Paulina S Sockolow1, Michelle Rogers2, Kathryn H Bowles3, Kristin E Hand4, Jessie George5. 1. Drexel University College of Nursing and Health Professions, 245N 15th St, Philadelphia, PA, USA. Electronic address: pss44@drexel.edu. 2. Drexel University College of Information Science and Technology, Philadelphia, PA, USA. Electronic address: mlr92@drexel.edu. 3. University of Pennsylvania School of Nursing, Room 340 Fagin Hall 418 Curie Blvd. Philadelphia, PA, USA. Electronic address: bowles@nursing.upenn.edu. 4. University of Pennsylvania School of Nursing, Philadelphia, PA, USA. Electronic address: heigoldk@nursing.upenn.edu. 5. University of Pennsylvania Health System, Philadelphia, PA, USA. Electronic address: Jessie.george@uphs.upenn.edu.
Abstract
AIMS: The aims of this study were to develop empirical data on how nurses used an evidenced-based nursing information system (NIS) and to identify challenges and facilitators to NIS adoption for nurse leaders. BACKGROUND: The NIS was part of the electronic health record with 200 evidence-based, interdisciplinary clinical practice guidelines from which clinicians selected to guide the patient's care. METHODS: A purposeful sample of 12 randomly selected nurses in three units across two hospitals participated in scenario-testing. Sessions were audio-recorded, transcribed, content analyzed, and coded for themes. RESULTS: Major themes emerged: computer placement in patient rooms; difficulty using NIS; documentation completeness; efficiency; time spent at the bedside; team communication; training; unintended consequences of workflow changes; perceived NIS value as challenge to adoption. CONCLUSIONS: Nurse executives' opportunities to improve adoption include enhancing communication to/from front-line clinicians about the hospitals' goals, perceived NIS value at the bedside, and constructive feedback especially for patient care/safety and software functionality.
AIMS: The aims of this study were to develop empirical data on how nurses used an evidenced-based nursing information system (NIS) and to identify challenges and facilitators to NIS adoption for nurse leaders. BACKGROUND: The NIS was part of the electronic health record with 200 evidence-based, interdisciplinary clinical practice guidelines from which clinicians selected to guide the patient's care. METHODS: A purposeful sample of 12 randomly selected nurses in three units across two hospitals participated in scenario-testing. Sessions were audio-recorded, transcribed, content analyzed, and coded for themes. RESULTS: Major themes emerged: computer placement in patient rooms; difficulty using NIS; documentation completeness; efficiency; time spent at the bedside; team communication; training; unintended consequences of workflow changes; perceived NIS value as challenge to adoption. CONCLUSIONS: Nurse executives' opportunities to improve adoption include enhancing communication to/from front-line clinicians about the hospitals' goals, perceived NIS value at the bedside, and constructive feedback especially for patient care/safety and software functionality.