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Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

The negative impact on nurses of lack of alignment of information systems with public hospital strategic goals

Lucy A Firth, David J Mellor and Peter S Francis

Australian Health Review 32(4) 733 - 739
Published: 2008

Abstract

The objectives of this study were to investigate the degree to which hospital information systems are aligned with hospital strategies and how they impact on nurses. Semi-structured interviews were conducted with nine hospital staff from a range of disciplines in a large public hospital in Australia. The interviews revealed that the focus of hospital information systems on administration has meant that applications to support the patient?s clinical journey have been deemed unaffordable. A consequence is that the historic use of the nurses? station as a source of verbal information about patients has continued, with negative impacts on nurses? perceived role and status, and the possible exacerbation of the clash between administrative and clinical cultures. We conclude that hospitals need clear strategies, with alignment of information systems. To do otherwise can undermine culture and morale, while disrupting workflows and patients? clinical journeys.

https://doi.org/10.1071/AH080733

© AHHA 2008

Committee on Publication Ethics

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