J Korean Soc Med Inform.  2005 Dec;11(4):361-370.

Long Term Effects of Hospital Information System on Nurses' Job Pattern and Satisfaction, and Attitudes Toward HIS

• Park MH
• Jung CH
• Kim YN
• Lee SR
• Yoon KI
• Ju KJ

Abstract

OBJECTIVE
The purpose of this study was to examine the long-term effects of Hospital Information System(HIS) on nurses' job pattern and satisfaction, and attitudes toward electronic medical record system.
METHODS
Prospective survey using repeated measures design was performed to compare the changes between 2 years and 4 years after introduction of HIS in a tertiary hospital. Participants were 374 nurses working in the target hospital. Questionnaire was developed by researchers based on Walker, Eyman, Krall, Prophet, and Flanagan(1996)'s study and consisted of 21 questions about job pattern, job satisfaction, and attitudes toward computerization and paper record system.
RESULTS
Overall time for documentation, shift reporting, communication with other departments were reduced. Otherwise, direct nursing time was not increased after HIS. Nurses showed positive responses on changes of job pattern after HIS while job satisfaction has been decreased. In addition, nurses' attitudes toward hospital information system and paper medical record system showed they were accepting computerized information system.
CONCLUSION
This study identified the long-term positive effects of HIS and the need for nursing sensitive hospital information system.

Keyword

Hospital Information System; Nurse; Job Satisfaction; Attitude

MeSH Terms

Electronic Health Records
Hospital Information Systems*
Information Systems
Job Satisfaction
Medical Records
Nursing
Prospective Studies
Surveys and Questionnaires
Tertiary Care Centers