Int J Med Inform - Development and initial evaluation of the Clinical Information Systems Success Model (CISSM).

Tópicos

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Resumo

RPOSE: Most clinical information systems (CIS) today are technically sound, but the number of successful implementations of these systems is low. The purpose of this study was to develop and test a theoretically based integrated CIS Success Model (CISSM) from the nurse perspective.METHODS: Model predictors of CIS success were taken from existing research on information systems acceptance, user satisfaction, use intention, user behavior and perceptions, as well as clinical research. Data collected online from 234 registered nurses in four hospitals were used to test the model. Each nurse had used the Cerner Power Chart Admission Health Profile for at least 3 months.RESULTS: Psychometric testing and factor analysis of the 23-item CISSM instrument established its construct validity and reliability. Initial analysis showed nurses' satisfaction with and dependency on CIS use predicted their perceived CIS use Net Benefit. Further analysis identified Social Influence and Facilitating Conditions as other predictors of CIS user Net Benefit. The level of hospital CIS integration may account for the role of CIS Use Dependency in the success of CIS.CONCLUSIONS: Based on our experience, CISSM provides a formative as well as summative tool for evaluating CIS success from the nurse's perspective.

Resumo Limpo

rpose clinic inform system cis today technic sound number success implement system low purpos studi develop test theoret base integr cis success model cissm nurs perspectivemethod model predictor cis success taken exist research inform system accept user satisfact use intent user behavior percept well clinic research data collect onlin regist nurs four hospit use test model nurs use cerner power chart admiss health profil least monthsresult psychometr test factor analysi item cissm instrument establish construct valid reliabl initi analysi show nurs satisfact depend cis use predict perceiv cis use net benefit analysi identifi social influenc facilit condit predictor cis user net benefit level hospit cis integr may account role cis use depend success cisconclus base experi cissm provid format well summat tool evalu cis success nurs perspect

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