Nurses' acceptance of Smart IV pump technology.
BACKGROUND
"Smart" intravenous infusion pumps (Smart IV pumps) are increasingly being implemented in hospitals to reduce medication administration errors.


OBJECTIVE
This study examines nurses' experience with the implementation and use of a Smart IV pump in an academic hospital.


METHODS
Data were collected in three longitudinal surveys: (a) a pre-implementation survey, (b) a 6-week-post-implementation survey, and (c) a 1-year-post-implementation survey. We examined: (a) the technology implementation process, (b) technical performance of the pump, (c) usability of the pump, and (d) user acceptance of the pump.


RESULTS
Initially, nurses had a somewhat positive acceptance of the Smart IV pump technology that significantly increased one year after implementation. User experiences associated with the pump in general improved over time, especially perceptions of pump efficiency. However, user experience with the pump implementation process and pump technical performance did not consistently improve from the pre-implementation survey to the post-implementation survey. Several characteristics of pump technical performance and usability influenced user acceptance at the one-year post-implementation survey.


CONCLUSIONS
These data may be useful for other institutions to guide implementation and post-implementation follow-up of IV pump use; other institutions could use the survey instrument from this study to evaluate nurses' perceptions of the technology. Our study identified several characteristics of the implementation process that other institutions may need to pay attention to (e.g., sharing information about the implementation process with nurses).
Carayon
Pascale
P
Center for Quality and Productivity Improvement (CQPI), Department of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI 53706-1609, USA. carayon@engr.wisc.edu
Hundt
Ann Schoofs
AS
Wetterneck
Tosha B
TB
D000328:Adult; D005260:Female; D006801:Humans; D007260:Infusion Pumps / Q000592:standards*; D007262:Infusions, Intravenous / Q000295:instrumentation*; D008297:Male; D008508:Medication Errors / Q000451:nursing / Q000517:prevention & control*; D008875:Middle Aged; D024802:Nurse's Role / Q000523:psychology*