Nursing Informatics ’91: Proceedings Of The Post Conference On Health Care Information Technology: Implications For Change (lecture Notes In Medical Informatics)

For over a decade, Working Group 8 (Nursing) of the International Medical Informatics Association has sponsored, in conjunction with a host country, a triennial international symposium on nursing informatics. Each conference consists of a main conference and an invitational working conference following the main event. In 1991, the symposium was held in Melbourne, Australia and hosted by the Nursing Computer Group, Victoria and the Royal College of Nursing, Australia. Nine Pre-Conference workshops offered participants indepth exploration of a variety of information technology topics. The main conference attracted 700 participants from 19 countries and over 150 peer-reviewed papers. The invitational working conference was held at Whitehall in Sorrento, Victoria and involved the individual and collective work of 40 experts in nursing informatics from around the world. This group addressed the theme HEALTH CARE INFORMATION TECHNOLOGY: IMPLICATIONS FOR CHANGE. Health care organizations are faced with growing demand for information technology and must cope effectively with the processes and outcomes of its introduction. As the impact of information technology is felt both on the local and the global level, the conference selected for its theme a three tiered approach to information technology and organisational change - through the lens of society, the organization, and the individual. The conference was organized around three forms of contribution: plenary talks, working groups, and individual contributions by the participants. Part one of this book contains the papers of the plenary speakers for the conference. Front Matter....Pages I-XV Front Matter....Pages 1-1 On the Interaction between Health Informatics, the Individual and Society....Pages 3-6 Development of an Information Technology Culture within the Organisation....Pages 7-10 Information Leads to Compliance?....Pages 11-19 Health Care Information Technology: Implications for Change — Summary of the Working Conference....Pages 20-28 Front Matter....Pages 29-30 Working Group Paper One....Pages 31-38 Working Group Paper Two....Pages 39-43 Working Group Paper Three....Pages 44-50 Working Group Paper Four....Pages 51-54 Front Matter....Pages 55-58 The Identification of Communication Flow Patterns and Information Needs of an Organization....Pages 59-62 Information and Communication Flow Patterns: A Vital Part of the Process of Organizational Change....Pages 63-67 Planning Your Clinical Information System for the End User....Pages 68-72 Software Development: Complexity and Professional Roles....Pages 73-76 The Pros and Cons of Customized Development versus Software Package....Pages 77-81 Computer Application Development — User, Vendor or Profession?....Pages 82-86 What’s in It for Us? Information Technology Implementation — A Process of Change....Pages 87-91 Managing the Change Process for a Smooth Implementation....Pages 92-94 Managing Change for Smooth Implementation....Pages 95-98 Benefits of Bedside Terminals — Myth or Reality?....Pages 99-104 Facilitating and Enhancing the Role of the Nurse: the Nurse and the Clinical Workstation....Pages 105-111 The Electronic Community: Will Computer — Mediated Communication have an Impact on Nursing Practice?....Pages 112-115 Front Matter....Pages 55-58 Organizational Changes as a Result of Computerization — The Peijas-Rekola Case....Pages 116-119 Information Technology and the Management of Preventive Services....Pages 120-124 Experiences with Selection and Implementation of an Integrated Hospital Information System....Pages 125-130 Managing the Change Process for a Smooth Implementation: The Case of Leuven....Pages 131-136 Computer-Based Training for His: A User-Driven Contemporary Curriculum Model....Pages 137-144 From Implementation to Maintenance: How to Keep Staff Motivated ?....Pages 145-148 The Computer as a Partner in Nursing Practice: Implications for Curriculum Change....Pages 149-153 Computer-Based Training for H.I.S. Orientation: Efficient, Effective and Friendly....Pages 154-156 Data Protection and a Secure Environment for Nursing: Information Technology Security....Pages 157-159 Can Patient Care Documentation be Standardized for Today’s Computer?....Pages 160-162 Preparing for a Career in Nursing Informatics....Pages 163-166 Career Opportunities in Nursing Informatics....Pages 167-171 Spiralling Costs of Health Care — Can Computers Help to Contain Costs....Pages 172-179 Patient Classification and Computers: Tools for Patient Care Management in the Nursing Service....Pages 180-186 Guidelines for Measuring Quality Health Care or What do We do until We have a Large Database....Pages 187-192 Access to Care: Realities of the American Marketplace....Pages 193-196 Back Matter....Pages 197-208 This book deals with the implications of information technology (IT) in health care for organizational change.
Its purpose is to move the emphasis away from the technology towards people and organizations and to provide guidelines on successful implementation and utilization of IT by nurses in all health care settings. The topic is treated by considering three main areas - the impact of IT on society,
the organization and on the individual. The text consists of collected papers written specifically for the Working Conference under the three sections mentioned plus a distillation of group discussions by the participants. The most important feature is the consideration of organizational change issues resulting from the implementation and utilization of IT in health care. The text takes a multi-national approach focusing on the experience of eminent and key nursing informatics practitioners. It should help prepare the reader for reality better than consideration of the potential of IT for nursing and health care. The novelty of the approach is that it addresses context rather than content of health care IT and nursing.