The change from manual to computerised care planning at a district general hospital (between 1988 and 1992)
The change from manual to computerised care planning at a district general hospital (between 1988 and 1992)
The hospital in which this study takes place was the first in the country to install a fully integrated Hospital Information System. As part of this system, computerised care plans were introduced to sixteen wards over a period of nine months. This research describes the system, the care planning system and the process of the change to computerised care planning. It looks at nurses' attitudes to the Nursing Process, and to the new care planning system before, three months and one year after implementation of the new system. The quality of manual and computer care planning is compared in the same time periods using an existing quality assurance instrument and a new audit tool, developed in response to the quality aspects of an automated computerised system.
The aim of the research was to record a contemporary professional and social phenomenon; to establish feedback systems in order to incorporate modifications to the system as required; to involve and support the nurses during the change by seeking and acting upon their opinions and to develop criteria for evaluation.
All data were analysed in each time period in a framework of personal and organisational change theories. The data obtained were also used as a basis for modifications which started three months after implementation on the first three wards and which culminated in a major project to convert the whole system to standard based care plans.
Results showed that in general understanding of the Nursing Process was inadequate and that nurses held ambivalent attitudes towards it, and towards the proposed computer care plans. Three months after the new care plans were introduced, attitudes had changed significantly to negative, but after they had been using the new care plans, attitudes, although still negative, showed a significant shift towards the positive pole. Conversely the overall quality of care planning improved significantly on the wards for which comparisons were possible.
University of Southampton
Newton, Charleen Anne
c559ee28-349c-43bd-8b41-77c4d5dd9a39
1993
Newton, Charleen Anne
c559ee28-349c-43bd-8b41-77c4d5dd9a39
Newton, Charleen Anne
(1993)
The change from manual to computerised care planning at a district general hospital (between 1988 and 1992).
University of Southampton, Doctoral Thesis, 335pp.
Record type:
Thesis
(Doctoral)
Abstract
The hospital in which this study takes place was the first in the country to install a fully integrated Hospital Information System. As part of this system, computerised care plans were introduced to sixteen wards over a period of nine months. This research describes the system, the care planning system and the process of the change to computerised care planning. It looks at nurses' attitudes to the Nursing Process, and to the new care planning system before, three months and one year after implementation of the new system. The quality of manual and computer care planning is compared in the same time periods using an existing quality assurance instrument and a new audit tool, developed in response to the quality aspects of an automated computerised system.
The aim of the research was to record a contemporary professional and social phenomenon; to establish feedback systems in order to incorporate modifications to the system as required; to involve and support the nurses during the change by seeking and acting upon their opinions and to develop criteria for evaluation.
All data were analysed in each time period in a framework of personal and organisational change theories. The data obtained were also used as a basis for modifications which started three months after implementation on the first three wards and which culminated in a major project to convert the whole system to standard based care plans.
Results showed that in general understanding of the Nursing Process was inadequate and that nurses held ambivalent attitudes towards it, and towards the proposed computer care plans. Three months after the new care plans were introduced, attitudes had changed significantly to negative, but after they had been using the new care plans, attitudes, although still negative, showed a significant shift towards the positive pole. Conversely the overall quality of care planning improved significantly on the wards for which comparisons were possible.
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Published date: 1993
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Local EPrints ID: 462371
URI: http://eprints.soton.ac.uk/id/eprint/462371
PURE UUID: c300132a-c55d-4d3b-acf6-9953fab347b5
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Date deposited: 04 Jul 2022 19:06
Last modified: 16 Mar 2024 18:55
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Author:
Charleen Anne Newton
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