BMC Med Inform Decis Mak - Factors of accepting pain management decision support systems by nurse anesthetists.

Tópicos

{ use(2086) technolog(871) perceiv(783) }
{ patient(2837) hospit(1953) medic(668) }
{ survey(1388) particip(1329) question(1065) }
{ import(1318) role(1303) understand(862) }
{ implement(1333) system(1263) develop(1122) }
{ studi(1119) effect(1106) posit(819) }
{ care(1570) inform(1187) nurs(1089) }
{ health(1844) social(1437) communiti(874) }
{ data(3963) clinic(1234) research(1004) }
{ ehr(2073) health(1662) electron(1139) }
{ decis(3086) make(1611) patient(1517) }
{ research(1085) discuss(1038) issu(1018) }
{ model(3480) simul(1196) paramet(876) }
{ high(1669) rate(1365) level(1280) }
{ use(1733) differ(960) four(931) }
{ bind(1733) structur(1185) ligand(1036) }
{ error(1145) method(1030) estim(1020) }
{ general(901) number(790) one(736) }
{ model(2341) predict(2261) use(1141) }
{ structur(1116) can(940) graph(676) }
{ method(2212) result(1239) propos(1039) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ measur(2081) correl(1212) valu(896) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ problem(2511) optim(1539) algorithm(950) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ studi(1410) differ(1259) use(1210) }
{ group(2977) signific(1463) compar(1072) }
{ intervent(3218) particip(2042) group(1664) }
{ can(981) present(881) function(850) }
{ cancer(2502) breast(956) screen(824) }
{ drug(1928) target(777) effect(648) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ motion(1329) object(1292) video(1091) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ analysi(2126) use(1163) compon(1037) }
{ use(976) code(926) identifi(902) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Pain management is a critical but complex issue for the relief of acute pain, particularly for postoperative pain and severe pain in cancer patients. It also plays important roles in promoting quality of care. The introduction of pain management decision support systems (PM-DSS) is considered a potential solution for addressing the complex problems encountered in pain management. This study aims to investigate factors affecting acceptance of PM-DSS from a nurse anesthetist perspective.METHODS: A questionnaire survey was conducted to collect data from nurse anesthetists in a case hospital. A total of 113 questionnaires were distributed, and 101 complete copies were returned, indicating a valid response rate of 89.3%. Collected data were analyzed by structure equation modeling using the partial least square tool.RESULTS: The results show that perceived information quality (=.451, p<.001), computer self-efficacy (=.315, p<.01), and organizational structure (=.210, p<.05), both significantly impact nurse anesthetists' perceived usefulness of PM-DSS. Information quality (=.267, p<.05) significantly impacts nurse anesthetists' perceptions of PM-DSS ease of use. Furthermore, both perceived ease of use (?=.436, p<.001, R(2)=.487) and perceived usefulness (?=.443, p<.001, R(2)=.646) significantly affected nurse anesthetists' PM-DSS acceptance (R2=.640). Thus, the critical role of information quality in the development of clinical decision support system is demonstrated.CONCLUSIONS: The findings of this study enable hospital managers to understand the important considerations for nurse anesthetists in accepting PM-DSS, particularly for the issues related to the improvement of information quality, perceived usefulness and perceived ease of use of the system. In addition, the results also provide useful suggestions for designers and implementers of PM-DSS in improving system development.

