Table Of ContentLecture Notes in Medical Informatics 46
Editors:
O. Rienhoff, Marburg
D. A. B. Lindberg, Washington
Patsy B. Marr Rita L. Axford
Susan K. Newbold
(Eds.)
Nursing Informatics '91
Proceedings of the Post Conference on
Health Care Information Technology:
Implications for Change
Springer-Verlag
Berlin Heidelberg New York
London Paris Tokyo
Hong Kong Barcelona
Budapest
Editors
Patsy B. Marr, RN, MSN
Director, Hospital Information System Department
New York University Medical Center
New York, NY, USA
Rita L. Axford, RN, PhD
Senior Lecturer
Department of Nursing
Lincoln School of Health Sciences
La Trobe University
Melbourne, Victoria, Australia
Susan K. Newbold, RN, MS
Health Application Specialist
IBM
Bethesda, Maryland, USA
ISBN-13: 978-3-540-54124-0 e-ISBN-13: 978-3-642-46746-2
001: 10.1007/978-3-642-46746-2
This work is subject to copyright. All rights are reserved, whether the whole or part of
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© Springer-Verlag Berlin Heidelberg 1991
Softcover reprint of the hardcover I st edition 1991
Typesetting: Camera ready by author
27/3140-543210 -Printed on acid-free paper
PREFACE
For over a decade, Working Group 8 (Nursing) of the International Medical Informatics
Association has sponsored, in conjunction with a host country, a triennial international
symposium on nursing informatics. Each conference consists of a main conference
and an invitational working conference following the main event. In 1991, the
symposium was held in Melbourne, Australia and hosted by the Nursing Computer
Group, Victoria and the Royal College of Nursing, Australia. Nine Pre-Conference
workshops offered participants indepth exploration of a variety of information
technology topics. The main conference attracted 700 participants from 19 countries
and over 150 peer-reviewed papers. The invitational working conference was held at
Whitehall in Sorrento, Victoria and involved the individual and collective work of 40
experts in nursing informatics from around the world. This group addressed the theme
HEALTH CARE INFORMATION TECHNOLOGY:
IMPLICATIONS FOR CHANGE.
Health care organizations are faced with growing demand for information technology
and must cope effectively with the processes and outcomes of its introduction. As the
impact of information technology is felt both on the local and the global level, the
conference selected for its theme a three tiered approach to information technology
and organisational change - through the lens of society, the organization, and the
individual. The conference was organized around three forms of contribution: plenary
talks, working groups, and individual contributions by the participants.
Part one of this book contains the papers of the plenary speakers for the conference.
These papers set a framework for working groups to develop their ideas around the
themes presented to them and from within their collective wisdom. Part two contains
the papers of the four working groups developed during their two-and-one-half days
together. Part three contains individual papers which participants brought to the
conference and which reflect their specific domain of relevant expertise.
Only limited editing has taken place with the papers. It was the intention of the editors
to retain each author's style and flavor.
Patsy B. Marr, Rita L. Axford, and Susan K. Newbold (Eds.)
v
PARTICIPANTS
Maisa Antti-Poika Merle Cooke, RN, BAppSci
Data Processing Coordinator (Nursing) FRCNA
Peijas-Rekola Hospital, Sairaalakatu 1 Nursing Manager Information Systems
SF-01400 Vantaa, FINLAND Fremantle Hospital
Fremantle, Western Australia 6160
Rita L. Axford, RN, PhD, FRCNA AUSTRALIA
Senior Lecturer
Lincoln School of Health Sciences Albert J. Creevey, BAppSci (Comp)
Department of Nursing MACS
La Trobe University Deputy Director
Abbotsford, Victoria 3182, AUSTRALIA Management Information Services
Alfred Hospital
Albert Bakker, Professor Prahran, Victoria 3181, AUSTRALIA
BAZIS Foundation
Central Development & Support Group Joan Donoghue, RN, MN
Hospital Information System Assistant Director of Nursing
Schipholweg 97, 2316 XA Leiden St Vincent's Hospital
THE NETHERLANDS Melbourne, Victoria 3065, AUSTRALIA
Barry Barber, MA, PhD, FBCS, Joan Edgecumbe, RN, RM,
F.lnst.P., C.Eng., C.Phys. Dip.N.Admin.
National Health Service Nursing Projects Officer
Information Management Centre Royal Womens' Hospital
19 Calthorpe Road, Edgbaston Melbourne, Victoria 3053, AUSTRALIA
Birmingham B15 1RP, ENGLAND
Linda Edmunds, RN, MS
Penny Baxter, RN, FCNA HealthQuest, LTD
Clinical Information Systems Analyst 303 Perimeter Center North
/ Programmer Atlanta, Georgia 30346, USA
Information Systems Departments
Austin Hospital Yolande Eisig
Heidelberg, Victoria 3084, AUSTRALIA ,Assistante de la Directrice
Des Soins Infirmiers
Barbara E. Carter, RN, DNE Hopital Cantonal
Coordinator Computer Education Universitaire de Geneve
(Nursing) 24 rue Micheli-du-Crest
Alfred Hospital 1211 Geneve 4-SWITZERLAND
Prahran, Victoria 3181, AUSTRALIA
VI
Vernice Ferguson, RN, MA, FAAN Edward J. Halloran, RN, PhD, FAAN
FRCN Associate Professor
Assistant Chief Medical Director School of Nursing
for Nursing Programs CB #7460 Carington
The Department of Veterans Affairs University of North Carolina
Washington D.C. 20420 USA Chapel Hill, North Carolina 27599, USA
Caro.le A. Gassert, RN, PhD John Hinterreiter, RN, RM
Assistant Professor Systems Officer, Nursing
Department of Education, Western Hospital
Administration and Health Policy Footscray, Victoria 3011, AUSTRALIA
University of Maryland at Baltimore
Baltimore, Maryland 21201-1512, USA William L. Holzemer, RN, PhD, FAAN
Professor and
Carol F. Gaston, RN, BAppSci, BEd Associate Dean for Research
GDipEnvSt School of Nursing
Director Nursing Branch University of California, San Francisco
South Australian Health Commission San Francisco, California 94134-0604
Adelaide, South Australia 5000 USA
AUSTRALIA
Evelyn J. S. Hovenga, RN, BAppSci
Ulla Gerdin, RN FRCNA
Head of Development Team 103 Westgarth Street
Stockholm County Council Northcote, Victoria 3070, AUSTRALIA
Health Care Informatics I GEMI
P.O. Box 9099 Shirley Hughes
Stockholm, SWEDEN Director, Marketing & Account Services
EMTEK Health Care Systems Inc.
