Fabray1, M Luck

  • 1Aston Business School, Aston University, Birmingham, UK.

Journal of Nursing Management
|October 3, 2000
PubMed
Summary

Implementing hospital ward management systems requires organizational review and joint ownership by staff. This ensures that the potential benefits of computerized management systems are fully realized for improved decision-making.

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Area of Science:

  • Healthcare Management
  • Health Informatics
  • Organizational Behavior

Background:

  • Significant government funding was allocated in the 1990s for hospital ward management decision support systems.
  • Rigorous evaluation of these systems has been limited, highlighting a need for effective methodologies.
  • Existing approaches to systems' evaluation are reviewed within this paper.

Purpose of the Study:

  • To describe an evaluation methodology for hospital ward management decision support systems.
  • To focus on management decisions at the hospital ward level.
  • To address the gap in rigorous evaluation of implemented systems.

Main Methods:

  • Development of measuring instruments to define and quantify management decisions.
  • Identification and measurement of organizational factors influencing decision-making.

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  • Validation of a difficulty index through a before-and-after study of ward decision-making.

    • Main Results:

    • Changes in decision-making processes were observed after the implementation of a decision support system.
    • These changes were found to correlate with identified organizational factors.
    • The study provides empirical evidence linking organizational context to system effectiveness.

    Conclusions:

    • The proposed evaluation methodology is effective in assessing decision support systems.
    • Realizing the full benefits of computerized management systems necessitates pre-implementation organizational review.
    • Joint ownership of the system by managers, doctors, and nurses is crucial for successful adoption and sustained benefits.