The negative impact on nurses of lack of alignment of information systems with public hospital strategic goals

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Firth, Lucy, Mellor, David and Francis, Peter S (2008) The negative impact on nurses of lack of alignment of information systems with public hospital strategic goals. Australian Health Review, 32 (4). pp. 733-739. ISSN 0156-5788

Abstract

The objectives of this study were to investigate the degree to which hospital information systems are aligned with hospital strategies and how they impact on nurses. Semi-structured interviews were conducted with nine hospital staff from a range of disciplines in a large public hospital in Australia. The interviews revealed that the focus of hospital information systems on administration has meant that applications to support the patient’s clinical journey have been deemed unaffordable. A consequence is that the historic use of the nurses’ station as a source of verbal information about patients has continued, with negative impacts on nurses’ perceived role and status, and the possible exacerbation of the clash between administrative and clinical cultures. We conclude that hospitals need clear strategies, with alignment of information systems. To do otherwise can undermine culture and morale, while disrupting workflows and patients’ clinical journeys.

Item type Article
URI https://vuir.vu.edu.au/id/eprint/3663
Official URL http://search.informit.com.au/documentSummary;dn=5...
Subjects Current > FOR Classification > 0806 Information Systems
Current > FOR Classification > 1110 Nursing
Historical > Faculty/School/Research Centre/Department > School of Management and Information Systems
Historical > SEO Classification > 8902 Computer Software and Services
Keywords ResPubID15750, hospital information systems, hospital strategies, nurses, public hospital – Australia, hospital administration, nurses’ perceived role, nurses’ status, patients’ clinical journeys
Citations in Scopus 4 - View on Scopus
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