[Balsam for skin and spirit--a project in health promotion: rediscovering personal resources].
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Chronic Disease↗
Biomedical subjects
Ronald Eichstädter
Publications and source records attributed to Ronald Eichstädter.
[Effects of a computer-assisted system for nursing care documentation on quality and quantity of nursing care documentation].
The University Hospital in Heidelberg has been gathering experience with the computer based nursing documentationsystem PIK since 1998. Its introduction on four pilotwards was systematically evaluated in an intervention study, gaining data to acceptance issues as well as to the quality of nursing documentation, as the nursing process is often not documented in an appropriate manner. Data to quantity and quality of nursing documentation before and after the intervention was gathered by means of a quality checklist, which was developed on the basis of an intensive literature review. To measure a difference in the quality of nursing documentation 20 documents from each of the four wards were assessed at the three assigned points of time by two nursing experts. The assessors stated a significant improvement in documentation quality due to the increase in formal completeness when documenting the nursing process. The content of the documentation as well as the individualization of the nursing care plan still need to be improved.
Attitude to Computers↗
Are quantitative methods sufficient to show why wards react differently to computer-based nursing documentation?
Computer-based documentation of the nursing process is being introduced into hospitals more and more. Frequently, the introduction is followed by an evaluation of positive and negative effects. However, the often-used quantitative evaluation methods cannot fully illuminate the different success factors of computer-based nursing documentation systems. We introduced a computer-based nursing documentation system on four wards of the University Medical Centre of Heidelberg and systematically evaluated its effects in a two-year study. The quantitative analysis of the results showed that the wards reacted differently to the documentation system. In this paper, we will first take a look at the quantitative results of our evaluation study, and will then discuss possible reasons for the detected differences. We will then argue that only qualitative methods can help to fully reveal both expected and unexpected reasons for differences between the wards. Analysing the reasons for the different reactions will help lead to a better understanding of the factors that lead influence the successful introduction of a computer-based nursing documentation system. Both quantitative analysis and qualitative analysis have a role in this information system evaluation.
Academic Medical Centers↗
Factors affecting and affected by user acceptance of computer-based nursing documentation: results of a two-year study.
OBJECTIVES: The documentation of the nursing process is an important but often neglected part of clinical documentation. Paper-based systems have been introduced to support nursing process documentation. Frequently, however, problems such as low quality of documentation are reported. It is unclear whether computer-based documentation systems can reduce these problems and which factors influence their acceptance by users. DESIGN: We introduced a computer-based nursing documentation system on four wards of the University Hospitals of Heidelberg and systematically evaluated its preconditions and its effects in a pretest-posttest intervention study. For the analysis of user acceptance, we concentrated on subjective data drawn from questionnaires and interviews. MEASUREMENTS: A questionnaire was developed using items from published questionnaires and items that had to be developed for the special purpose of this study. RESULTS: The quantitative results point to two factors influencing the acceptance of a new computer-based documentation system: the previous acceptance of the nursing process and the previous amount of self-confidence when using computers. On one ward, the diverse acceptance scores heavily declined after the introduction of the nursing documentation system. Explorative qualitative analysis on this ward points to further success factors of computer-based nursing documentation systems. CONCLUSION: Our results can be used to assist the planning and introduction of computer-based nursing documentation systems. They demonstrate the importance of computer experience and acceptance of the nursing process on a ward but also point to other factors such as the fit between nursing workflow and the functionality of a nursing documentation system.
Attitude of Health Personnel↗