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Pandora's box: physician order entry and nursing work redesign
1Department of Nursing Informatics, Mount Sinai Hospital, Toronto.
Canadian Journal of Nursing Leadership
|October 22, 2004
Summary
Computerized physician order entry impacts nursing work by changing its meaning and redesigning tasks. This study explores these effects on quality management and cost reduction in Canadian healthcare.
Area of Science:
- Health Informatics
- Nursing Studies
- Organizational Psychology
Background:
- Canadian healthcare is restructuring for quality and cost efficiency.
- Integrated clinical information systems with physician order entry are key.
- The impact on nursing work's intrinsic meaning is under-explored.
Purpose of the Study:
- Examine the effect of computerized physician order entry (CPOE) and online results viewing on nursing work.
- Analyze the redesign of nursing roles using Hackman and Oldham's Job Characteristics model.
- Discuss implications for future nursing work and research in health informatics.
Main Methods:
- Literature review and theoretical analysis.
- Application of Hackman and Oldham's Job Characteristics model (1989).
- Exploration of the historical context of nursing tasks.
Main Results:
- Computerized systems alter the intrinsic meaning of nursing work.
- The shift from manual transcription to digital order management changes nursing roles.
- Potential for both positive and negative impacts on job satisfaction and work design.
Conclusions:
- Further research is needed on the evolving nature of nursing work in digital environments.
- Understanding these changes is crucial for effective healthcare system redesign.
- The informatics literature needs to address the human factors of clinical system implementation.
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