title: Does CPOE actually disrupt physicians-nurses communications?
abstract: This study addresses the question of the respective impact of organizational vs. technical environment variables on the collaborative aspects of healthcare work situations. It analyzes the physicians-nurses communications during the medication use process, according to both the organization of their work and their technical environment. Participant observations, interviews and recording of the dialogs were performed in 4 hospitals functioning with either a CPOE or a Paper based system. The study (i) presents the identification and description of the communications' processes involving doctors-nurses face-to-face communications and the supports that mediate medication information and (ii) focuses on the amount of face-to-face communications depending on the organization of work and the technical system used. The analyses demonstrate that the organizational variables have a larger impact than the technical environment on the quality and quantity of the communications and cooperation activities.
authors.affiliation: Université Lille Nord de France, INSERM CIC IT Lille, CHU Lille, F-59000, Lille, France. sylvia.pelayo@univ-lille2.fr
authors.forename: Sylvia
authors.initials: S
authors.lastname: Pelayo
authors.forename: Françoise
authors.initials: F
authors.lastname: Anceaux
authors.forename: Janine
authors.initials: J
authors.lastname: Rogalski
authors.forename: Marie-Catherine
authors.initials: MC
authors.lastname: Beuscart-Zephir
mesh_terms: D005060:Europe; D050316:Medical Order Entry Systems / Q000706:statistics & numerical data*; D019555:Physician-Nurse Relations; D057184:Practice Patterns, Nurses' / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*