ABSTRACT
In the technology-rich environment of healthcare, hospital documentation systems need to be developed so that quality benefits are realized and are more evident. The effects of nurses' perceptions of ease of use, usefulness, and documentation accuracy on their perceptions of improved quality benefits from information systems were studied based on a proposed model. This model was developed from variables in both technology acceptance and healthcare literature. Usefulness and documentation accuracy of an information system were found to be highly influential in the nurses' perception of quality benefits from the system. System designers need to be keenly aware of nurses' need for useful and accurate systems so that quality benefits can be discovered. Further research is needed to more thoroughly explore the impact of technology on quality of care in nursing.
Subject(s)
Documentation/standards , Information Systems/standards , Quality Assurance, Health Care , Attitude of Health Personnel , Humans , Longitudinal Studies , Northern Ireland , Nurses/psychologyABSTRACT
Self-efficacy is a user's confidence that he or she has the ability to use an information system. A survey gathered demographics, self-assessed computer skills, attitude and self-efficacy before installation of an integrated clinical and administrative information system. Results showed that higher levels of nursing education, home computer use, and average levels of self-assessed e-mail, Internet search, word processing, and general computer expertise predicted self-efficacy of the system. In addition, previous use of home and office electronics equipment, such as an answering machine, predicted self-efficacy. Implications for training and future adoption of clinical information systems are presented.
