Health Informatics J - Boundary objects in clinical simulation and design of eHealth.

Tópicos

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Resumo

Development and implementation of eHealth is challenging due to the complexity of clinical work practices and organizations. Standardizing work processes and documentation procedures is one way of coping with these challenges, and acceptance of these initiatives and acceptance of the clinical information system are vital for success. Clinical simulation may be used as "boundary objects" and help transferring of knowledge between groups of stakeholders and help to better understand needs and requirements in other parts of the organization. This article presents a case study about design of electronic documentation templates for nurses' initial patient assessment, where clinical simulation was used as a boundary object and thereby achieved mutual clinical agreement on the content. Results showed that meetings prior to and in between workshops allowed all communities of practice an opportunity to voice their point of view and affect the final result. Implications of considering clinical simulations as boundary objects are discussed.

Resumo Limpo

develop implement ehealth challeng due complex clinic work practic organ standard work process document procedur one way cope challeng accept initi accept clinic inform system vital success clinic simul may use boundari object help transfer knowledg group stakehold help better understand need requir part organ articl present case studi design electron document templat nurs initi patient assess clinic simul use boundari object therebi achiev mutual clinic agreement content result show meet prior workshop allow communiti practic opportun voic point view affect final result implic consid clinic simul boundari object discuss

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