The importance of medical and nursing sub-cultures in the implementation of clinical information systems

Methods of Information in Medicine

Volumn 48, Issue 2, 2009, Pages 196-202

  Callen, J L ^a   Braithwaite, J ^b   Westbrook, J I ^a  

^a UNIVERSITY OF SYDNEY   (Australia)

^b UNIVERSITY OF NEW SOUTH WALES   (Australia)

Author keywords

Clinical information systems; Computerised provider order entry systems (CPOE); Health professionals; Hospital information systems; IT implementation; Organisational culture; Sub cultures

Indexed keywords

ARTICLE; AUSTRALIA; COMPARATIVE STUDY; CROSS-SECTIONAL STUDY; EPIDEMIOLOGY; HEALTH PERSONNEL ATTITUDE; HOSPITAL INFORMATION SYSTEM; HUMAN; JOB SATISFACTION; MEDICAL INFORMATICS; MEDICAL RECORD; MEDICAL STAFF; NURSING INFORMATICS; NURSING STAFF; ORGANIZATION; ORGANIZATION AND MANAGEMENT; QUESTIONNAIRE;

ATTITUDE OF HEALTH PERSONNEL; AUSTRALIA; CROSS-SECTIONAL STUDIES; HEALTH CARE SURVEYS; HOSPITALISTS; HUMANS; JOB SATISFACTION; MEDICAL INFORMATICS; MEDICAL ORDER ENTRY SYSTEMS; MEDICAL RECORDS SYSTEMS, COMPUTERIZED; NURSING INFORMATICS; NURSING STAFF, HOSPITAL; ORGANIZATIONAL CULTURE; QUESTIONNAIRES;

EID: 68549099764     PISSN: 00261270     EISSN: None     Source Type: Journal    
DOI: 10.3414/ME9212     Document Type: Conference Paper

References (38)