Resumo Limpo

ckground pain manag critic complex issu relief acut pain particular postop pain sever pain cancer patient also play import role promot qualiti care introduct pain manag decis support system pmdss consid potenti solut address complex problem encount pain manag studi aim investig factor affect accept pmdss nurs anesthetist perspectivemethod questionnair survey conduct collect data nurs anesthetist case hospit total questionnair distribut complet copi return indic valid respons rate collect data analyz structur equat model use partial least squar toolresult result show perceiv inform qualiti p comput selfefficaci p organiz structur p signific impact nurs anesthetist perceiv use pmdss inform qualiti p signific impact nurs anesthetist percept pmdss eas use furthermor perceiv eas use p r perceiv use p r signific affect nurs anesthetist pmdss accept r thus critic role inform qualiti develop clinic decis support system demonstratedconclus find studi enabl hospit manag understand import consider nurs anesthetist accept pmdss particular issu relat improv inform qualiti perceiv use perceiv eas use system addit result also provid use suggest design implement pmdss improv system develop

Resumos Similares

J Med Syst - High-level managers' considerations for RFID adoption in hospitals: an empirical study in Taiwan. ( 0,80793459293616 )
J Am Med Inform Assoc - Modeling nurses' acceptance of bar coded medication administration technology at a pediatric hospital. ( 0,790017180678153 )
J Med Syst - Health information technology adoption in U.S. acute care hospitals. ( 0,760153259157727 )
J Med Syst - Assessing the relationship between technology readiness and continuance intention in an E-appointment system: relationship quality as a mediator. ( 0,751085949895286 )
J. Med. Internet Res. - Patient perceptions of a personal health record: a test of the diffusion of innovation model. ( 0,750749583935942 )
Int J Med Inform - Modeling factors explaining the acceptance, actual use and satisfaction of nurses using an Electronic Patient Record in acute care settings: an extension of the UTAUT. ( 0,750283428016659 )
Int J Med Inform - Do hospital physicians' attitudes change during PACS implementation? A cross-sectional acceptance study. ( 0,748403120970376 )
AMIA Annu Symp Proc - An empirical study of opinion leader effects on mobile information technology adoption in healthcare. ( 0,746609985593707 )
Perspect Health Inf Manag - The effects of innovation factors on smartphone adoption among nurses in community hospitals. ( 0,741232895428093 )
Telemed J E Health - An empirical study of physicians' acceptance of hospital information systems in Taiwan. ( 0,739155920794709 )
Int J Med Inform - Understanding physicians' acceptance of the Medline system for practicing evidence-based medicine: a decomposed TPB model. ( 0,734915583728487 )
Telemed J E Health - Predicting medical staff intention to use an online reporting system with modified unified theory of acceptance and use of technology. ( 0,728381758646838 )
BMC Med Inform Decis Mak - User acceptance of a picture archiving and communication system (PACS) in a Saudi Arabian hospital radiology department. ( 0,726946390731992 )
J. Med. Internet Res. - Website quality, expectation, confirmation, and end user satisfaction: the knowledge-intensive website of the Korean National Cancer Information Center. ( 0,725234597843801 )
Med Decis Making - Decision to adopt medical technology: case study of breast cancer radiotherapy techniques. ( 0,724699453797348 )
BMC Med Inform Decis Mak - Stages of use: consideration, initiation, utilization, and outcomes of an internet-mediated intervention. ( 0,723534571514053 )
BMC Med Inform Decis Mak - Perceived barriers of heart failure nurses and cardiologists in using clinical decision support systems in the treatment of heart failure patients. ( 0,721924472480346 )
J. Med. Internet Res. - Attitudes of patients toward adoption of 3D technology in pain assessment: qualitative perspective. ( 0,720812744815001 )
J Am Med Inform Assoc - Factors affecting home care patients' acceptance of a web-based interactive self-management technology. ( 0,719509116732339 )
Int J Med Inform - The determinants of home healthcare robots adoption: an empirical investigation. ( 0,719027456099892 )
J. Med. Internet Res. - If we offer it, will they accept? Factors affecting patient use intentions of personal health records and secure messaging. ( 0,718547293046217 )
AMIA Annu Symp Proc - Study of the factors that promoted the implementation of electronic medical record on iPads at two emergency departments. ( 0,717174759177778 )
Med Decis Making - Getting ahead of illness: using metaphors to influence medical decision making. ( 0,717001648240471 )
J Med Syst - Barriers to physicians' adoption of healthcare information technology: an empirical study on multiple hospitals. ( 0,712901588102561 )
Inform Health Soc Care - AmI in good care? Developing design principles for ambient intelligent domotics for elderly. ( 0,711045664848609 )
J. Med. Internet Res. - A comparison of physician pre-adoption and adoption views on electronic health records in Canadian medical practices. ( 0,71100778811687 )
J. Med. Internet Res. - Use of a text message program to raise type 2 diabetes risk awareness and promote health behavior change (part II): assessment of participants' perceptions on efficacy. ( 0,710349030182241 )
J Med Syst - Engagement in E-learning opportunities: an empirical study on patient education using expectation confirmation theory. ( 0,709018272458575 )
