Nurses' Acceptance of and Satisfaction With the Advanced Cardiac Life Support Electronic Information System in Emergency Departments and Critical Care Units

Abstract

Emergency and critical care nurses perform an important role in documenting the resuscitation process. However, paper-based recording is labor intensive and complex and may result in incorrect recording of important parameters, which suggests the need for an appropriate electronic information system for emergency care. This cross-sectional descriptive study explores emergency and critical care nurses' acceptance of, and satisfaction with, the newly developed advanced cardiac life support electronic information system and examines whether paper-based recording and electronic recording approaches differ in the completeness of resuscitation records. Data were collected through a selfdesigned structured questionnaire and a retrospective review of medical records. Data were analyzed by descriptive statistics, independent sample t test, and one-way analysis of variance. The results indicated that novice nurses were more satisfied with the electronic information system than others. Emergency care nurses were significantly more satisfied than medical and surgical ICU nurses. The electronic information system improved the completeness of resuscitation recording by 23.5%, compared with the paper-based recording approach. Emergency and critical care nurses have a moderate to high degree of acceptance of, and satisfaction with, electronic information systems.

Exploring the Usage Effectiveness of a Nursing Charge System

“…21 In addition to the quality of the system, the demographics of the user, such as age, sex, comfort level of using the computer, subjective norms (an individual perceiving others' value about system use), super users, familiarity with the system, experience using the information system, charging equipment, and work unit, also have a considerable influence on satisfaction level. 20,22,23 These are factors associated with user satisfaction. Usage satisfaction in medical ICUs has been shown to be higher than that in surgical ICUs, which may be related to diverse unit attributes, such as the severity of patient illness, therapy fluid lines, and time pressure on nurses to transfer patients for surgery.…”

“…24 Additional treatment dispositions, direct care activities, or intense time-pressure events such as life-threatening treatment (cardiopulmonary resuscitation) may cause nurses to have higher expectations and lower satisfaction regarding the use of information systems in surgical ICUs. 22,24 Digitalization of the Nurse Charge Capture Process Following the implementation of the National Health Insurance Act in Taiwan, health institutions apply to the Health Insurance Board for reimbursement based on the number of health insurance points. The application must be accompanied by documented health records.…”

“…The discharge preparation system is a system in which the quality of service has a greater positive impact on user satisfaction 21 . In addition to the quality of the system, the demographics of the user, such as age, sex, comfort level of using the computer, subjective norms (an individual perceiving others' value about system use), super users, familiarity with the system, experience using the information system, charging equipment, and work unit, also have a considerable influence on satisfaction level 20,22,23 . These are factors associated with user satisfaction.…”

“…Usage satisfaction in medical ICUs has been shown to be higher than that in surgical ICUs, which may be related to diverse unit attributes, such as the severity of patient illness, therapy fluid lines, and time pressure on nurses to transfer patients for surgery 24 . Additional treatment dispositions, direct care activities, or intense time-pressure events such as life-threatening treatment (cardiopulmonary resuscitation) may cause nurses to have higher expectations and lower satisfaction regarding the use of information systems in surgical ICUs 22,24 …”