Susan J. Grobe, RN, PhD, FAAN 2929 South Fair Lane
Associate Professor and Director Tempe, Arizona 85282, USA
Center for Health Care Research and
Evaluation Wendy King, MBA, SA, RGN, RM
School of Nursing RHV, MBIM
The University of Texas at Austin Senior Consultant
Austin, Texas 78701-1499, USA CSL Group Ltd, 54 Calthorpe Rd
Edgbaston, Birmingham B15 HH
ENGLAND
VII
Tricia Leeder, BHA, MComm Bill McGuiness, RN, DipT,
Nursing Director of Informatics BEd (Nursing)
John Hunter Hospital Lecturer
New Lambton, New South Wales 2300 Lincoln School of Health Sciences
AUSTRALIA Department of Nursing
La Trobe University
Salah H. Mandil Abbotsford, Victoria 3182, AUSTRALIA
Director -Adviser on Informatics
World Health Organization Susan K. Newbold, RN, MS
Geneva, SWITZERLAND Health Application Specialist
IBM Health Industry
Margaret P. Marion, RGN 6600 Rockledge Drive
General Manager, Acute Services Bethesda, Maryland 20817, USA
Royal Hampshire County Hospital
Winchester, Hants S022 5DG Marcia Orsolits Stevie, RN, PhD
ENGLAND Director, Quality Research
Cleveland Clinic Foundation
Patsy B. Marr, RN, MSN 9500 Euclid Avenue -P.3115
Director Cleveland, Ohio 44195-5001, USA
Hospital Information System
Department
Elly Pluyter-Wenting SRN
New York University Medical Center
Vice-President, BAZIS Foundation
550 First Avenue, Room AH 201
Central Development & Support Group
New York, New York 10016, USA
Hospital Information System
Schipholweg 97, 2316 XA Leiden
Kathleen A. McCormick, RN, PhD
THE NETHERLANDS
FAAN
Director, Office of the Forum for Quality
Roberta Rochman, RN
and Effectiveness in Health Care
Director of Marketing, Patient Care
Agency for Health Care Policy and
TDS Healthcare Systems Corporation
Research
200 Ashford Center North
Executive Office Center
Atlanta, Georgia 30338 USA
2101 East Jefferson Street, Suite 327
Rockville, Maryland 20852, USA
VIII
Judith S. Ronald, RN, EdD Denis Vandewal, SRN
Associate Professor Nursing Logistics Department
Coordinator of Nursing Informatics University Hospitals of Leuven
School of Nursing Capucijnenvoer 33
State University of New York at Buffalo 3000 Leuven, BELGIUM
Buffalo, New York 14214, USA
Beverly C. Walker, RN, MNS, FRCNA
Sheila A. Ryan, RN, PhD, FAAN Director of Nursing
Dean, School of Nursing Bundoora Extended Care Centre
Director, Medical Center Nursing Bundoora, Victoria 3083, AUSTRALIA
University of Rochester
601 Elmwood Avenue, Box 703 Rita D. Zielstorff, RN, MS
Rochester, New York 14642, USA Assistant Director
Laboratory of Computer Science
Roy L. Simpson, RN Associate Computer Scientist
HealthQuest Department of Medicine
303 Perimeter Center North Staff Specialist, Department of Nursing
Atlanta, Georgia 30346, USA Massachusetts General Hospital
Boston, Massachusetts 02114, USA
Diane J. Skiba, PhD
Director of Informatics
and Associate Professor
University of Colorado
Health Sciences Center
Campus Box C288
4200 East Ninth Avenue
Denver, Colorado 80262, USA
IX
PARTICIPANTS IN THE NURSING INFORMATICS '91 POST CONFERENCE
18-21 APRIL 1991
Photo Courtesy John Cooke
x
CONTENTS
---------------PART 1---------------
HEALTH CARE INFORMATION TECHNOLOGY: IMPLICATIONS FOR CHANGE
Plenary papers
1 On the Interaction Between Health Informatics, the Individual
and Society 3
Salah H. Mandil
2 Development of an Information Technology Culture within the
7
Organization
Margaret P. Marion
11
3 Information Leads to Compliance?
Sheila A. Ryan
4 Health Care Information Technology: Implications for Change
-Summary of the Working Conference 20
Kathleen A. McCormick
---------------PART 11---------------
HEALTH CARE INFORMATION TECHNOLOGY: IMPLICATIONS FOR CHANGE
Working Group Papers
31
WORKING GROUP PAPER ONE
Group leader: William L. Holzemer (USA)
Penny Baxter (Australia), Barbara E. Carter (Australia)
Vern ice Ferguson (USA), Ulla Gerdin (Sweden)
Evelyn J. S. Hovenga (Australia), Margaret P. Marion (UK)
Marcia Orsolits Stevie (USA), Roy L. Simpson (USA)
Scribe: Joan Donoghue (Australia)
XI
