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Open Access Developing a Relationship With the Computer in Nursing Practice: A Grounded Theory Développer une relation avec l'ordinateur dans le cadre de la pratique infirmière : une théorie de terrain

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Abstract:

While there is evidence that information technology can improve clinical practice, nurses have been slow to adopt computers and information systems. The purpose of this study was to develop substantive theory on how nurses integrate computers into their clinical practice and to identify influencing factors. Using grounded theory, the researchers conducted interviews with 12 nurses practising in two acute-care hospitals in the Canadian province of British Columbia. All participants engaged in developing a relationship with the computer in their practice. They integrated computers into their practice at varying speeds and degrees of adoption, depending on personal characteristics, prior experience with computers, the extent to which computerization was congruent with their values, whether they were able to see the benefits of the technology, and their ability to manage and overcome the barriers to computer use. Nurses require both organizational supports to facilitate technology integration and computer education in their basic nursing programs.

French
En dépit des preuves d'améliorations que les technologies de l'information peuvent apporter à la pratique clinique, le personnel infirmier a été lent à adopter l'informatique et les systèmes d'information. L'objet de la présente étude a été d'élaborer une théorie de fond sur la manière dont le personnel infirmier intègre les ordinateurs à sa pratique clinique, de même que de recenser les facteurs déterminants. Recourant à une théorie de terrain, les chercheuses ont réalisé des entrevues avec 12 infirmières et infirmiers exerçant dans deux hôpitaux de soins de courte durée, dans la province canadienne de la Colombie-Britannique. Tous les participants se sont engagés à établir une relation avec l'ordina teur dans leur pratique. Ils ont intégré les ordinateurs à leur pratique à des rythmes et des degrés d'adoption variés, en fonction de leurs caractéristiques personnelles, de leur expérience en matière d'ordinateurs, du degré auquel l'infor matisation s'accorde avec leurs valeurs, de leur capacité à percevoir les avantages de la technologie et de leur aptitude à appréhender et surmonter les obstacles à l'utilisation de l'ordinateur. Le personnel infirmier a besoin de soutiens organisationnels pour faciliter l'intégration des technologies ainsi que d'une formation à l'informatique dans les programmes d'enseignement de base des sciences infirmières.

Keywords: COMPUTERIZATION; IMPLEMENTATION; INFORMATION TECHNOLOGY; NURSING

Document Type: Short Communication

Publication date: March 1, 2013

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