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KMID : 0614819990050020237
Journal of Korean Academy of Nursing Administration
1999 Volume.5 No. 2 p.237 ~ p.251
The effect of the improvement of nursing productivity in Hospital Information System


Abstract
The purpose of this study is to suggest successful strategies through which the effect of the information system of a hospital can be forecasted at the nursing department. In order to set up successful strategies, in the first place, both the methods of CSF(Critical Success Factor: Rockart, 1979) and ULD(User-Led Development) method and the method suggested by the Korea Productivity Center were applied. In order to measure the improvement of nursing productivity, the Dissonance theory was used. The data were collected from 100 employees serving at the clinic department of Kwanu Patriots" and Veterans Hospital from July 4 to July 25. 1998 with reference to all 222 cases, for sampling work: then the part of the efficiency of the treatment or management of hospital business -simplification of the process of the treatment of hospital business and reduction of the time of the treatment of hospital business were measured and in order to forecast organizational behavior. 100 cases of organization behavior were analysed. based on the well structured. questionnaires. In order to forecast the users organizational behavior. a tool(Ronald, 1988: Stephen, 1982; Senn. 1992: Olsen, 1980: Anderson. 1988: Kim. 1992: Cho, 1994) to measure the extent or degree of the users recognition or understanding whose reliability coefficient is 0.63 was used: and regarding the items expected by the users concerning the convenience of the system, a tool created by Bernadett. Sz~1na and Richard W. Scamell(1993) whose reliability coefficient is 0.88 was used. And finally. those data were analysed, utilizing the statistical package of SPSS/PC 6.0.
successful strategies are suggested as follows
1. In order that the Kwangju Patriots¢¥ and Veterans~ Hospital¢¥s purpose can be successful through its strategic. information system, the quality of its services should be elevated, and for elevating the quality of medical services, elevation of the quality of medical expertism or specialty is an important factor in determining such quality.
2. In order to make the hospital information system to be successful, the hospital¢¥s top manager should participate in the effort making it successful with helping hands of the members or personnel of the hospital.
3. Irc order to make users participate in the hospita¢¥, information system, it is prerequisite that all nur:~es in a hospital should voluntarily participate in the system
4. Iri order to reduce the expense, the time in coping with business per duty should be reduced by 1033.23%. The time of the direct nursing care which added value is relatively high should be elongal;ed in order to elevate the quality of hospital services.
5. Since the introduction and spread of the hospital information system are influenced by the duration in the experience of computer use. the user ~~f the hospital information system should have a plan to receive well-planned computer education.
Finally it is suggested that the forecast of long-term productivity through a review of the user¢¥s expecl~ation of the system should be inspected and tested through continuous studies of its effectiveness.
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