Nursing Leaders' Satisfaction with Information Systems in the Day-to-Day Operations Management in Hospital Units

Information usage in the day-to-day operations management of hospital units is complex due to numerous information systems in use. The aim of this study was to describe and compare nurse leaders' satisfaction with information systems used in the day-to-day operations management in hospital units. The design was a cross-sectional survey with five questions rated from one (disagree) to five (fully agree). The response rate was 65 % (n = 453). Respondents reported fair satisfaction with how information systems support decision-making (median 4, IQR 3-4) and improve ease of access to information (median 4, IQR 3-4). However, respondents were less satisfied with how systems improve speed of access to information (median 3, IQR 3-4). Nor did respondents think that systems were developed for them (median 3, IQR 2-4). Respondents further reported needing numerous systems daily to support decision-making (median 4, IQR 3-5). A clear need for one system, which would gather important information for display was stated (median 5, IQR 4-5). Work experience, gender and time when overseeing the unit were associated with some aspects related to satisfaction. In conclusion, information system improvements are needed to better support the day-to-day operations management in hospital units.

[1]  Joshua D. Freilich,et al.  Electronic Alerts for Triage Protocol Compliance Among Emergency Department Triage Nurses: A Randomized Controlled Trial , 2015, Nursing research.

[2]  Johanna Lammintakanen,et al.  The success of a management information system in health care - A case study from Finland , 2013, Int. J. Medical Informatics.

[3]  Cornelia M. Ruland,et al.  An Information System to Improve Financial Management, Resource Allocation and Activity Planning: Evaluation Results , 2001, MedInfo.

[4]  Jeffrey P Harrison,et al.  The Role of Clinical Information Systems in Health Care Quality Improvement , 2006, The health care manager.

[5]  Heljä Lundgrén-Laine,et al.  Crucial information needs of ICU charge nurses in Finland and Greece. , 2013, Nursing Critical Care.

[6]  Bonnie Kaplan,et al.  White Paper: Health IT Success and Failure: Recommendations from Literature and an AMIA Workshop , 2009, J. Am. Medical Informatics Assoc..

[7]  Weon-Hee Moon.  The development of NRMIS (Nursing Resources Management Information System)--Focused on patient classification. , 2006, Studies in health technology and informatics.

[8]  G. V. R. K Acharyulu.  Assessment of Hospital Information System Quality in Multi Specialty Hospitals , 2012 .

[9]  Patricia C. Dykes,et al.  Care coordination gaps due to lack of interoperability in the United States: a qualitative study and literature review , 2016, BMC Health Services Research.

[10]  Hanna Admi,et al.  Do hospital shift charge nurses from different cultures experience similar stress? An international cross sectional study. , 2016, International journal of nursing studies.

[11]  Heljä Lundgrén-Laine,et al.  Nurse managers' decision-making in daily unit operation in peri-operative settings: a cross-sectional descriptive study. , 2016, Journal of Nursing Management.

[12]  Kaija Saranto,et al.  Use of electronic information systems in nursing management , 2010, Int. J. Medical Informatics.

[13]  Sanna Salanterä,et al.  National survey focusing on the crucial information needs of intensive care charge nurses and intensivists: same goal, different demands , 2013, BMC Medical Informatics and Decision Making.

[14]  Heljä Lundgrén-Laine,et al.  Information Management in the Daily Care Coordination in the Intensive Care Unit , 2016, WIS.

[15]  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.

[16]  Kristiina Junttila,et al.  Data warehouse approach to nursing management. , 2007, Journal of nursing management.

[17]  Heljä Lundgrén-Laine,et al.  Information systems in hospitals: a review article from a nursing management perspective , 2013, Int. J. Netw. Virtual Organisations.

[18]  Merja Miettinen,et al.  Time allocation and temporal focus in nursing management: an integrative review. , 2016, Journal of nursing management.

[19]  Heljä Lundgrén-Laine,et al.  Assessing managerial information needs: Modification and evaluation of the Hospital Shift Leaders' Information Needs Questionnaire , 2018, Journal of nursing management.

[20]  L M Hall,et al.  The changing role of hospital nurse managers: a literature review. , 1997, Canadian journal of nursing administration.

[21]  Qihai Huang,et al.  Social expectations, gender and job satisfaction: Front-line employees in China's retail sector , 2015 .

[22]  J. Gunawan,et al.  Managerial competence of first‐line nurse managers: A concept analysis , 2017, International journal of nursing practice.

[23]  Peter Fu-Ming Hu,et al.  User-designed information tools to support communication and care coordination in a trauma hospital , 2009, J. Biomed. Informatics.

[24]  Heljä Lundgrén-Laine,et al.  Managing daily intensive care activities: An observational study concerning ad hoc decision making of charge nurses and intensivists , 2011, Critical care.

[25]  Yinghui Cui,et al.  Effects of the performance management information system in improving performance: an empirical study in Shanghai Ninth People’s Hospital , 2016, SpringerPlus.