A Formative Evaluation of Nurses' Use of Electronic Devices in a Home Care Setting Une évaluation formative de l'usage des appareils électroniques par les infirmières dans un contexte de soins à domicile

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Abstract:

The purpose of this study was to evaluate the implementation of a clinical information system (CIS) in a community setting. The researchers used a mixed-method design involving interviews, focus groups, and surveys. An independent cross-sectional sample of nurses was surveyed. At time 1 a total of 118 nurses responded and at time 2 a total of 81. Respondents were moderately satisfied with features of the CIS. User satisfaction was positively associated with access to structural and electronic resources and social capital and negatively associated with nurses' age at time 1. Social capital was positively associated with user satisfaction at time 2. Younger age was associated with overall research use at both time 1 and time 2. Research use was negatively associated with evaluation and feedback but positively associated with formal interactions. This evaluation identified the importance of educational support, user-centred design, and responsiveness to successful implementation of CISs in a community setting.

French
Notre étude avait pour but d'évaluer l'implantation d'un système d'information clinique (SIC) dans un cadre communautaire. Les chercheurs ont établi une méthodologie mixte composée d'entrevues, de groupes de discussion et d'enquêtes. On a interrogé un échantillon transversal indépendant composé d'infirmières. En tout, 118 infirmières ont répondu à l'instant 1 et 81 infirmières à l'instant 2 ultérieur. Les répondantes étaient modérément satisfaites des carac téristiques du SIC. Dans le premier groupe, on relève un lien positif entre la satisfaction des usagers, l'accès aux ressources structurelles et électroniques et le capital social, et un lien négatif avec l'âge des infirmières; dans le deuxième, un lien positif entre le capital social et la satisfaction des usagers. Dans les deux groupes, on relève un lien entre la jeunesse et l'utilisation de la recherche. On constate un lien négatif entre l'application de la recherche et l'évaluation et le retour, mais un lien positif avec les interactions formelles. Notre évaluation fait ressortir l'importance du soutien éducatif, d'une conception axée sur l'usager et du degré d'intérêt pour la mise en œuvre réussie d'un SIC dans un cadre communautaire.

Keywords: COMMUNITY HEALTH NURSING; INFORMATICS; RESEARCH UTILIZATION/EVIDENCED-BASED PRACTICE; TECHNOLOGY

Document Type: Short Communication

Publication date: March 1, 2013

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  • CJNR is a peer-reviewed, quarterly journal published by the McGill University School of Nursing since 1969. With world-wide circulation, CJNR's primary mandate is to publish original nursing research that develops basic knowledge for the discipline and examines the application of the knowledge in practice. Research related to education and history is also welcomed, as are methodological, theoretical, and review papers that advance nursing science. Letters or commentaries about published articles are encouraged. Learn more.
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