TY - JOUR
T1 - “Blind leading the blind”
T2 - Qualitative evaluation of unanticipated difficulties during nurse testing of a hospital health information system
AU - Bail, Kasia
AU - Merrick, Eamon
AU - Redley, Bernice
AU - Gibson, Jo
AU - Davey, Rachel
AU - Currie, Marian
N1 - Funding Information:
This project was an independent evaluation funded by an Innovations Connections Project grant from the Department of Industry, Innovation and Science and their industry Project Partner SmartWard Pty Ltd , RC51279 . As part of the funding agreement, the joint funders were able to review manuscript content prior to submission but were unable to withhold consent for publication or demand any changes.
Publisher Copyright:
© 2019 Australian College of Nursing Ltd
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/2
Y1 - 2020/2
N2 - Aim: To describe the self-reported experiences of clinicians evaluating a novel Health Information System in an acute care environment. Design: The Health Information System was implemented over a one-month period in 2017 into a 26-bed acute medical ward within a 760-bed tertiary teaching hospital in Australia. Methods: Data were collected using interviews with 48 multidisciplinary clinicians and 20 patients, and 2 focus groups with 13 nurses, and analysed with a ‘content, context, and process’ evaluation framework. Results: Three themes reflecting unanticipated difficulties emerged from the qualitative data: (1) inconsistent expectations; (2) decisional conflict between managers and end-user nurses; and (3) workflow impacts. Conclusions: Designers and evaluators of information systems must listen to, prioritise and respond to the needs of the clinicians who provide care.
AB - Aim: To describe the self-reported experiences of clinicians evaluating a novel Health Information System in an acute care environment. Design: The Health Information System was implemented over a one-month period in 2017 into a 26-bed acute medical ward within a 760-bed tertiary teaching hospital in Australia. Methods: Data were collected using interviews with 48 multidisciplinary clinicians and 20 patients, and 2 focus groups with 13 nurses, and analysed with a ‘content, context, and process’ evaluation framework. Results: Three themes reflecting unanticipated difficulties emerged from the qualitative data: (1) inconsistent expectations; (2) decisional conflict between managers and end-user nurses; and (3) workflow impacts. Conclusions: Designers and evaluators of information systems must listen to, prioritise and respond to the needs of the clinicians who provide care.
KW - Documentation in the organization of care
KW - Nursing
KW - Nursing administration
KW - Nursing informatics
KW - Program evaluation
UR - http://www.scopus.com/inward/record.url?scp=85066300467&partnerID=8YFLogxK
UR - http://www.mendeley.com/research/blind-leading-blind-qualitative-evaluation-unanticipated-difficulties-during-nurse-testing-hospital
U2 - 10.1016/j.colegn.2019.03.004
DO - 10.1016/j.colegn.2019.03.004
M3 - Article
AN - SCOPUS:85066300467
SN - 1322-7696
VL - 27
SP - 82
EP - 88
JO - Collegian
JF - Collegian
IS - 1
ER -