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Improving IV Insulin Administration in a Community Hospital

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Exploring the Usage Effectiveness of a Nursing Charge System.

Nai-Shin Nian¹, Ting-Ting Lee, Shu-He Huang

¹Author Affiliations: Department of Nursing, Taipei Veterans General Hospital (Mss Nian and Liu); College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan (Drs Lee and Huang); Department of Health Care Management, National Taipei University of Nursing & Health Sciences (Dr Liu); and Taipei Municipal Guandu Hospital / Department of Nursing, Taipei Veterans General Hospital (Dr Chou), Taiwan; and School of Nursing, University of Maryland, Baltimore (Dr Mills).

Computers, Informatics, Nursing : CIN

|March 7, 2024

Summary

This summary is machine-generated.

This study evaluated the effectiveness of nursing charge systems in Taiwan. Information quality was rated highest, while computer comfort positively impacted all system dimensions, highlighting the need for regular user feedback for optimization.

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Area of Science:

Health Informatics
Nursing Management
Information Systems

Background:

Nursing charge systems are crucial for inpatient accounting but their effectiveness requires systematic evaluation.
Previous research has not comprehensively assessed nursing charge system performance against user needs and system development.

Purpose of the Study:

To evaluate the effectiveness of the nursing charge system in healthcare institutions using Delone and McLean's information system success model.
To explore system quality, information quality, service quality, user satisfaction, and net benefits of the nursing charge system.

Main Methods:

A cross-sectional survey was conducted with 214 nurses in a Taiwanese medical center.
Data were collected using a 5-point Likert scale questionnaire from June 23 to July 23, 2021.
Statistical analysis examined correlations between nurse demographics, computer comfort, and system performance dimensions.

Main Results:

Information quality received the highest score (3.71), while system quality had the lowest (3.23).
Older nurses and those with more clinical experience reported lower information quality.
Greater computer comfort was positively associated with all measured dimensions of the nursing charge system.

Conclusions:

The nursing charge system's effectiveness varies across dimensions, with information quality being a key strength.
Nurse demographics and computer proficiency significantly influence perceptions of system effectiveness.
Regularly incorporating user feedback is essential for optimizing nursing charge systems and meeting evolving nursing service needs.