Clinical information systems in nursing homes: an evaluation of initial implementation strategies
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.
Journal
Comput Inform Nurs
Publication Year
2007
Publication Month
Jul-Aug
Volume
25
Issue
4
Page Number
189-97
Category