The purpose of this project is to explore the phenomena of nursing workarounds that may be found associated with the use of Health Information Technology in Intensive Care Areas.
Health Information Technology (HIT) refers to the electronic systems healthcare professionals use to store, share and analyze health information. Examples of HIT include, clinical documentation systems, order entry, bar-code medication administration, tight glycemic control software and provider order entry systems.
Workarounds have been described as clever methods for getting done what the system does not let you easily do. Examples of workarounds could include multiple entry of the same information in the computer and/ or paper, actions nurses take when computer systems fail or what nurses might do when a bar-code reader fails to recognize the bar-code. Workarounds by other departments that impact nursing are also included in this study. Telephone orders by physicians who are bypassing provider order entry are considered workarounds, as is the re-entering of data from the emergency department or outpatient surgery. The workarounds may also be related to broken equipment, not enough equipment or security access issues.
The goal of this study is to better understand the interactions and workarounds nurses use when utilizing HIT in intensive care. This study has been approved by the Institutional Review Board for The University of Texas Health Science Center San Antonio. Participation involves completing the survey questions. There may be no direct benefits to you; there are no known risks. There are no personal identifiers in this survey and no individual will be identified. We also ask that if you describe a patient care situation you refrain from entering information that might identify yourself, other healthcare personnel, the patient or facility. The survey will take 10 to 15 minutes to complete.
You are being asked to voluntarily describe your experiences with HIT and workarounds. By accessing the survey and completing it you will be giving your consent to participate in the study. You may choose not to answer some or all of the questions. Whatever you decide, your responses will be confidential and no personal identifying information will be attached in any way to the responses.