Understanding factors that influence the acceptance of electronic medical records by nurses in hospitals: a framework
- Authors: Makalima, Melissa
- Date: 2018
- Subjects: Electronic records -- Management , Information storage and retrieval systems -- Management Medical records -- South Africa Medical records -- Data processing
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/31488 , vital:31495
- Description: Globally, unlike in the past, it is rare for a patient to consult the same healthcare provider throughout his or her lifetime. However, this makes it difficult to maintain informational continuity of care. Researchers have confirmed that paper-based methods of record keeping do not meet the needs of informational continuity of care. As a result, the popularity of electronic means of recordkeeping, specifically, electronic medical records (EMRs), is growing. However, the implementation of EMRs in hospitals is not without challenges with these challenges playing a significant role in the failure of EMRs. One such challenge is a lack of user acceptance. Research reveals that nurses comprise the largest user group of EMRs in the hospital setting. However, there is inadequate literature that focuses on the factors contributing to EMR acceptance with nurses as the user group. Hence, the main problem addressed in this research study relates to the inadequate understanding of the factors that influence the acceptance of EMRs by nurses. In order to address this problem, a literature review and a case study were conducted to ascertain and investigate the factors that influence the acceptance of EMRs by nurses. A total of 39 factors were formulated. Subsequent to the formulation of these factors, knowledge on the impact of each factor on EMR acceptance was collected. Socio-technical Systems Theory (STS) was used as a theoretical lens through which to view the resulting factors. The STS dimension from which each factor originates as well as the STS dimension influenced by the factor were identified. The analysis of the different stages of acceptance as well as the STS analysis resulted in a framework that could play an important role in providing a better understanding of EMR acceptance by nurses in hospitals. It was anticipated that this study would contribute to a better understanding of the factors that hospitals should address in order to create a conducive environment for EMR acceptance by nurses within the hospitals.
- Full Text:
- Date Issued: 2018
- Authors: Makalima, Melissa
- Date: 2018
- Subjects: Electronic records -- Management , Information storage and retrieval systems -- Management Medical records -- South Africa Medical records -- Data processing
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: http://hdl.handle.net/10948/31488 , vital:31495
- Description: Globally, unlike in the past, it is rare for a patient to consult the same healthcare provider throughout his or her lifetime. However, this makes it difficult to maintain informational continuity of care. Researchers have confirmed that paper-based methods of record keeping do not meet the needs of informational continuity of care. As a result, the popularity of electronic means of recordkeeping, specifically, electronic medical records (EMRs), is growing. However, the implementation of EMRs in hospitals is not without challenges with these challenges playing a significant role in the failure of EMRs. One such challenge is a lack of user acceptance. Research reveals that nurses comprise the largest user group of EMRs in the hospital setting. However, there is inadequate literature that focuses on the factors contributing to EMR acceptance with nurses as the user group. Hence, the main problem addressed in this research study relates to the inadequate understanding of the factors that influence the acceptance of EMRs by nurses. In order to address this problem, a literature review and a case study were conducted to ascertain and investigate the factors that influence the acceptance of EMRs by nurses. A total of 39 factors were formulated. Subsequent to the formulation of these factors, knowledge on the impact of each factor on EMR acceptance was collected. Socio-technical Systems Theory (STS) was used as a theoretical lens through which to view the resulting factors. The STS dimension from which each factor originates as well as the STS dimension influenced by the factor were identified. The analysis of the different stages of acceptance as well as the STS analysis resulted in a framework that could play an important role in providing a better understanding of EMR acceptance by nurses in hospitals. It was anticipated that this study would contribute to a better understanding of the factors that hospitals should address in order to create a conducive environment for EMR acceptance by nurses within the hospitals.
