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Please use this identifier to cite or link to this item: http://hdl.handle.net/1860/3359

Title: Healthcare Information Technology and Medical Surgical Nurses: The Emergence of a New Care Partnership
Authors: Moore, An'Nita C.
Keywords: Nursing;Information Technology;Partnerships
Issue Date: 14-Sep-2010
Abstract: Currently, increasing numbers of hospitals and ambulatory care institutions in the United States are experiencing expanding use and diffusion of healthcare information technology (HIT), including more expansion toward the electronic health record (EHR). Considering nurses are responsible for documenting, interpreting, and acting upon the voluminous amount of data maintained by information systems, it is imperative that they efficiently utilize HIT by effectively analyzing the data it yields to aid in their clinical decision making. A few studies have addressed the relationship between nurses and information technology in practice, unfortunately the body of literature relative to the topic is narrow and was primarily explored prior to the proliferate implementation of EHRs. This study sought to explore two focal points with regards to the interaction between healthcare information technology and nurses, the first being how medical surgical nurses are utilizing HIT in their current clinical practice. The second aim was to examine the influence of HIT on nurses‟ clinical decision making. Utilizing qualitative content analysis, data from two homogeneous focus groups of novice and experienced nurses was analyzed to evaluate the identified research questions. Findings from data collected from both groups suggest that nurses‟ clinical decision making is not overtly influenced by the use of healthcare information technology. Five themes emerged that described nurses‟ experiences with the information technology. The following were identified as theme labels: (a) healthcare information technology as a care coordination partner, (b) healthcare information technology as a change agent in the care delivery environment, (c) healthcare information technology – unable to meet all the needs, of all the people, all the time, (d) curiosity about healthcare information technology – what other bells and whistles exist, and (e) big brother is watching. Nurses‟ use of new information technology is more reliant on its‟ ability to organize and coordinate care for assigned patient groups as opposed to guiding decision making. Results of this study suggests that a new care partnership has emerged as the provision of nursing care is no longer supplied by a single practitioner but rather by a paired team, consisting of nurses and technology.
URI: http://hdl.handle.net/1860/3359
Appears in Collections:Health Sciences Theses and Dissertations

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