Impact of technology-based care and management systems on aged care outcomes in Australia.
This study determined the impact of a computerized care documentation system on client outcomes, regulatory compliance, and staff workloads after 3 years of use. The survey was conducted at an 800-bed aged care facility, and staff using the computerized care system were invited to participate (n = 112). The survey was an adapted version of the Nurses Computer Attitudes to Technology Inventory, which was refined to make it relevant to the aged care workplace. Four multiple regression models were produced, assessing the impact of the computerized care management system on staff and workload; time; accuracy, and regulatory data; and resident care. The analysis showed that the perceived benefits of the computerized system were influenced by personal attitudes towards computer use and feelings of empowerment related to the computer system. Even those with poor computer skills and feelings of insecurity about using computers believed that there were significant benefits to be gained by using the system. This result has implications with regards to the training and recruitment of staff in the aged care sector, as facilities introduce computerized care systems.
School of Nursing, Australian Catholic University and RSL LifeCare, Sydney, New South Wales, Australia. tracey.mcdonald@acu.edu.au
Tracey
T
McDonald
Frances
F
Russell
D000368:Aged; D000488:Allied Health Personnel / Q000523:psychology*; D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D001315:