- Full Text:
- Date Issued: 2018
Shame, cognitive vulnerabilities and traumatic stress in adult rape survivors
- Authors: Van de Water, Tanya
- Date: 2013
- Subjects: Rape trauma syndrome -- South Africa , Shame -- South Africa , Rape victims -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9969 , http://hdl.handle.net/10948/d1020947
- Description: The prevalence of rape in South Africa has reached epidemic proportions. The experience of shame in a rape victim may impact on issues such as disclosure and avoidance (which increases posttraumatic stress severity (PSS)). It is also known that other cognitive vulnerabilities such as anxiety sensitivity, rumination, looming cognitive style, and attribution style impacts the severity of traumatic stress. These vulnerabilities overlap with the experience of shame conceptually. It remains unclear whether shame has a direct relationship with severity or whether it influences other dynamics that eventually contributes to increases in (PSS). 37 female adult rape survivors from a local NGO completed a biographical questionnaire and a variety of quantitative measures of shame (Experience of Shame Scale (ESS)), PSS (Harvard Trauma Questionnaire – Revised (HTQ-R)), anxiety sensitivity (Anxiety Sensitivity Index – 3(ASI-3)), rumination (Perseverative Thinking Questionnaire (PTQ)), looming cognitive style (Looming Maladaptive Style Questionnaire (LMSQ)), and attribution style (Attribution Style Questionnaire (ASQ)). Initial explorations were done to determine the cross-group equivalence of these measures since it was the first time some of them were used in South Africa (and exclusively on rape survivors). The construct, semantic, and metric equivalence findings are reported for each measure. In this regard all measures apart from the ASQ had good internal consistency but factor analyses indicated that the measures are more reasonably seen to measure single factor constructs rather than the configuration presupposed by the constituent subscales. The evidence indicates that total scores may be used with some confidence in the construct validity and internal consistency of these measures (with the exception of the ASQ), but that subscale scores should not be over interpreted. Furthermore, the presence of cognitive constructs within the sample was explored and it was found that high levels of shame, PSS, and the cognitive vulnerabilities were present. Finally a multiple regression and concomitant analyses indicated that only knowing the perpetrator had any influence on the variables under study and that shame and rumination accounted for the largest amount of variance in PSS.
- Full Text:
- Date Issued: 2013
- Authors: Van de Water, Tanya
- Date: 2013
- Subjects: Rape trauma syndrome -- South Africa , Shame -- South Africa , Rape victims -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9969 , http://hdl.handle.net/10948/d1020947
- Description: The prevalence of rape in South Africa has reached epidemic proportions. The experience of shame in a rape victim may impact on issues such as disclosure and avoidance (which increases posttraumatic stress severity (PSS)). It is also known that other cognitive vulnerabilities such as anxiety sensitivity, rumination, looming cognitive style, and attribution style impacts the severity of traumatic stress. These vulnerabilities overlap with the experience of shame conceptually. It remains unclear whether shame has a direct relationship with severity or whether it influences other dynamics that eventually contributes to increases in (PSS). 37 female adult rape survivors from a local NGO completed a biographical questionnaire and a variety of quantitative measures of shame (Experience of Shame Scale (ESS)), PSS (Harvard Trauma Questionnaire – Revised (HTQ-R)), anxiety sensitivity (Anxiety Sensitivity Index – 3(ASI-3)), rumination (Perseverative Thinking Questionnaire (PTQ)), looming cognitive style (Looming Maladaptive Style Questionnaire (LMSQ)), and attribution style (Attribution Style Questionnaire (ASQ)). Initial explorations were done to determine the cross-group equivalence of these measures since it was the first time some of them were used in South Africa (and exclusively on rape survivors). The construct, semantic, and metric equivalence findings are reported for each measure. In this regard all measures apart from the ASQ had good internal consistency but factor analyses indicated that the measures are more reasonably seen to measure single factor constructs rather than the configuration presupposed by the constituent subscales. The evidence indicates that total scores may be used with some confidence in the construct validity and internal consistency of these measures (with the exception of the ASQ), but that subscale scores should not be over interpreted. Furthermore, the presence of cognitive constructs within the sample was explored and it was found that high levels of shame, PSS, and the cognitive vulnerabilities were present. Finally a multiple regression and concomitant analyses indicated that only knowing the perpetrator had any influence on the variables under study and that shame and rumination accounted for the largest amount of variance in PSS.
- Full Text:
- Date Issued: 2013
- «
- ‹
- 1
- ›
- »