Technological Feasibility of a Nursing Clinical Information System
Keywords:
Feasibility, Nursing Clinical Information, Nursing Information System, Technological FeasibilityAbstract
Introduction: A successful implementation of an information system is impossible without sufficient knowledge of available technical resources of an institute. The aim of this study was to determine technical feasibility of a nursing clinical information system (NCIS) in Mazandaran province, Iran, 2015.
Methods: This cross-sectional study was conducted in three steps. In the first step, a data gathering tool was developed through an unsystematic literature review. In the second step, a questionnaire was developed and validity of the tool was confirmed by receiving opinions of faculty members and calculating indices of Content Validity Index (CVI) and Content Validity Ratio (CVR). The questionnaire reliability was confirmed by calculating Cronbach's alpha coefficient (α= 0.72). In the third step, the feasibility of implementation of NCIS was evaluated by forming a panel of IT experts (n= 30), and through a questionnaire. Data were collected by 5-point Likert scale, very low to very high (scoring 1-5). Scores of each item were calculated and score percentage was determined. Chi-square and Fisher Exact tests were used.
Results: Maximum possibility of implementing NCIS were in the hardware area, additional equipment (92.6%), in the area of software, financial software (99.4%), in the area of network equipment, the possibility of integration with other internal systems, (92.6%) and in the area of network security, the possibility of backup version for security purposes (97.4%). Type of employment was statistically significant according to IT experts' opinions (p= 0.014)
Conclusion: Hardware and software infrastructures for implementation of NCIS were desirable. The provision of more portable computers, advanced equipment such as barcode scanner, Radio-frequency identification (RFID), some approaches for increase accessibility of the system and essential databases from other resources and also increase of network lines' speed are necessary.
References
Stair R, Reynolds G. Systems Development: Investigation and Analysis In: Stair R, Reynolds G, editors.
Principles of Information Systems A Managerial Approach. U S A cengage learning. 2010; 29-510.
Turban E, Rainer R, Potter R. Information Systems Development. In: Turban E, Rainer K R, Potter R.
Introduction to information technology. John Wiley and Sons, Inc. 2005: 88-459.
Katimuneetorn P. Feasibility Study columbia: UMSL; 2008 [2013]. Available from:
http://www.umsl.edu/~sauterv/analysis/F08papers/Katimuneetorn-Feasibility-Study.html#top
Samadi A. Systems analysis and design. Hamedan bo Ali Sina University. 2010.
Norman RJ. Feasibility Analysis and Requirements Determination. In: Norman RJ, editor. Object-oriented
systems analysis and design. Prentice Hall New York. 1996; 24-45.
Graves J, Corcoran S. Design of nursing information systems: Conceptual and practice elements. J Prof
Nurs. 1988; 4(3): 168-77. doi: 10.1016/S8755-7223(88)80134-0s. PMID: 3417948.
Toromanovic S, Hasanovic E, Masic I. Nursing Information System. Mater Sociomed. 2010; 22(3): 168-71.
doi: 10.5455/msm.2010.22.168-171. PMID: 24493984, PMCID: PMC3813545.
Mbananga N, Madale R, Becker P. Evaluation of hospital information system in the Northern province in
South Africa. H S T. 2002. Available from: http://www.hst.org.za/publications/504. 1-87.
Peres HHC, Lima AFC, Cruz DALM, Gaidzinski RR, Oliveira NB, Ortiz DCF, et al. Assessment of an
electronic system for clinical nursing documentation. ACTA. 2012; 25(4): 543-8. doi: 10.1590/S0103- 21002012000400010.
Swansburg RJ. E nursingn. In: Roussel l, Swansburg RC, Roussel C, Swansburg RJ. Management and
leadership for nurse administrators 4 th. New York: Jones & Bartlett Learning. 2006; 5-353.
Hao ATH, Lu YL, Hsu CK, Chu SF, Rau HH, Jian WS, et al. A feasibility study of constructing electronic
nursing record with nursing clinical pathway. 12th World Congress on Health Medical Informatics
(MEDINFO 2007), Ios Press. 2007; 3-1722.
Littlejohns P, Wyatt JC, Garvican L. Evaluating computerised health information systems: hard lessons still
to be learnt. Bmj. 2003; 326(7394): 860-3. doi: 10.1136/bmj.326.7394.860.
Berg M. Implementing information systems in health care organizations: myths and challenges. Int j med
info. 2001; 64(2-3): 143-56. PMID: 11734382.
Asadi F, Moghaddasi H, Hosseini A, Gondozlu SA. Feasibility of Implementing National Health
Information Infrastructure in Iran, 2009. H Info Manag J. 2012; 9(5): 619-31.