Methods Inf Med - Information technology acceptance in health information management. ( 0,705618725422993 )
Health Informatics J - Provider impressions of the use of a mobile crowdsourcing app in medical practice. ( 0,704737046750689 )
J. Med. Internet Res. - Understanding the factors that influence the adoption and meaningful use of social media by physicians to share medical information. ( 0,703526547126413 )
Telemed J E Health - Physicians' perceptions and use of a health information exchange: a pilot program in South Korea. ( 0,702024510310567 )
AMIA Annu Symp Proc - Clinical information system post-adoption evaluation at the georges pompidou university hospital. ( 0,698803547873487 )
J. Med. Internet Res. - Hospital-based nurses' perceptions of the adoption of Web 2.0 tools for knowledge sharing, learning, social interaction and the production of collective intelligence. ( 0,691157004167302 )
J Med Syst - Provider stakeholders' perceived benefit from a nascent health information exchange: a qualitative analysis. ( 0,688757861637501 )
Int J Med Inform - An investigation on physicians' acceptance of hospital information systems: a case study. ( 0,68854200806359 )
Med Decis Making - Divergent intentions to use antibiotic guidelines: a theory of planned behavior survey. ( 0,688188790601075 )
J. Med. Internet Res. - Development of a health information technology acceptance model using consumers' health behavior intention. ( 0,686780877576647 )
Int J Med Inform - Exploring nurses' confirmed expectations regarding health IT: a phenomenological study. ( 0,684525936379154 )
Int J Med Inform - Theorizing the health service usage behavior of family caregivers: a qualitative study of an internet-based intervention. ( 0,683347123563932 )
BMC Med Inform Decis Mak - Healthcare professional acceptance of telemonitoring for chronic care patients in primary care. ( 0,678580056252481 )
J. Med. Internet Res. - Expectations of iPad use in an internal medicine residency program: is it worth the hype? ( 0,678395701304418 )
BMC Med Inform Decis Mak - Improving bone mineral density reporting to patients with an illustration of personal fracture risk. ( 0,678031299992115 )
Methods Inf Med - Evaluation of the USE IT-questionnaire for the evaluation of the adoption of electronic patient records by healthcare professionals. ( 0,677711241071605 )
Perspect Health Inf Manag - Family physician perceptions of personal health records. ( 0,676692666007807 )
J Biomed Inform - The effects of organizational contextual factors on physicians' attitude toward adoption of Electronic Medical Records. ( 0,676596958135277 )
J Med Syst - Determinants of telemedicine acceptance in selected public hospitals in Malaysia: clinical perspective. ( 0,675662253288935 )
Int J Med Inform - An exploratory study of ageing women's perception on access to health informatics via a mobile phone-based intervention. ( 0,67170546920168 )
J Med Syst - Critical factors influencing hospitals' adoption of HL7 version 2 standards: an empirical investigation. ( 0,669221295878383 )
BMC Med Inform Decis Mak - Differentiating innovation priorities among stakeholder in hospital care. ( 0,668145308316615 )
J Am Med Inform Assoc - Medication administration quality and health information technology: a national study of US hospitals. ( 0,667618750151758 )
BMC Med Inform Decis Mak - Determinants of use and non-use of a web-based communication system in cerebral palsy care: evaluating the association between professionals' system use and their a priori expectancies and background. ( 0,665764679077793 )
J Telemed Telecare - Evaluation of teledermatology adoption by health-care professionals using a modified Technology Acceptance Model. ( 0,664104731151887 )
J Med Syst - Family physicians' perceptions and use of electronic clinical decision support during the first year of implementation. ( 0,663296148391315 )
Perspect Health Inf Manag - Are physicians likely to adopt emerging mobile technologies? Attitudes and innovation factors affecting smartphone use in the Southeastern United States. ( 0,663259973994698 )
J Biomed Inform - Modeling the acceptance of clinical information systems among hospital medical staff: an extended TAM model. ( 0,662525102120298 )
Med Decis Making - Advance care planning norms may contribute to hospital variation in end-of-life ICU use: a simulation study. ( 0,662515916715574 )
Int J Med Inform - Physicians' acceptance of electronic medical records exchange: an extension of the decomposed TPB model with institutional trust and perceived risk. ( 0,65506321068903 )
AMIA Annu Symp Proc - Understanding adoption of a personal health record in rural health care clinics: revealing barriers and facilitators of adoption including attributions about potential patient portal users and self-reported characteristics of early adopting users. ( 0,653853048875517 )
J Med Syst - Evaluating acceptance and user experience of a guideline-based clinical decision support system execution platform. ( 0,648645640881611 )
J Med Syst - Understanding the need of health care providers for teleconsultation and technological attributes in relation to the acceptance of teleconsultation in Malaysia: a mixed methods study. ( 0,648269996706705 )
Int J Med Inform - ICT and the future of health care: aspects of health promotion. ( 0,647548185359306 )
Health Info Libr J - Hospital clinicians' information behaviour and attitudes towards the 'Clinical Informationist': an Irish survey. ( 0,646714887236422 )
BMC Med Inform Decis Mak - A socio-technical assessment of the success of Picture Archiving and Communication Systems: the radiology technologist's perspective. ( 0,646086951776401 )
