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Assessing the impact on nursing practice of CDMS
International Journal of Clinical Monitoring and Computing
|January 1, 1986
Summary
Evaluating clinical data management systems (CDMS) requires examining their impact on nursing practice from both direct patient care and broader national perspectives. A shift towards assessing effects, not just time savings, is crucial for understanding CDMS usefulness.
Area of Science:
- Nursing Informatics
- Health Services Research
- Information Systems
Background:
- Clinical data management systems (CDMS) are increasingly integrated into healthcare.
- Assessing the impact of CDMS on nursing practice is essential for optimizing their use.
- Current evaluation methods may not fully capture the multifaceted effects of these systems.
Purpose of the Study:
- To propose two distinct perspectives for evaluating the impact of CDMS on nursing.
- To highlight the importance of considering both micro (unit-level) and macro (national) views.
- To advocate for a re-evaluation of assessment criteria beyond simple time savings.
Main Methods:
- Conceptual analysis of CDMS impact on nursing roles and practice.
- Identification of 'microscopic' (direct patient care) and 'macroscopic' (national issues) assessment viewpoints.
- Discussion of professional and nursing role issues influencing system effectiveness.
Main Results:
- Nursing role issues can emerge during CDMS selection and implementation, affecting effectiveness.
- Professional issues significantly shape decisions regarding CDMS and their utility.
- A shift in evaluation focus from time savings to a broader assessment of effects is recommended.
Conclusions:
- CDMS impact on nursing requires evaluation through both unit-level and national lenses.
- System selection and implementation must address potential nursing role and professional issues.
- Future assessments should examine CDMS effects on nursing theory, cognitive work, and physical work.