Clinical information systems in nursing homes - An evaluation of initial implementation strategies
Clinical information systems in nursing homes - An evaluation of initial implementation strategies
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DOI：
10.1097/01.ncn.0000280589.28067.18
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发表时间：
2007-07-01
影响因子：
1.3
通讯作者：
Siem, Carol
中科院分区：
文献类型：
--
作者：
Alexander, Gregory L.;Rantz, Marilyn;Siem, Carol
本文介绍了美国中西部四家养老院实施临床信息系统6个月后收集的定性结果，研究人员探讨了初步实施策略，讨论了员工体验并分析了员工满意度。完成了基于转录的分析和轴向编码，以说明重复出现的现象。共同的属性确定了两个老年护理专家和研究人员与人为因素的专业知识。从22个焦点小组和120多个养老院工作人员的直接观察出现的共同主题是感知和认知，变化，可行的系统，能力和连通性。与满意度较低相关的实施策略是设备的可用性、培训资源和信息技术专业人员的存在。初始临床信息系统的实施策略和员工的满意度，可以提高包括一个系统的生命周期章程计划，强调变革管理程序，提高启动预测，雇用训练有素的信息技术人员，并提供系统支持计划。研究结果将是有用的管理者和决策者谁正在考虑实施的临床信息系统。
This article presents qualitative results collected 6 months after implementation of a clinical information system in four nursing homes in the Midwestern USA, Researchers explored initial implementation strategies, discussed employee experiences and analyzed employee satisfaction. Transcript-based analysis and axial coding were completed to illustrate recurring phenomena. Common attributes were identified by two gerontological nurse experts and a researcher with human factors expertise. Common themes emerging from 22 focus groups and direct observation of more than 120 nursing home staff were perception and cognition, change, workable systems, competence, and connectedness. Implementation strategies associated with lower satisfaction were availability of equipment, training resources, and the presence of information technology professionals. Initial clinical information system implementation strategies and employee satisfaction could be enhanced by the inclusion of a system life cycle charter plan, emphasizing change management procedures, improving start-up projections, hiring adequately trained information technology staff, and providing a system support plan. Findings will be useful to administrators and policy makers who are contemplating implementation of a clinical information system.