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Confirmation of Expectations and Satisfaction with Hospital Information Systems: A Nursing Perspective

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Objectives: This study aimed to compare nurses’ satisfaction with, and expectations of, hospital information systems in two teaching hospitals. Methods: This was a survey study, which was completed in 2014. The potential participants were 267 nurses who worked in two teaching hospitals and used the same hospital information system. Data were collected using two questionnaires. Both questionnaires were examined in terms of content validity and reliability. Results: The results showed that, for a majority of nurses, their expectations of the system were not met in either hospital. Moreover, there was a significant association between the nurses’ expectations and the perceived usefulness of the systems (p < 0.001), between the nurses’ expectations and their satisfaction with the systems (p < 0.001), and between the perceived usefulness and nurses' satisfaction with the systems (p < 0.001). Conclusions: The results suggested that, apart from the technical issues of implementing clinical information systems, non-technical factors should be taken into account. Among them, the nature of clinical tasks and the organizational culture require more attention to allow a successful system to be designed and implemented.

Abstract

Objectives: This study aimed to compare nurses’ satisfaction with, and expectations of, hospital information systems in two teaching hospitals. Methods: This was a survey study, which was completed in 2014. The potential participants were 267 nurses who worked in two teaching hospitals and used the same hospital information system. Data were collected using two questionnaires. Both questionnaires were examined in terms of content validity and reliability. Results: The results showed that, for a majority of nurses, their expectations of the system were not met in either hospital. Moreover, there was a significant association between the nurses’ expectations and the perceived usefulness of the systems (p < 0.001), between the nurses’ expectations and their satisfaction with the systems (p < 0.001), and between the perceived usefulness and nurses' satisfaction with the systems (p < 0.001). Conclusions: The results suggested that, apart from the technical issues of implementing clinical information systems, non-technical factors should be taken into account. Among them, the nature of clinical tasks and the organizational culture require more attention to allow a successful system to be designed and implemented.

참고문헌 (29)

  1. Ammenwerth E, "Effect of a nursing information system on the quality of information processing in nursing: an evaluation study using the HIS-monitor instrument", Int J Med Inform, 80(1), pp.25~38 (2011)
  2. Wang N, "Description and comparison of documentation of nursing assessment between paperbased and electronic systems in Australian aged care homes", Int J Med Inform, 82(9), pp.789~797 (2013)
  3. Hsiao JL, "A study of factors affecting acceptance of hospital information systems: a nursing perspective", J Nurs Res, 19(2), pp.150~160 (2011)
  4. Kahouei M, "Nurses' perceptions of usefulness of nursing information system:module of electronic medical record for patient care in two university hospitals of Iran", Mater Sociomed, 26(1), pp.30~34 (2014)
  5. Vezyridis P, "Implementation of an emergency department information system:a qualitative study of nurses' attitudes and experience", Comput Inform Nurs, 30(10), pp.540~546 (2012)
  6. Kipturgo MK, "Attitudes of nursing staff towards computerisation: a case of two hospitals in Nairobi, Kenya", BMC Med Inform Decis Mak, 14, pp.35~ (2014)
  7. Brown SA, "Expectation confirmation in technology use", Inf Syst Res, 23(2), pp.474~487 (2012)
  8. Ayatollahi H, "What factors influence emergency department staff attitudes towards using information technology?", Emerg Med J, 30(4), pp.303~307 (2013)
  9. Ayatollahi H, "IT in the emergency department: what is the impact of technology?", Proceeding of the 2nd International Conference on Health Informatics, pp.454~457 (2009)
  10. Pourasghar F, "Satisfaction and perception of emergency department personnel on electronic triage system", Iranian J Med Inf, 4(1), pp.1~5 (2015)
  11. Bokhari RH., "The relationship between system usage and user satisfaction: a meta-analysis", J Enterp Inf Manag, 18(2), pp.211~234 (2005)
  12. Aggelidis VP, "Hospital information systems: measuring end user computing satisfaction (EUCS)", J Biomed Inform, 45(3), pp.566~579 (2012)
  13. Delone WH, "The DeLone and McLean model of information systems success: a ten-year update", J Manag Inf Syst, 19(4), pp.9~30 (2003)
  14. Lu CH, "Factors determining nurse acceptance of hospital information systems", Comput Inform Nurs, 30(5), pp.257~264 (2012)
  15. Ayatollahi H, "Electronic health records: what are the most important barriers?", Perspect Health Inf Manag, 11, pp.1c~ (2014)
  16. Sharifian R, "Factors influencing nurses' acceptance of hospital information systems in Iran: application of the Unified Theory of Acceptance and Use of Technology", HIM J, 43(3), pp.23~28 (2014)
  17. Kahouei M, "The evaluation of the compatibility of electronic patient record (EPR)system with nurses' management needs in a developing country", Int J Med Inform, 84(4), pp.263~270 (2015)
  18. Bhattacherjee A, "Understanding information systems continuance: an expectation-confirmation model", MIS Q, 25(3), pp.351~370 (2001)
  19. Davis FD, "Toward preprototype user acceptance testing of new information systems: implications for software project management", IEEE Trans Eng Manag, 51(1), pp.31~46 (2004)
  20. Larsen TJ, "The role of task-technology fit as users’ motivation to continue information system use", Comput Human Behav, 25(3), pp.778~784 (2009)
  21. Beaudry A, "The other side of acceptance:studying the direct and indirect effects of emotions on information technology use", MIS Q, 34(4), pp.689~710 (2010)
  22. Jasperson JS, "A comprehensive conceptualization of post-adoptive behaviors associated with information technology enabled work systems", MIS Q, 29(3), pp.525~557 (2005)
  23. Palm JM, "Clinical information system post-adoption evaluation at the georges pompidou university hospital", AMIA Annu Symp Proc, 2010, pp.582~586 (2010)
  24. Callen JL, "Contextual implementation model: a framework for assisting clinical information system implementations", J Am Med Inform Assoc, 15(2), pp.255~262 (2008)
  25. Hsien-Cheng Lin, "Nursesʼ Satisfaction With Using Nursing Information Systems From Technology Acceptance Model and Information Systems Success Model Perspectives", CIN: Computers, Informatics, Nursing, pp.1~ (2017), Ovid Technologies (Wolters Kluwer Health)[DOI]
  26. Lapinsky SE, "Survey of information technology in Intensive Care Units in Ontario, Canada", BMC Med Inform Decis Mak, 8, pp.5~ (2008)
  27. Banner L, "A step in the right direction: Electronic clinical documentation improves nurse charting, efficiency, and satisfaction", Comput Inform Nurs, 25(5), pp.312~321 (2007)
  28. Legris P, "Why do people use information technology? A critical review of the technology acceptance model", Inf Manag, 40(3), pp.191~204 (2003)
  29. Tabibi J, "Effective factors on hospital information system acceptance: a confirmatory study in Iranian hospitals", Middle East J Sci Res, 9(1), pp.95~101 (2011)

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