title: The negative impact on nurses of lack of alignment of information systems with public hospital strategic goals.
abstract: The objectives of this study were to investigate the degree to which hospital information systems are aligned with hospital strategies and how they impact on nurses. Semi-structured interviews were conducted with nine hospital staff from a range of disciplines in a large public hospital in Australia. The interviews revealed that the focus of hospital information systems on administration has meant that applications to support the patient's clinical journey have been deemed unaffordable. A consequence is that the historic use of the nurses' station as a source of verbal information about patients has continued, with negative impacts on nurses' perceived role and status, and the possible exacerbation of the clash between administrative and clinical cultures. We conclude that hospitals need clear strategies, with alignment of information systems. To do otherwise can undermine culture and morale, while disrupting workflows and patients' clinical journeys.
authors.affiliation: Department of Information Systems, University of Melbourne, Melbourne, VIC, Australia.
authors.forename: Lucy A
authors.initials: LA
authors.lastname: Firth
authors.forename: David J
authors.initials: DJ
authors.lastname: Mellor
authors.forename: Peter S
authors.initials: PS
authors.lastname: Francis
mesh_terms: D006751:Hospital Information Systems / Q000458:organization & administration*; D006779:Hospitals, Public; D006801:Humans; D007407:Interviews as Topic; D007588:Job Satisfaction; D009741:Nursing Staff, Hospital / Q000523:psychology*; D009937:Organizational Objectives