ArticleJournal of the American Medical Informatics Association : JAMIA2015
Nursing domain of CI governance: recommendations for health IT adoption and optimization.
Article in Journal of the American Medical Informatics Association : JAMIA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed.
- 25 Years of Electronic Health Record Implementation Processes: Scoping Review.Journal of medical Internet research · 2025Article
- Leadership in the context of digital health services: A concept analysis.Journal of nursing management · 2022Article
- The role of organizational culture in health information technology implementations: A scoping review.Learning health systems · 2022Article
- Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Nurses' Experience With Health Information Technology: Longitudinal Qualitative Study.JMIR medical informatics · 2018Article
- A Decade of Experience in Creating and Maintaining Data Elements for Structured Clinical Documentation in EHRs.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2016Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextThere is a lack of recommended models for clinical informatics (CI) governance that can facilitate successful health information technology implementation.
objectivesTo understand existing CI governance structures and provide a model with recommended roles, partnerships, and councils based on perspectives of nursing informatics leaders. DESIGN, SETTING,
participantsWe conducted a cross-sectional study through administering a survey via telephone to facilitate semistructured interviews from June 2012 through November 2012. We interviewed 12 nursing informatics leaders, across the United States, currently serving in executive- or director-level CI roles at integrated health care systems that have pioneered electronic health records implementation projects.
resultsWe found the following 4 themes emerge: (1) Interprofessional partnerships are essential. (2) Critical role-based levels of practice and competencies need to be defined. (3) Integration into existing clinical infrastructure facilitates success. (4) CI governance is an evolving process. We described specific lessons learned and a model of CI governance with recommended roles, partnerships, and councils from the perspective of nursing informatics leaders.
conclusionApplied CI work is highly interprofessional with patient safety implications that heighten the need for best practice models for governance structures, adequate resource allocation, and role-based competencies. Overall, there is a notable lack of a centralized CI group comprised of formally trained informaticians to provide expertise and promote adherence to informatics principles within EHR implementation governance structures. Our model of the nursing domain of CI governance with recommended roles, partnerships, and councils provides a starting point that should be further explored and validated. Not only can the model be used to understand, shape, and standardize roles, competencies, and structures within CI practice for nursing, it can be used within other clinical domains and by other informaticians.
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Registered trials
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