Nursing functions and computer support.

Computer-based information system (CBIS) support for nursing functions has typically been a by-product of some other automation effort such as communication, admission-discharge-transfer, or finance. Support specifically for nurses has been narrow in scope and little used, in spite of ongoing discussion about its need. However, the situation seems to be improving of late. But is the situation really improving? Or, are we merely witnessing unproductive machinations? Herein, we discuss three basic conditions that have slowed NIS evolution. Following that, however, we offer some evidence of real progress in computer-based support for nursing functions.