J Biomed Inform - Electronic health record acceptance by physicians: testing an integrated theoretical model. ( 0,645252072914328 )
J. Med. Internet Res. - Pediatric caregiver attitudes toward email communication: survey in an urban primary care setting. ( 0,643785208730705 )
BMC Med Inform Decis Mak - Users' perspectives of key factors to implementing electronic health records in Canada: a Delphi study. ( 0,640295018406698 )
Int J Med Inform - Barriers to acceptance of personal digital assistants for HIV/AIDS data collection in Angola. ( 0,636938537700951 )
J. Med. Internet Res. - Speech perception benefits of internet versus conventional telephony for hearing-impaired individuals. ( 0,636612577834229 )
BMC Med Inform Decis Mak - Intention to adopt clinical decision support systems in a developing country: effect of physician's perceived professional autonomy, involvement and belief: a cross-sectional study. ( 0,635004752842879 )
Int J Med Inform - Comparison of the middle-aged and older users' adoption of mobile health services in China. ( 0,634241092732269 )
J. Med. Internet Res. - Use of an online community to develop patient-reported outcome instruments: the Multiple Sclerosis Treatment Adherence Questionnaire (MS-TAQ). ( 0,633641839598866 )
BMC Med Inform Decis Mak - Attitudes of nursing staff towards computerisation: a case of two hospitals in Nairobi, Kenya. ( 0,633222244110146 )
J Med Syst - Understanding the mediating effects of relationship quality on technology acceptance: an empirical study of e-appointment system. ( 0,633203557761744 )
Int J Med Inform - Predictive factors of telemedicine service acceptance and behavioral intention of physicians. ( 0,631715621027643 )
J Am Med Inform Assoc - Understanding the acceptability of a computer decision support system in pediatric primary care. ( 0,630779251232303 )
BMC Med Inform Decis Mak - Comparative evaluation of different medication safety measures for the emergency department: physicians' usage and acceptance of training, poster, checklist and computerized decision support. ( 0,628855613154926 )
J Am Med Inform Assoc - Behavioral health providers' beliefs about health information exchange: a statewide survey. ( 0,627756407257223 )
BMC Med Inform Decis Mak - An investigation of the effect of nurses' technology readiness on the acceptance of mobile electronic medical record systems. ( 0,627474384947376 )
Int J Med Inform - Barriers to organizational adoption of EMR systems in family physician practices: a mixed-methods study in Canada. ( 0,62509802370441 )
Methods Inf Med - Use of logistic regression for developing risk-adjusted quality indicators in nursing. ( 0,624784565427332 )
Med Decis Making - Australian Public Preferences for the Funding of New Health Technologies: A Comparison of Discrete Choice and Profile Case Best-Worst Scaling Methods. ( 0,622191527328897 )
Med Decis Making - On averages and peaks: how do people integrate attitudes about multiple diseases to reach a decision about multiplex genetic testing? ( 0,619667406496502 )
Comput. Biol. Med. - Innovative health care delivery system--a questionnaire survey to evaluate the influence of behavioral factors on individuals' acceptance of telecare. ( 0,619317646951939 )
Int J Med Inform - Determinants of physicians' technology acceptance for e-health in ambulatory care. ( 0,618907420252296 )
J Am Med Inform Assoc - Factors that physicians find encouraging and discouraging about electronic prescribing: a quantitative study. ( 0,616346311636128 )
J Med Syst - Determinants of RFID adoption in Malaysia's healthcare industry: occupational level as a moderator. ( 0,615563048658925 )
BMC Med Inform Decis Mak - E-Health, another mechanism to recruit and retain healthcare professionals in remote areas: lessons learned from EQUI-ResHuS project in Mali. ( 0,614120159834376 )
BMC Med Inform Decis Mak - The anxious wait: assessing the impact of patient accessible EHRs for breast cancer patients. ( 0,613527016685194 )
Int J Med Inform - Patients' perceptions of a health information exchange: a pilot program in South Korea. ( 0,613434735885623 )
Inform Health Soc Care - Team climate and attitudes toward information and communication technology among nurses on acute psychiatric wards. ( 0,613008134367114 )
J Med Syst - Is computerized physician order entry use associated with a decrease in hospital resource utilization in hospitals that care for children? ( 0,612956482023775 )
Int J Med Inform - Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. ( 0,611046526168717 )
Int J Med Inform - User evaluations of design complexity: the impact of visual perceptions for effective online health communication. ( 0,610853430172023 )
Med Decis Making - Physicians' tacit and stated policies for determining patient benefit and referral to cardiac rehabilitation. ( 0,610686744144073 )
Telemed J E Health - Impact of information technology reliance and innovativeness on rural healthcare services: study of dindigul district in Tamilnadu, India. ( 0,610607641356423 )
Int J Med Inform - Factors influencing acceptance of technology for aging in place: a systematic review. ( 0,610206688451665 )
Methods Inf Med - Understanding behavioral intent to participate in shared decision-making in medically uncertain situations. ( 0,60867298481996 )
J. Med. Internet Res. - Health care professionals' beliefs about using wiki-based reminders to promote best practices in trauma care. ( 0,608641315448664 )
Int J Med Inform - Nurses' acceptance of Smart IV pump technology. ( 0,607393447834478 )