ArticleImplementation science : IS2012
The role of organizational context and individual nurse characteristics in explaining variation in use of information technologies in evidence based practice.
Article in Implementation science : IS, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Organizational contextual features that influence the implementation of evidence-based practices across healthcare settings: a systematic integrative review.Systematic reviews · 2018Pooled it
- Use of Simulation to Study Nurses' Acceptance and Nonacceptance of Clinical Decision Support Suggestions.Computers, informatics, nursing : CIN · 2015Trial
- Reduction of early surgical site and other care related infections in 3553 hip fracture patients: lessons learned from the 5-year Safe Hands project.Antimicrobial resistance and infection control · 2022Observational
- Nurses and the acceptance of innovations in technology-intensive contexts: the need for tailored management strategies.BMC health services research · 2021Article
- Challenges in co-designing an intervention to increase mobility in older patients: a qualitative study.Journal of health organization and management · 2021Article
- Application of In-Home Monitoring Data to Transition Decisions in Continuing Care Retirement Communities: Usability Study.Journal of medical Internet research · 2021Article
- The use of the PARIHS framework in implementation research and practice-a citation analysis of the literature.Implementation science : IS · 2020Review
- MHealth and perceived quality of care delivery: a conceptual model and validation.BMC medical informatics and decision making · 2020Observational
- Pace and determinants of implementation of the self-management of well-being group intervention: a multilevel observational study.BMC health services research · 2019Observational
- Protocol of a scoping review on knowledge translation competencies.Systematic reviews · 2017Article
- The Design and Validation of a Child Developmental e-Screening System.Journal of medical systems · 2017Article
- Applying the Theoretical Domains Framework to identify barriers and targeted interventions to enhance nurses' use of electronic medication management systems in two Australian hospitals.Implementation science : IS · 2017Article
- Evaluating implementation of methicillin-resistant Staphylococcus aureus (MRSA) prevention guidelines in spinal cord injury centers using the PARIHS framework: a mixed methods study.Implementation science : IS · 2015Article
- Review of Social and Organizational Issues in Health Information Technology.Healthcare informatics research · 2015Review
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is growing awareness of the role of information technology in evidence-based practice. The purpose of this study was to investigate the role of organizational context and nurse characteristics in explaining variation in nurses' use of personal digital assistants (PDAs) and mobile Tablet PCs for accessing evidence-based information. The Promoting Action on Research Implementation in Health Services (PARIHS) model provided the framework for studying the impact of providing nurses with PDA-supported, evidence-based practice resources, and for studying the organizational, technological, and human resource variables that impact nurses' use patterns.
methodsA survey design was used, involving baseline and follow-up questionnaires. The setting included 24 organizations representing three sectors: hospitals, long-term care (LTC) facilities, and community organizations (home care and public health). The sample consisted of 710 participants (response rate 58%) at Time 1, and 469 for whom both Time 1 and Time 2 follow-up data were obtained (response rate 66%). A hierarchical regression model (HLM) was used to evaluate the effect of predictors from all levels simultaneously.
resultsThe Chi square result indicated PDA users reported using their device more frequently than Tablet PC users (p = 0.001). Frequency of device use was explained by 'breadth of device functions' and PDA versus Tablet PC. Frequency of Best Practice Guideline use was explained by 'willingness to implement research,' 'structural and electronic resources,' 'organizational slack time,' 'breadth of device functions' (positive effects), and 'slack staff' (negative effect). Frequency of Nursing Plus database use was explained by 'culture,' 'structural and electronic resources,' and 'breadth of device functions' (positive effects), and 'slack staff' (negative). 'Organizational culture' (positive), 'breadth of device functions' (positive), and 'slack staff '(negative) were associated with frequency of Lexi/PEPID drug dictionary use.
conclusionAccess to PDAs and Tablet PCs supported nurses' self-reported use of information resources. Several of the organizational context variables and one individual nurse variable explained variation in the frequency of information resource use.
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