Department of Health and Social Management, University of Eastern Finland (Kuopio campus), PO Box 1627, 70211 Kuopio, Finland.
Int J Med Inform. 2010 May;79(5):324-31. doi: 10.1016/j.ijmedinf.2010.01.015. Epub 2010 Mar 5.
The purpose of this study is to describe nurse managers' perceptions of the use of electronic information systems in their daily work. Several kinds of software are used for administrative and information management purposes in health care organizations, but the issue has been studied less from nurse managers' perspective.
The material for this qualitative study was acquired according to the principles of focus group interview. Altogether eight focus groups were held with 48 nurse managers from both primary and specialized health care organizations. The nurse managers were asked in focus groups to describe the use of information systems in their daily work in addition to some other themes. The material was analyzed by inductive content analysis using ATLAS.ti computer program.
The main category "pros and cons of using information systems in nursing management" summarized the nurse managers' perceptions of using electronic information systems. The main category consisted of three sub-categories: (1) nurse managers' perceptions of the use of information technology; (2) usability of management information systems; (3) development of personnel competencies and work processes.
The nurse managers made several comments on the implementation of immature electronic information systems which caused inefficiencies in working processes. However, they considered electronic information systems to be essential elements of their daily work. Furthermore, the nurse managers' descriptions of the pros and cons of using information systems reflected partly the shortcomings of strategic management and lack of coordination in health care organizations.
本研究旨在描述护士长对电子信息系统在日常工作中应用的看法。在医疗保健组织中，有多种软件用于行政和信息管理目的，但从护士长的角度来看，这个问题的研究还比较少。
本 qualitative 研究的材料是根据焦点小组访谈的原则获得的。总共进行了 8 次焦点小组访谈，参与者是来自初级和专科保健组织的 48 名护士长。在焦点小组中，护士长被要求除了其他主题外，还要描述他们在日常工作中使用信息系统的情况。使用 ATLAS.ti 计算机程序对材料进行了归纳内容分析。
“在护理管理中使用信息系统的利弊”这一主要类别总结了护士长对使用电子信息系统的看法。该主要类别包含三个子类别：（1）护士长对信息技术使用的看法；（2）管理信息系统的可用性；（3）人员能力和工作流程的发展。
护士长对不成熟的电子信息系统的实施提出了一些意见，这些系统导致了工作流程的效率低下。然而，他们认为电子信息系统是其日常工作的重要组成部分。此外，护士长对使用信息系统的利弊的描述反映了医疗保健组织中战略管理和协调不足的部分缺点。
