Factors affecting and affected by user acceptance of computer-based nursing documentation: results of a two-year study

• HIT Description: Electronic health record and computer-based nursing documentation. More info...
  
• Purpose of Study: Evaluated the effects of computer-based nursing documentation system.
  
• Years of study: 1998-2001
  
• Study Design: Time series
  
• Outcomes: Other outcome
  

• Settings: Four wards from the Department of Psychiatry, Department of Pediatrics, and Department of Dermatology at the University Hospitals of Heidelberg, Germany participated in the study.
• Intervention: A computer-based nursing documentation system offering flexible forms for data entry, and where nursing care plans can be created for individual patients.
• Evaluation Method: Measures of system use, and provider satisfaction and acceptance of system.
• Description: The software used in the study was the PIK (Pflegeinformations- und Kommunikationssystem, a German acronym for Ònursing information and communication systemÓ) was chosen for the study and introduced on four wards of three different departments.
• Barriers: The authors found that computer knowledge and previous acceptance of nursing process as well as task requirements and the functionality of the system were significant predictors of final user acceptance.
• Changes in efficiency and productivity: The quantitative results point to two factors influencing the acceptance of a new computer-based documentation system: the previous acceptance of the nursing process and the previous amount of self-confidence when using computers. On one ward, the diverse acceptance scores heavily declined after the introduction of the nursing documentation system.