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The negative impact on nurses of lack of alignment of information systems with public hospital strategic goals

journal contribution
posted on 01.11.2008, 00:00 authored by L Firth, David MellorDavid Mellor, P Francis
The objectives of this study were to investigate the degree to which hospital information systems are aligned with hospital strategies and how they impact on nurses. Semi-structured interviews were conducted with nine hospital staff from a range of disciplines in a large public hospital in Australia. The interviews revealed that the focus of hospital information systems on administration has meant that applications to support the patient's clinical journey have been deemed unaffordable. A consequence is that the historic use of the nurses' station as a source of verbal information about patients has continued, with negative impacts on nurses' perceived role and status, and the possible exacerbation of the clash between administrative and clinical cultures. We conclude that hospitals need clear strategies, with alignment of information systems. To do otherwise can undermine culture and morale, while disrupting workflows and patients' clinical journeys.

History

Journal

Australian health review

Volume

32

Issue

4

Pagination

733 - 739

Publisher

Australian Healthcare Association

Location

Sydney, N.S.W.

ISSN

0156-5788

eISSN

1449-8944

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2008, Australian Healthcare Association