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Impact of Healthcare Information Technology on Nursing Practice
Ronald J Piscotty1, Beatrice Kalisch2, Angel Gracey-Thomas3
1Theta Psi, Assistant Professor, Wayne State University College of Nursing, Detroit, MI.
Summary
Nurses' perceptions of healthcare information technology (HIT) impact mediate the link between electronic nursing care reminder use and missed nursing care. System design should align with nurse workflow for optimal technology adoption and patient outcomes.
Area of Science:
- Nursing Informatics
- Health Services Research
- Healthcare Technology
Background:
- Electronic nursing care reminders aim to reduce missed nursing care.
- Healthcare information technology (HIT) implementation presents challenges and opportunities in clinical practice.
Purpose of the Study:
- To investigate if nurses' perceptions of HIT's impact mediate the relationship between electronic nursing care reminder use and missed nursing care.
- To provide additional mediation findings from a descriptive cross-sectional study.
Main Methods:
- A descriptive cross-sectional study design was employed.
- Data were collected from 165 registered nurses in acute care hospital units using surveys.
- Mediation was analyzed using multiple regression, following the Baron and Kenny method.
Main Results:
- Nurses' perceptions of HIT's impact negatively affected missed nursing care, explaining 9.8% of the variance.
- When considering HIT's impact, the direct association between reminder usage and missed nursing care was no longer significant, supporting mediation.
- Electronic nursing care reminder usage did not directly predict missed nursing care when controlling for perceptions of HIT's impact.
Conclusions:
- Nurses' perceptions of HIT's impact significantly mediate the relationship between using electronic nursing care reminders and the occurrence of missed nursing care.
- Healthcare information technology system designers must consider user perceptions and align system design with nursing workflows to enhance technology effectiveness and improve patient care outcomes.
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