Hampton, Diana Joy (1994) The impact of computers on nursing : a case-study. University of Southampton, Doctoral Thesis.
Abstract
This research describes the impact of the implementation of a fully integrated Hospital Information System on nursing at ward level. The hospital where the study was conducted was the first in the United Kingdom to implement a system of such complexity. The focus of the research is the ward ordering and communication component which had the greatest affect on the way nurses deliver and record their care. The study commences with a description of manual processes prior to implementation, and continues with the effects of the technology over the ensuing period of a year to eighteen months.
In addition to describing the effects the aim was also to obtain the nurses' views of the entire process. Key themes on which the nurses' opinions were sought included the implementation process, the preparation of the nursing staff, the impact on particular nursing functions, such as drug administration, and the effect the technology had on their professional role. In addition the nurses' attitudes towards using computers were obtained.
The theoretical proposition for this study was that the computer system would be beneficial for nursing. The data from each collection method were analysed utilising a number of variables, such as time savings, and incorporating change theories.
Results show that the full potential of the system has not yet been realised and demonstrate the threat imposed by computer technology to the values and norms of traditional nursing practice. The speed of implementation and the inadequate preparation of the nurses are major themes impacting on the way the nurses use the system and their attitudes to particular aspects of it. Although the results show that in general the nurses would not wish to revert to manual procedures, problems remain with key areas of their practice and the effect of the technology on the professional role of the nurse.
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