Nurses’ perception of the use of computerised information systems in practice: Questionnaire development

Oroviogoicoechea, Cristina, Watson, Roger, Beortegui, Elena and Remirez, Silvia (2010) Nurses’ perception of the use of computerised information systems in practice: Questionnaire development. Journal of Clinical Nursing, 19 1-2: 240-248. doi:10.1111/j.1365-2702.2009.03003.x

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Author Oroviogoicoechea, Cristina
Watson, Roger
Beortegui, Elena
Remirez, Silvia
Title Nurses’ perception of the use of computerised information systems in practice: Questionnaire development
Journal name Journal of Clinical Nursing   Check publisher's open access policy
ISSN 0962-1067
Publication date 2010-01
Year available 2009
Sub-type Article (original research)
DOI 10.1111/j.1365-2702.2009.03003.x
Volume 19
Issue 1-2
Start page 240
End page 248
Total pages 9
Editor Carol Haigh
Debra Jackson
Roger Watson
Place of publication Oxford, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2011
Language eng
Subject C1
080702 Health Informatics
111711 Health Information Systems (incl. Surveillance)
111099 Nursing not elsewhere classified
920210 Nursing
Formatted abstract
Aim. To develop and validate a questionnaire to explore the perceptions of nurses about the implementation of a computerised information system in clinical practice.
Background. A growing interest in understanding nurses’ experience of developing and implementing clinically relevant Information Technology systems and the lack of measurement tools in this area, justifies further research into the development
of instruments to provide an insight into nurses’ experience.
Design. Survey and questionnaire development.
Method. An initial draft of the questionnaire was developed based on the literature and expert opinion. The questionnaire was piloted by ten nurses to check face validity, reliability and test-retest reliability. A revised version of the questionnaire was
distributed to nurses working in the in-patient area of a university hospital in Spain (n = 227). Principal components analysis with oblique rotation was carried out to test theoretically developed underlying dimensions and to test construct validity.
Cronbach’s alpha coefficient was used to determine internal consistency.
Results. Cronbach’s alpha for all the items included in the different scales was 0·88 in the pilot questionnaire and test-retest reliability was adequate. Principal components analysis of items related to mechanisms produced a three-component structure (‘IT support’, ‘usability’ and ‘information characteristics’). The three factors explained 48·6% of the total variance and Cronbach’s alpha ranged from 0·66–0·79. Principal components analysis of items related to outcomes produced a three factor
solution (‘impact on patient care’, ‘impact on communication’ and ‘image profile’). The factors explained 65·9% of the total variance and Cronbach’s alpha ranged from 0·64–0·85.
Conclusion. The study provides a detailed description and justification of an instrument development process. The instrument is valid and reliable for the setting where it has been used.
Relevance to clinical practice. The instrument could provide insight into nurses’ experience of IT implementation that will guide further development of systems to enhance clinical practice.  © 2010 Blackwell Publishing Ltd.
Keyword Evaluation
Information technology
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Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online: 17 DEC 2009

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Nursing, Midwifery and Social Work Publications
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Created: Fri, 12 Mar 2010, 09:50:24 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work