A quantitative analysis of the impact of a computerised information system on nurses' clinical practice using a realistic evaluation framework

Objective: To explore nurses' perceptions of the impact on clinical practice of the use of a computerised hospital information system. Design: A realistic evaluation design based on Pawson and Tilley's work has been used across all the phases of the study. This is a theory-driven approach and focuses evaluation on the study of what works, for whom and in what circumstances. These relationships are constructed as context-mechanisms-outcomes (CMO) configurations. Measurements: A questionnaire was distributed to all nurses working in in-patient units of a university hospital in Spain (n = 227). Quantitative data were analysed using SPSS 13.0. Descriptive statistics were used for an overall overview of nurses' perception. Inferential analysis, including both bivariate and multivariate methods (path analysis), was used for cross-tabulation of variables searching for CMO relationships. Results: Nurses (n = 179) participated in the study (78.8% response rate). Overall satisfaction with the IT system was positive. Comparisons with context variables show how nursing units' context had greater influence on perceptions than users' characteristics. Path analysis illustrated that the influence of unit context variables are on outcomes and not on mechanisms. Conclusion: Results from the study looking at subtle variations in users and units provide insight into how important professional culture and working practices could be in IT (information technology) implementation. The socio-technical approach on IT systems evaluation suggested in the recent literature appears to be an adequate theoretical underpinning for IT evaluation research. Realistic evaluation has proven to be an adequate method for IT evaluation. (C) 2009 Elsevier Ireland Ltd. All rights reserved

Evaluation of User Support: Factors That Affect User Satisfaction With Helpdesks and Helplines

In addition to technical documentation, face-to-face helpdesks and telephonic helplines are a powerful means for supporting users of technical products and services. This study investigates the factors that determine user satisfaction with helpdesks and helplines. A survey, based on the SERVQUAL framework and questionnaire, shows that the SERVQUAL dimensions of customer satisfaction are not applicable in these contexts. Three quality dimensions were found instead: solution quality, the experience of the consultation, and, in the case of a physical environment, the so-called tangibles. Helpdesk customers base their overall quality perceptions mainly on their experiences during a consultation, while helpline customers focus strongly on the quality of the solution offered.\ud The study also found a connection between the perceived helpline quality and the appreciation of the primary service

The assessment of usability of electronic shopping: A heuristic evaluation

Today there are thousands of electronic shops accessible via the Web. Some provide user-friendly features whilst others seem not to consider usability factors at all. Yet, it is critical that the electronic shopping interface is user-friendly so as to help users to obtain their desired results. This study applied heuristic evaluation to examine the usability of current electronic shopping. In particular, it focused on four UK-based supermarkets offering electronic services: including ASDA, Iceland, Sainsbury, and Tesco. The evaluation consists of two stages: a free-flow inspection and a task-based inspection. The results indicate that the most significant and common usability problems have been found to lie within the areas of ‘User Control and Freedom’ and ‘Help and Documentation’. The findings of this study are applied to develop a set of usability guidelines to support the future design of effective interfaces for electronic shopping

Nursing Home Implementation of Health Information Technology: Review of the Literature Finds Inadequate Investment in Preparation, Infrastructure, and Training.

Health information technology (HIT) is increasingly adopted by nursing homes to improve safety, quality of care, and staff productivity. We examined processes of HIT implementation in nursing homes, impact on the nursing home workforce, and related evidence on quality of care. We conducted a literature review that yielded 46 research articles on nursing homes' implementation of HIT. To provide additional contemporary context to our findings from the literature review, we also conducted semistructured interviews and small focus groups of nursing home staff (n = 15) in the United States. We found that nursing homes often do not employ a systematic process for HIT implementation, lack necessary technology support and infrastructure such as wireless connectivity, and underinvest in staff training, both for current and new hires. We found mixed evidence on whether HIT affects staff productivity and no evidence that HIT increases staff turnover. We found modest evidence that HIT may foster teamwork and communication. We found no evidence that the impact of HIT on staff or workflows improves quality of care or resident health outcomes. Without initial investment in implementation and training of their workforce, nursing homes are unlikely to realize potential HIT-related gains in productivity and quality of care. Policy makers should consider creating greater incentives for preparation, infrastructure, and training, with greater engagement of nursing home staff in design and implementation

A Process Modelling Success Model: Insights from a Case Study

Contemporary concepts such as Business Pro cess Re-engineering and Process Innovation emphasize the importance of process-oriented management concepts as a businesses paradigm. Large scaled multimillion-dollar implementations of Enterpri se Systems explicitly and implicitly state the importance of process modeling and its contribution to the success of these project. While there has been much research and publications on alterna tive process modeling techniques and tools, little attention has focused on post-hoc evaluation of actual process modeling activities or on deriving comprehensive guidelines on ‘how-to’ conduct process modeling effectively. This study aims at addressing this gap. A comprehensive a priori pro cess modeling success model has been derived and this paper reports on the results obtained from a detailed case study at a leading Australian logistics service provider, which was conducted with the aim of testing and re-specifying the model

