Dienemann,J. & Van de Castle, B. (2003). The impact of healthcare informatics on an organization.
Nicole's insights...
Dienneman & Van de Castle (2003) discuss how informatics effects not just nursing but the healthcare field as a whole. There are nurses as well as physicians who are resistant to the implementation of any type of computer charting. What I found interesting is as nurses, we were not given a choice. We were required to learn the computer system. As for physicians, many have adapted to the system. Others continue to spat verbal orders or pull a busy nurse aside to put their orders in. In addition, hospitals hire scribes to do work for them. We have been told to write physicians up who are noncompliant with the putting their own orders in. I have started to do so.
Informatics is a great subject that is still controversial. Patient information, blogs, webpages should be used with caution. I just read this morning that a woman is being taken to court over what is displayed on her blog site. I take these matters very seriously. While doing my webpage, I typed out a consent for one of my co workers who is on my subject to sign, she laughed.I told her, 'Please read and sign.' She signed but thought I was crazy. Anyway, I enjoy discussing issues such as this.
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Dienemann,J. & Van de Castle, B. (2003). The impact of healthcare informatics on an organization. Journal of Nursing Informatics, 33(11),557-562.
Dienneman & Van de Castle (2003) discuss how informatics effects not just nursing but the healthcare field as a whole. There are nurses as well as physicians who are resistant to the implementation of any type of computer charting. What I found interesting is as nurses, we were not given a choice. We were required to learn the computer system. As for physicians, many have adapted to the system. Others continue to spat verbal orders or pull a busy nurse aside to put their orders in. In addition, hospitals hire scribes to do work for them. We have been told to write physicians up who are noncompliant with the putting their own orders in. I have started to do so.
Informatics is a great subject that is still controversial. Patient information, blogs, webpages should be used with caution. I just read this morning that a woman is being taken to court over what is displayed on her blog site. I take these matters very seriously. While doing my webpage, I typed out a consent for one of my co workers who is on my subject to sign, she laughed.I told her, 'Please read and sign.' She signed but thought I was crazy. Anyway, I enjoy discussing issues such as this.
...
Dienemann,J. & Van de Castle, B. (2003). The impact of healthcare informatics on an organization. Journal of Nursing Informatics, 33(11),557-562.
posted by UTArlington_N5308 at 11:32 AM
2 Comments:
I think it is interesting that you noted that the nurses were not given a choice regarding computer charting. From what I've been reading in the literature, the front-line nurses should have a TON of input into how the system is designed so that it is end-user friendly, but I have seen in one institution how the front-line nurses were left out of the loop until the implementation phase. There were many consequences and employee dissatisfaction because of that. Nursing informatics is such an important field and those practicing in it have such an opportunity to make the worklife of the nurse better instead of more difficult with the use of technology - as long as the frontline nurses are not left out of the planning phase!
I agree with nurses not being given a choice. However, after systems have been implemented where I work they often went back to make multiple changes because nurses had better suggestions as to how information should be displayed. Sometimes I feel if they take the input of the individuals who will be using it the most it would make transition much smoother. I think the main problem is the transition is not often made smooth which leads to even more resistance.
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