Success Factors and Barriers of Clinical Information System Change in Intensive Care Unit
Matkaselkä, Toni (2023)
2023
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-202305027128
https://urn.fi/URN:NBN:fi:amk-202305027128
Tiivistelmä
Intensive Care Unit is a working environment where lots of health data is collected widely. Often collected data has visual presentation and it is used to support decision-making. Many Intensive Care Units have a Clinical Information System (CIS) for this purpose. It is usually a complex patient data management system. Changing a CIS is a multiphase project which needs efforts of participants. The purpose of this thesis was to find out the main success factors and barriers of this change process in the Intensive Care Unit and how to prepare for the successful implementation of a CIS.
The method used in this thesis were a scoping review and a narrative literature review. Seven studies were chosen as a result of a literature search from reference databases. In addition to these search results, a few additional research papers were selected for this review. A total of ten studies were reviewed. These studies were analyzed by using thematic analyses with a deductive approach.
Based on the results of this review, it was important for the success of the implementation that the project had a committed leader. Open and clear communication was highlighted as a way to remove barriers. The change and implementation of a CIS would require lots of resources. It was stated that the leader should guarantee sufficient budget, time and personnel resources. Healthcare professionals’ training needs and capabilities to adopt a new CIS were noticed to vary a lot. It was recommended to train superusers of the new CIS who could help to provide training and local user support for the personnel during implementation rollout and after that. It was noted that usability of a new CIS should be at a good level before implementation. Otherwise it can decrease acceptance of a new system. The implementation of a CIS was described as a huge and demanding project which needs proper planning and the execution requires a lot of time and resources.
The method used in this thesis were a scoping review and a narrative literature review. Seven studies were chosen as a result of a literature search from reference databases. In addition to these search results, a few additional research papers were selected for this review. A total of ten studies were reviewed. These studies were analyzed by using thematic analyses with a deductive approach.
Based on the results of this review, it was important for the success of the implementation that the project had a committed leader. Open and clear communication was highlighted as a way to remove barriers. The change and implementation of a CIS would require lots of resources. It was stated that the leader should guarantee sufficient budget, time and personnel resources. Healthcare professionals’ training needs and capabilities to adopt a new CIS were noticed to vary a lot. It was recommended to train superusers of the new CIS who could help to provide training and local user support for the personnel during implementation rollout and after that. It was noted that usability of a new CIS should be at a good level before implementation. Otherwise it can decrease acceptance of a new system. The implementation of a CIS was described as a huge and demanding project which needs proper planning and the execution requires a lot of time and resources.