Acceptance model of electronic medical record

This paper discusses acceptance issues of Electronic Medical Record System (EMR), particularly in Malaysia. A detailed overview of EMR and its benefits are firstly discussed. A number of acceptance models are scrutinized. Then factors affecting EMR acceptance are put forward. Finally, before proposing an EMR acceptance model, an instrument formed by adapting and then finding its factors loading is presented

A human factors methodology for real-time support applications

A general approach to the human factors (HF) analysis of new or existing projects at NASA/Goddard is delineated. Because the methodology evolved from HF evaluations of the Mission Planning Terminal (MPT) and the Earth Radiation Budget Satellite Mission Operations Room (ERBS MOR), it is directed specifically to the HF analysis of real-time support applications. Major topics included for discussion are the process of establishing a working relationship between the Human Factors Group (HFG) and the project, orientation of HF analysts to the project, human factors analysis and review, and coordination with major cycles of system development. Sub-topics include specific areas for analysis and appropriate HF tools. Management support functions are outlined. References provide a guide to sources of further information

Pengaruh Kualitas Sistem Dan Layanan Terhadap Kepuasan Pengguna Aplikasi SIAPP di Kabupaten Sidenreng Rappang

The era of the Industrial Revolution 4.0 is a digital technology and the internet. For the sake of creating good governance, electronic government (e-government) is carried out. In carrying out an effective complaint service, the Office of Communication and Information (Diskominfo) of Sidenreng Rappang Regency developed an application for the Public Aspirations and Complaints Information System (SIAPP). However, the visible performance of SIAPP still needs to improve, and only a few incoming complaints. This study aims to determine the influence of system quality and service quality factors on SIAPP user satisfaction in Sidenreng Rappang Regency and their impact on efforts to improve SIAPP quality. This study uses a mixed methods research method with an explanatory sequential design. Quantitative sampling uses total sampling, and qualitative sampling uses purposive sampling with questionnaires, interviews, and documentation as data collection tools. The findings obtained by the authors in this study are that the system quality and service quality have a positive and significant influence on user satisfaction, either partially or simultaneously. However, there are still problems with systems and services that still need to be improved. The system's quality significantly and significantly affects user satisfaction by 17.28% with a low degree. Furthermore, service quality has a significant and significant effect on user satisfaction of 57.19% with a high degree. Then, the system quality and service quality together substantially affect user satisfaction by 74.5% with a high degree. The impact of these influences makes people feel comfortable and trust the government. On the other hand, Diskominfo will be more enthusiastic to improve the quality of SIAPP. To increase the role of SIAPP as a forum for aspirations, it is recommended to strengthen application features and the part of the admin and conduct socialization so that complaint services are more effective.Era revolusi industri 4.0 merupakan eranya teknologi digital dan internet. Demi terciptanya tata kelola yang baik (good governance) maka dilakukan electronic government (e-government). Dalam menjalankan pelayanan pengaduan yang efektif maka Dinas Komunikasi dan Informatika (Diskominfo) Kabupaten Sidenreng Rappang mengembangkan aplikasi Sistem Informasi Aspirasi Publik dan Pengaduan (SIAPP). Tapi, kinerja SIAPP yang terlihat masih kurang dan pengaduan yang masuk baru sedikit. Tujuan dari penelitian ini adalah untuk mengetahui besar pengaruh faktor kualitas sistem dan kualitas layanan terhadap kepuasan pengguna SIAPP di Kabupaten Sidenreng Rappang dan dampak pengaruhnya dalam upaya meningkatkan kualitas SIAPP. Penelitian ini menggunakan metode penelitian mixed methods dengan desain explanatory sequential. Pengambilan sampel kuantitatif menggunakan total sampling dan kualitatif menggunakan purposive sampling dengan kuesioner, wawancara dan dokumentasi sebagai alat pengumpul data. Temuan yang diperoleh penulis dalam penelitian ini yaitu kualitas sistem dan kualitas layanan memberikan pengaruh positif dan signifikan terhadap kepuasan pengguna baik secara parsial maupun secara simultan, meskipun masih terkendala dengan sistem dan pelayanan yang masih ada kekurangan. Kualitas sistem berpengaruh dan signifikan terhadap kepuasan pengguna sebesar 17,28% dengan derajat rendah. Selanjutnya kualitas layanan berpengaruh dan signifikan terhadap kepuasan pengguna sebesar 57,19% dengan derajat tinggi. Kemudian kualitas sistem dan kualitas layanan secara bersama-sama berpengaruh dan signifikan terhadap kepuasan pengguna sebesar 74,5% dengan derajat tinggi. Dampak pengaruh tersebut membuat masyarakat merasa nyaman dan percaya kepada pemerintah. Di sisi lain pihak Diskominfo akan semakin semangat untuk meningkatkan kualitas SIAPP. Guna meningkatkan peran SIAPP sebagai wadah aspirasi, disarankan untuk melakukan peningkatan fitur-fitur aplikasi, dan peran admin serta melakukan sosialisasi agar pelayanan pengaduan semakin efektif