Journal of Qualitative Research in Health Sciences

Authors

Semnan University of Medical Sciences

Abstract

Introduction: Critical care information systems are designed to replace paper charts, interact with other clinical wards of hospital, and to better care for patients. This qualitative study was performed to obtain the perception of intensive care unit nurses about the efficiency of information systems. Method: In this qualitative study, data were collected through semi-structured and in-depth interviews and analyzed by content analysis and constant comparison method. Participants were 30 nurses from intensive care units of affiliated hospitals of Semnan University of Medical Sciences, Iran. Purposeful sampling method was used and continued until data saturation. Results: The several themes that emerged from the interviews were divided into inhibiting factors and facilitating factors. Facilitators included the acceleration of nursing operations, reduction of costs, and the increasing of nurse’s role in patient care. The inhibiting factors were repetition of tasks and low computer literacy of the staff. Conclusion: Nurses were faced with challenges in the use of information systems indicating the lack of quality of the information system. It seems that strengthening facilitators and resolving hardware and software problems can increase intensive care staff’s acceptance of this information system and reduce their cultural resistance toward it.

Keywords

[1]-Rebecca L, Nicola T. The impact of a critical care information system on time spend charting and indirect patient care by staff in the ICU. International journal of medical informatics 2009; 78(7):435-445 [2]- Ballermann MA, Shaw NT, Arbeau KJ, Mayes DC, Noel Gibney RT. Impact of a critical care clinical information system on interruption rates during intensive care nurse and physician documentation task. Stud Health Technol Inform 2010; 160 (pt 1): 274-8. [3]-Shaw NT, Mador RL, Ho S, Mayes D, Westbrook JI, Creswick N, et al. Understanding the impact on intensive care staff work flow due to the introduction of a critical care information system: a mixed methods research methodology. Stud Health Technol Inform 2009; 143:186-91. [4]- Reddy MC, Shabot MM, Bradner E. Evaluating collaborative features of critical care systems: a methodological study of information technology in surgical intensive care units. J Biomed Inform 2008; 41(3):479-487. [5]- Ballermann M, Shaw NT, Mayes DC, Gibney RT. Critical care providers refer to information tools less during communication tasks after a critical care clinical information system introduction. Stud Health Technol Inform 2011; 164:37-41. [6]-Toolabi T‚ Vanaki Z‚ Memarian R, Namdari M. Quality of nursing documentations in CCU by hospital information system (HIS). Journal of Critical Care Nursing 2012; 5 (13): 53-62. [7]- Darbyshire P. ‘Rage against the machine?': nurses’ and midwives’ experiences of using computerized patient information systems for clinical information. J Clin Nurs 2004; 13 (1): 17–25. [8]-Smith K, Smith V, Krugman M & Oman K. Evaluating the impact of computerized clinical documentation. Comput Inform Nurs 2005; 23(3):132-8. [9]- Allan J, Englebright J. Patient-centered documentation: an effective and efficient use of clinical information systems. J Nurs Adm 2000; 30 (2): 90–5. [10]-Saranto K, Leino-Kilpi H. Computer literacy in nursing; developing the information technology syllabus in nursing education. J Adv Nurs 1997; 25 (2): 377–85. [11]-Ahmadi M , Rafii F, Hoseini F, Habibi Koolaee M, Mirkarimi A. [Informational and Structural Needs of Nursing Data Classification in Computerized Systems]. Hayat 2011; 17(1): 16-23. [Persian] [12]- Goosen WT‚ Epping PJ, Dassen T. Criteria for Nursing information system as a component of the electronic patient record. Comput Nurs 1997 Nov-Dec;15(6):307-15. [13]- Bosman RJ, Rood E, Oudemans-van Straaten HM, Van der Spoel JI, Wester JP, Zandstra DF. Intensive care information system reduces documentation time of the nurses after cardiothoracic surgery. Intensive Care Med 2003; 29(1):83–90. [14]- Korst LM, Eusebio-Angeja AC, Chamorro T, Aydin CE, Gregory KD. Nursing documentation time during implementation of an electronic medical record. J Nurs Adm. 2003; 33(1):24–30. [15]-Fitzgerald M, Pearson A, Walsh K, Long L, Heinrich N. Patterns of nursing: a review of nursing in a large metropolitan hospital. J Clin Nurs 2003; 12(3):326–32. [16]- Bowles KH. The barriers and benefits of nursing information system. Comput Nurs 1997;15(4):191-6. [17]- Hunt EC, Sproat SB, Kitzmiller RR. The Nursing Informatics Implementation Guide (Health Informatics). New York: Springer; 2004. [18]-Ebrahim Pour Sadaghyani H, Hagavi A. [Analysis of patient's information circle in mechanized hospital information system]. Journal of Iranian Health Information Management Association 2004; 4 (2): 19-22. [Persian]. Available from:http://ihima.behdasht.gov.ir/index.aspx?siteid=279&siteid=279&pageid=23652. [19]- LEE TT. Nurses' Experiences Using a Nursing Information System: Early Stage of Technology Implementation. Comput Inform Nurs 2007 Sep-Oct;25(5):294-300. [20]- Barr BJ. Managing change during an information systems transition. AORN J 2002; 75(6):1085–92. [21]-Van der Meijden MJ, Tange HJ, Troost J, Hasman A. Determinants of success of inpatient clinical information systems: a literature review. J Am Med Inform Assoc 2003; 10(3):235–243. [22]- Garg AX, Adhikari NK, McDonald H, Rosas-Arellano MP, Devereaux PJ, Beyene J, et al. Effects of Computerized Clinical Decision Support Systems on Practitioner Performance and Patient Outcomes: a systematic review. JAMA 2005 Mar 9; 293 (10): 1223-38.