Outcomes of health information technology utilization in nursing homes: Do implementation processes matter?

Hamann, Darla J.; Bezboruah, Karabi C.

doi:10.1177/1460458219899556

Cited by 12 publications

(11 citation statements)

References 47 publications

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“…Regarding our second research question (facilitators of implementation), participants emphasized several essential facilitators for the successful implementation and prolongation of the HIT-driven intervention. Among the myriad of such conditions established in literature [52,54], especially socio-normative factors like committed participation and mutual appreciation of the various professionals, ethical obligation, and the opportunity to foster (interprofessional) cooperation were deemed noteworthy by participants in our study. Furthermore, immediate and continuous support of the implementation process was mentioned, whilst features of the HITtool itself, e.g., perceived usefulness and ease of use as essential aspects according to technology acceptance models [55], were not considered.…”

Section: Discussionmentioning

confidence: 99%

“…Concerning prerequisites, research has shown that successful implementation of HIT depends on its sufficient integration into existing working environments and relationships [50]. In practice, implementation of HIT is often done in an unsystematic approach [51] with insufficient consideration of technological infrastructure, support, and staff training [51,52]. Tailoring measures to existing care practice was a principle of our intervention and its success is reflected in the respondents' positive judgement regarding the practicability of the interventional measures.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of an intervention to improve the safety of medication therapy via HIT-supported interprofessional cooperation in long-term care – a mixed method study

Schreier

Pitzer

Dellinger

et al. 2022

BMC Health Serv Res

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Background In order to ensure the provision of appropriate and safe medication therapy in long-term care, close interprofessional cooperation and high levels of expertise are required. Online digital documentation and communication technology facilitate this process. The aim of the present study (sub-study 2 of the SiMbA-Study) was to evaluate a three-part health information technology (HIT) driven intervention on medication therapy safety in Austrian nursing homes (NHs) regarding its usefulness, practicability and implementation in routine care. Methods A concurrent embedded mixed-methods design was conducted to evaluate the intervention. Data was collected via expert interviews, focus group discussions and quantitative survey of general practitioners, nurses, and pharmacists in 3 NHs. Usefulness and effectiveness of the intervention were investigated through summative evaluation. Formative evaluation was utilized to gain insights regarding features and factors of the implementation process necessary to a successful integration in routine care. Results The sample comprised general practitioners, pharmacists, and nurses. 23 participants were interviewed, of which 17 participated in the focus group discussions and completed the quantitative Survey. All components of the intervention were deemed to be useful and effective. Effort and benefit of using health information technology were well balanced. Implementation success was mainly attributed to socio-normative factors. Conclusions The implementation of HIT-based measures can be effective but is prone to various pitfalls that are highlighted in the study. A critical challenge for successful implementation is the combination of both, ensuring its prerequisites, while anticipating new problems that arise from HIT-integration on the one hand and changes in interprofessional cooperation on the other. Trial registration DRKS Data Management, ID: DRKS00012246. Registered 16.05.2017 – Retrospectively registered.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Evaluation of an intervention to improve the safety of medication therapy via HIT-supported interprofessional cooperation in long-term care – a mixed method study

Schreier

Pitzer

Dellinger

et al. 2022

BMC Health Serv Res

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“…Big data and AI techniques are being applied to the care of people in specific settings, such as nursing homes (Hamann and Bezboruah, 2020). These data allow for a 'network' of care services to be constructed to improve overall service efficiency (Niyirora and Aragones, 2020).…”

Section: Using His and Big Data To Learn Understand And Inform Decision-makingmentioning

confidence: 99%

Developments in healthcare information systems in Ireland and internationally

Walsh¹,

Domhnaill²,

Mohan³

2021

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The mission of the Economic and Social Research Institute is to advance evidencebased policymaking that supports economic sustainability and social progress in Ireland. ESRI researchers apply the highest standards of academic excellence to challenges facing policymakers, focusing on 12 areas of critical importance to 21st Century Ireland.The Institute was founded in 1960 by a group of senior civil servants led by Dr T.K. Whitaker, who identified the need for independent and in-depth research analysis to provide a robust evidence base for policymaking in Ireland.Since then, the Institute has remained committed to independent research and its work is free of any expressed ideology or political position. The Institute publishes all research reaching the appropriate academic standard, irrespective of its findings or who funds the research.The quality of its research output is guaranteed by a rigorous peer review process. ESRI researchers are experts in their fields and are committed to producing work that meets the highest academic standards and practices.The work of the Institute is disseminated widely in books, journal articles and reports. ESRI publications are available to download, free of charge, from its website. Additionally, ESRI staff communicate research findings at regular conferences and seminars.The ESRI is a company limited by guarantee, answerable to its members and governed by a Council, comprising 14 members who represent a cross-section of ESRI members from academia, civil services, state agencies, businesses and civil society. The Institute receives an annual grant-in-aid from the Department of Public Expenditure and Reform to support the scientific and public interest elements of the Institute's activities; the grant accounted for an average of 30 per cent of the Institute's income over the lifetime of the last Research Strategy. The remaining funding comes from research programmes supported by government departments and agencies, public bodies and competitive research programmes.

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“…These nursing homes are modernizing their facilities to provide better services and care to their residents. These improvements affect the quality of life of the elderly and the costs of nursing homes [2]. During the last few years, they are making use of technologies [3][4][5], to make life easier for their residents and help healthcare professionals to monitor their health and daily activities.…”

Section: Introductionmentioning

confidence: 99%

Smart Nursing Homes: Self‐Management Architecture Based on IoT and Machine Learning for Rural Areas

Flores-Martín

Rojo

Moguel

et al. 2021

Wireless Communications and Mobile Computing

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The rate of world population aging is increasing. This situation directly affects all countries socially and economically, increasing their compromise and effort to improve the living conditions of this sector of society. In environments with large influxes of elderly people, such as nursing homes, the use of technology has shown promise in improving their quality of life. The use of smart devices allows people to automate everyday tasks and learn from them to predict future actions. Additionally, smartphones capture a wealth of information that allows to adapt to nearby actuators according to people’s preferences and even detects anomalies in their behaviour. Current works are proposing new frameworks to detect these behaviours and act accordingly. However, these works are not focused on managing multidevice environments where sensor and smartphone data are considered to automate environments with elderly people or to learn from them. Also, most of these works require a permanent Internet connection, so the full benefit of smart devices is not completely achieved. In this work, we present an architecture that takes the data from sensors and smartphones in order to adapt the behaviour of the actuators of the environment. In addition, it uses this data to learn from the environment to predict actions or to extrapolate the actions that should be executed according to similar behaviours. The architecture is implemented through a use case based on a nursing home located in a rural area. Thanks to this work, the quality of life of the elderly is improved in a simple, affordable, and transparent way for them.

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Outcomes of health information technology utilization in nursing homes: Do implementation processes matter?

Cited by 12 publications

References 47 publications

Evaluation of an intervention to improve the safety of medication therapy via HIT-supported interprofessional cooperation in long-term care – a mixed method study

Evaluation of an intervention to improve the safety of medication therapy via HIT-supported interprofessional cooperation in long-term care – a mixed method study

Developments in healthcare information systems in Ireland and internationally

Smart Nursing Homes: Self‐Management Architecture Based on IoT and Machine Learning for Rural Areas

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