“Blind leading the blind”

Qualitative evaluation of unanticipated difficulties during nurse testing of a hospital health information system

Kasia Bail, Eamon Merrick, Bernice Redley, Jo Gibson, Rachel Davey, Marian Currie

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)1-7
Number of pages7
JournalCollegian
Early online date1 Jun 2019
DOIs
Publication statusPublished - 2019

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Hospital Information Systems
Health Information Systems
Nurses
Workflow
Focus Groups
Information Systems
Tertiary Care Centers
Teaching Hospitals
Interviews

Cite this

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“Blind leading the blind” : Qualitative evaluation of unanticipated difficulties during nurse testing of a hospital health information system. / Bail, Kasia; Merrick, Eamon; Redley, Bernice; Gibson, Jo; Davey, Rachel; Currie, Marian.

In: Collegian, 2019, p. 1-7.

Research output: Contribution to journalArticle

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T2 - Qualitative evaluation of unanticipated difficulties during nurse testing of a hospital health information system

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AU - Merrick, Eamon

AU - Redley, Bernice

AU - Gibson, Jo

AU - Davey, Rachel

AU - Currie, Marian

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