1. Ash JS, Gorman PN, Seshadri V, Hersh WR. Perspectives on CPOE and patient care. J Am Med Inform Assoc 2004; 11: 95-99.
2. Ash JS, Bates DW. Factors and forces affecting EHR system adoption: Report of a 2004 ACMI discussion. J Am Med Inform Assoc 2005; 12; 18-20.
3. Massaro TA. Introducing physician order entry at a major academic medical center: impact on organizational culture and behavior. Acad Med 1993; 68: 20-25
4. Lorenzi NM, Riley RT, Blyth AJC, Southon G, Dixon BJ. Antecedents of the people and organizational aspects of medical informatics: A review of the literature. J Am Med Inform Assoc 1997; 4: 79-93.
5. Kaplan B. Addressing organizational issues into the evaluation of medical systems. J Am Med Inform Assoc 1997; 4: 94-101.
6. Berg M. Medical work and the computer-based patient record: a sociological perspective. Methods Inf Med 1998; 37: 294-301.
7. Ahmad A, Teater P, Bentley TD, Kuehn L, Kumar RR, Thomas A, Mekhjian HS. Key attributes of a successful physician order entry system implementation in a multi-hospital environment. J Am Med Inform Assoc 2002; 9: 16-24.
8. Callen JL, Braithwaite J, Westbrook JI. Cultures in hospitals and their influence on attitudes to, and satisfaction with, the use of clinical information systems. Soc Sci Med 2007; 65: 635-639.
9. Gosling AS, Westbrook JI, Coiera EW. Variation in the use of online clinical evidence: a qualitative analysis. Int J Med Inf 2003; 69: 1-16.
10. Ash JS, Stavri PZ, Dykstra R, Fournier L. Implementing computerized physician order entry: The importance of special people. Int J Med Inf 2003; 69: 235-250.
11. Ash JS, Gorman PN, Lavelle M, Stavri PZ, Lyman J, Fournier L, Carpenter J. Perceptions of physician order entry: results of a cross-site qualitative study. Methods Inf Med 2003; 42: 313-323.
12. Aarts J, Doorewaard H, Berg M. Understanding implementation: the case of a computerized physician order entry system in a large Dutch university medical center. J Am Med Inform Assoc 2004; 11: 207-216.
13. Schein EH. Organisational culture and leadership. San Francisco: Jossey-Bass; 1985.
14. Degeling P, Sage D, Kennedy J, Perkins R, Zhang K. A comparison of the impact of hospital reform on medical subcultures in some Australian and New Zealand hospitals. Aust Health Rev 1999; 22: 172-188.
15. Greenberg J, Baron RA. Organizational culture, creativity and innovation. In: Greenberg J (ed.). Behaviour in organisations: Understanding and man - aging the human side of work. Upper Saddle River, NJ: Prentice Hall; 2003. pp 513-546.
16. Scott T, Mannion R, Davies H, Marshall M. Implementing culture change in health care: Theory and practice. Int J Qual Health Care 2003; 15: 111-118.
17. Braithwaite J. Analysing structural and cultural change in acute settings using a Giddens-Weick paradigmatic approach. Health Care Anal 2006; 14: 91-102.
18. Braithwaite J. An empirical assessment of social structural and cultural change in clinical directorates. Health Care Analysis 2006; 14: 185-193
19. Martin J. Organizational culture: Mapping the terrain. Thousand Oakes, CA: Sage Publications; 2002.
20. Davies HTO. Understanding organizational culture in reforming the National Health Service. J R Soc Med 2002; 95: 140-142.
21. Friedman CP. Information technology leadership in academic medical centers: A tale of four cultures. Acad Med 1999; 74: 795-799.
22. Cooke RA, Lafferty JC. Organizational Culture Inventory. Plymonth, MI: Human Synergistics; 1989.
23. Szumal JL. Organisational culture inventory. Interpretation and development guide. Australia: Human Synergistics; 1998.
24. Scott T, Mannion R, Davies H, Marshall M. The quantitative measurement of organisational culture in health care: A review of available instruments.Health Serv Res 2003; 38: 923-945. (Pubitemid 36682494)
25. Xenikou A, Furnham A. A correlational and factor analytic study of four questionnaire measures of organisational culture. Hum Relat 1996; 49: 349-370.
26. Seago JA. Organisational culture in hospitals: Issues in measurement. J Nurs Meas 1997; 5: 165-178.
27. Seago JA. Registered nurses, unlicensed assistive personnel, and organizational culture in hospitals. J Nurs Admin 2000; 30: 278-286.
28. Cooke RA, Rousseau DM. Behavioural norms and expectations: A quantitative approach to the assessment of organizational culture. Group & Organization Studies 1988; 13: 245-273.
29. Cooke RA, Szumal JL. Measuring normative beliefs and shared behavioural expectations in organizations: The reliability and validity of the Organizational Culture Inventory. Psychol Rep 1993. pp 1299-1330.
30. Tierney WM, Overhage JM, McDonald CJ, Wolinsky FD. Medical students' and housestaff 's opinions of computerized order-writing. Acad Med 1994; 69: 386-389.
31. Weiner M, Gress T, Thiemann DR, Jenckes M, Reel SL, Mandell SF, Bass, EB. Contrasting views of physicians and nurses about an inpatient computerbased provider order-entry system. J Am Med Inform Assoc 1999; 6: 234-244.
32. Davis FD. Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly. 1989; September: 319-340.
33. Lee F, Teich JM, Spurr CD, Bates DW. Implementation of physician order entry: User satisfaction and self-reported usage patterns. J Am Med Inform Assoc 1996; 3: 42-55.
34. Anderson JG, Aydin CE, Jay SJ (eds). Evaluating health care information systems: Methods and applications. London: Sage Publications; 1994.
35. SPSS Version 11.5 for Windows. SPSS Inc. Chicago USA. http://www.spss.com
36. Scott T, Mannion R, Marshall M, Davies H. Does organisational culture influence health care performance? A review of the evidence. J Health Serv Res Policy 2003; 8: 105-117.
37. Braithwaite J, Westbrook MT, Iedema R, Mallock NA, Forsyth R, Zhang K. A tale of two hospitals: Assessing cultural landscapes and compositions. Soc Sci Med 2005; 60: 1149-1162.
38. Ash J. Organizational factors that influence information technology diffusion in academic health sciences centers. J Am Med Inform Assoc 1997; 4: 102-111.