Rahimzadeh E, Rahimzadeh S, Azadi S, Amani F. The Feasibility Implemented and Using of
Telemedicine in Imam Khomeini Hospital. Kaduseh J. 2012; 2(2): 1-11.
Fazaeli S, Yousefi M, Moradi G, Ghazisaeidi M. Review of Various Aspects of Clinical Information
Systems Implementation and Awareness of Health Information Administrators about It. H Info Manag J.
; 8(2): 207.
Nasiripour A, Tofighi S, Javanmardi R. The Feasibility Study of Decision Support System Implementation
in Health Deputy of Iranian Social Security Organization (ISSO). J Health System Res. 2009; 2(5): 99-109.
Malliarou M, Zyga S. Advantage Of Information Systems In Health Services. Sport Manag Int J. 2009;
(2): 43-54.
Henriksen K, Battles JB, Marks ES, Lewin DI (Eds). Work system analysis: the key to understanding
health care systems. Advances in Patient Safety: From Res Implementation; 2005. Advances in Patient
Safety. 2005; 2: 337-48.
Mortazavi F, Mousavi SA, Chaman R, Khosravi A, Janke JR. Cross Cultural Adaptation, Validity, and
Reliability of the Farsi Breastfeeding Attrition Prediction Tools in Iranian Pregnant Women. Iran Red
Crescent Med J. 2015; 17(3): 26354. doi: 10.5812/ircmj.26354. PMID: 26019910, PMCID: PMC4441781.
Polit DF, Beck CT. The content validity index: are you sure you know what's being reported? Critique and
recommendations. Res Nurs Health. 2006; 29(5): 489-97. doi: 10.1002/nur.20147. PMID: 16977646.
Bomba D, Land T. The feasibility of implementing an electronic prescribing decision support system: a
case study of an Australian public hospital. Aust Health Rev. 2006; 30(3): 380-8. doi: 10.1071/AH060380.
PMID: 16879097.
Ammenwerth E, Eichstadter R, Haux R, Pohl U, Rebel S, Ziegler S. A randomized evaluation of a
computer-based nursing documentation system. Methods inf med. 2001; 40(2): 61-8. PMID: 11424305.
Ammenwerth E, Rauchegger F, Ehlers F, Hirsch B, Schaubmayr C. Effect of a nursing information system
on the quality of information processing in nursing: An evaluation study using the HIS-monitor instrument.
Int j medl inform. 2011; 80(1): 25-38. doi: 10.1016/j.ijmedinf.2010.10.010. PMID: 21115392.
Poissant L, Pereira J, Tamblyn R, Kawasumi Y. The impact of electronic health records on time efficiency
of physicians and nurses: a systematic review. J Am Med Inform Assoc. 2005; 12(5): 505-16. doi:
1197/jamia.M1700. PMID: 15905487, PMCID: PMC1205599.
Gholam Hosseini L, Sadeghi M. Assessment of hospital information system efficiency (SHAFA) in Imam
Reza hospital. J Army Univ Med Sci. 2012; 10(1): 62-6.
Özkan S, Baykal N, Sincan M. Evaluation of a hospital information system in an international context:
towards implementing PB-ISM in Turkey. Elect J Inform Systems Develop Countries. 2006; 28: 1-10.
Choi J, Chun J, Lee K, Lee S, Shin D, Hyun S, et al. MobileNurse: hand-held information system for point
of nursing care. Comput methods programs biomed. 2004; 74(3): 245-54. doi:
1016/j.cmpb.2003.07.002. PMID: 15135575.
Montini T, Schenkel AB, Shelley DR. Feasibility of a computerized clinical decision support system for
treating tobacco use in dental clinics. J dent educ. 2013; 77(4): 458-62. PMID: 23576591.
Mcbride S, Delaney JM, Tietze M. Health Information Technology and Nursing. Am J Nurs. 2012; 112(8):
-42. doi: 10.1097/01.NAJ.0000418095.31317.1b. PMID: 22790673.
Blignaut PJ, McDonald T, Tolmie CJ. System requirements for a computerised patient record information
system at a busy primary health care clinic. Curationis. 2001; 24(2): 68-76. doi:
4102/curationis.v24i2.835. PMID: 11885479.
Imani E, Khademi Z, Yusefi P, Bahrami Z, Naghizadeh F. Experiences of nursing managers about hospital
information system: a qualitative study. Bimonthly J Hormozgan University Medical Sciences. 2012;
(3): 223-32.
Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing
bar coding in medication administration. J Am Med Inform Assoc. 2002; 9(5): 540-53. doi:
1197/jamia.M1061. PMID: 12223506, PMCID: PMC346641.
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