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
PY - 2019
Y1 - 2019
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
SP - 1
EP - 7
JO - Collegian
JF - Collegian
SN - 1322-7696
ER -