Information Systems Use, Benefits, and Satisfaction among Ohio RNs

Contemporary forces, including the growing nursing shortage, the aging population, and the emphasis on patient safety, are increasing the pressure on healthcare facilities to use information systems to achieve better outcomes. Use of information systems improves nurses' ability to make decisions in a timely manner; however, nurses are still reluctant about or avoiding using information systems in their daily work. The purpose of this study was to explore the relationships among age, nursing education, computer experience, user involvement in implementation, nursing management support to use information systems, nurses' information system use, and information system outcomes (benefits and satisfaction). The study used an input-process-outcome framework, a descriptive correlational design, and a mailed survey with a random sample of staff nurses. Computer experience, user involvement, and nursing management support were found to significantly explain information system use. In addition, information system use was found to significantly explain nurses' perception of the benefits of using information systems and their satisfaction with using information systems. These results assist nursing administrators and leaders to change and/or restructure the appropriate work environment to enhance nurses' information system use and increase their satisfaction, thereby improving patient outcomes.

[1]  Jacob Cohen.  Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[2]  Outcomes research. Clues to quality and organizational effectiveness? , 1997, The Nursing clinics of North America.

[3]  Marion J. Ball,et al.  Enabling technologies promise to revitalize the role of nursing in an era of patient safety , 2003, Int. J. Medical Informatics.

[4]  Patrice Degoulet,et al.  Determinants of User Satisfaction with a Clinical Information System , 2006, AMIA.

[5]  Judy Murphy,et al.  Surveying acute care providers in the U.S. to explore the impact of HIT on the role of nurses and interdisciplinary communication in acute care settings. , 2006, Journal of healthcare information management : JHIM.

[6]  Alastair Baker,et al.  Crossing the Quality Chasm: A New Health System for the 21st Century , 2001, BMJ : British Medical Journal.

[7]  William J. Doll,et al.  The measurement of end-user software involvement , 1990 .

[8]  R L Axford,et al.  Impact of clinical information systems on nursing practice. Nurses' perspectives. , 1996, Computers in nursing.

[9]  Parag C. Pendharkar,et al.  Management of information technology and quality performance in health care facilities , 1999 .

[10]  Walker Kp,et al.  Nursing documentation in the computer-based patient record. , 1997 .

[11]  L. Moody,et al.  Electronic Health Records Documentation in Nursing: Nurses' Perceptions, Attitudes, and Preferences , 2004, Computers, informatics, nursing : CIN.

[12]  Magid Igbaria,et al.  Personal Computing Acceptance Factors in Small Firms: A Structural Equation Model , 1997, MIS Q..

[13]  Mark L. Diana,et al.  Exploring Hospitals' Adoption of Information Technology , 2002, Journal of Medical Systems.

[14]  T. Dassen,et al.  Criteria for Nursing Information Systems as a Component of the Electronic Patient Record An International Delphi Study , 1997, Computers in nursing.

[15]  Joan S. Ash,et al.  Implementing computerized physician order entry: the importance of special people , 2003, Int. J. Medical Informatics.

[16]  A. Donabedian,et al.  The quality of care. How can it be assessed? , 1988, JAMA.

[17]  Cornelia M Ruland,et al.  Usefulness and effects on costs and staff management of a nursing resource management information system. , 2003, Journal of nursing management.

[18]  Magid Igbaria,et al.  End-user computing effectiveness: A structural equation model , 1990 .

[19]  Zhiping Walter,et al.  Theory of user acceptance of information technologies: an examination of health care professionals , 1999, Proceedings of the 32nd Annual Hawaii International Conference on Systems Sciences. 1999. HICSS-32. Abstracts and CD-ROM of Full Papers.

[20]  P. Chisnall.  Mail and Internet Surveys: The Tailored Design Method , 2007, Journal of Advertising Research.

[21]  William L. Holzemer,et al.  Review: Variables, Variability, and Variations Research: Implications for Medical Informatics , 1995, J. Am. Medical Informatics Assoc..

[22]  Fethi Calisir,et al.  The relation of interface usability characteristics, perceived usefulness, and perceived ease of use to end-user satisfaction with enterprise resource planning (ERP) systems , 2004, Comput. Hum. Behav..

[23]  Kuan-Chia Lin,et al.  Factors affecting the use of nursing information systems in Taiwan. , 2005, Journal of advanced nursing.

[24]  Axford Rl,et al.  Impact of clinical information systems on nursing practice. Nurses' perspectives. , 1996 .

[25]  Neil E Harl,et al.  The American Recovery and Reinvestment Act of 2009 , 2009 .

[26]  Philip Darbyshire,et al.  'Rage against the machine?': nurses' and midwives' experiences of using Computerized Patient Information Systems for clinical information. , 2004, Journal of clinical nursing.

[27]  Jonathan M. Teich,et al.  Research Paper: Implementation of Physician Order Entry: User Satisfaction and Self-Reported usage Patterns , 1996, J. Am. Medical Informatics Assoc..

[28]  D. Haughton,et al.  A study of users' perceptions on the benefits of information systems in hospitals. , 1995, Healthcare information management : journal of the Healthcare Information and Management Systems Society of the American Hospital Association.

[29]  W. Hendee.  To Err is Human: Building a Safer Health System , 2001 .

[30]  M. Harrison,et al.  Physicians' and nurses' reactions to electronic medical records. Managerial and occupational implications. , 2003, Journal of health organization and management.

[31]  P. Connolly,et al.  Nurse practitioner use of computer technologies in practice. , 2001, Computers in nursing.