[Conceptual model designing of clinical staff's information needs of emergency information system]

To optimize emergency services depends on appropriate management structures and efficient and effective information system design. This study aimed to investigate emergency department staffs information needs of emergency information system and to design a conceptual model of these needs. This descriptive study was performed among nurses and emergency medicine professionals working in emergency units of 9 hospitals affiliated to Tehran and Shahid Beheshti Universities of Medical Sciences. Data were collected by interviewing 25 staff members in the emergency department, model design by RUP method and UML language and questionnaire distribution among 315 staff members in the emergency department. Data collected were analyzed by descriptive statistics and SPSS. Most nurses and emergency medicine physicians believed that multiple data elements such as time of patient's first visit and procedure, the latest status of patient, medical procedure taken, and paraclinical procedure taken must exist in the emergency information system. Also 68.3% [108] of them agreed with the relationship between data elements required in the clinical practice process. It is concluded that the presence of identity, clinical, and paraclinical data in emergency information systems can produce an electronic medical record. According to these data, elements can improve the coordination between the hospital emergency and pre-hospital rescue teams, controlling of victim status, access to patient reports and quality of service to patients

Factors affecting information technology acceptance in clinical settings from nurses' perspective

Information technology acceptance model predicts acceptance based on end-users' perceived usefulness and ease of use of technology for a specific purpose. The aim of this study is to understand nursing staffs adoption of clinical information systems based on information technology acceptance model. This descriptive-analytic study was conducted on 316 nurses in hospitals affiliated with Semnan University of Medical Sciences [SUMS] and those affiliated with the Social Security Organization [SSO]. The data collection tool was a valid and reliable questionnaire. The data were analyzed by descriptive statistics, Mann-Whitney and chi-square tests. Some 73% of nurses agreed that the nursing information system provides them with correct information. Besides, 55.7% of nurses had accepted the information system. The results showed that male nurses had admitted clinical information systems more than female ones [P<0.05]. Moreover, nurses who were aware of their duties towards the computer program or those who were aware of the goals of computer applications had adopted information technology more [P <0.05]. Most of the nurses had accepted the clinical information system in their daily work. However, issues such as inadequate number of computers, content design, system capability problems, and nurses' computer skills and knowledge should be seriously examined. Moreover, several interventions should be planned and developed in technical and individual areas such as enhancement of nurses IT knowledge, teamwork culture, organizational position, team cooperation, and updating and upgrading the network

Understanding Interns' information needs in emergency departments

Objective: In teaching hospitals, the clinical encounter is an increasingly significant component of interns' curriculum and one of the clinical experiences of interns is emergency medicine. This research was conducted to provide new insights on interns' information needs in emergency departments.  Methods: This study examines the information needs of interns in the emergency departments of teaching hospitals in Iran University of Medical Sciences. Questionnaires and observations were used to collect data from seventy interns. Chi-square, two-tailed and bi-variation correlation tests were used to investigate the relationship among the data.    Results: It was observed that the most commonly asked questions related to patient specific information and fewer questions related to organizational questions such as hospital policies and procedures. The analysis revealed a statistically significant relationship (0.576, P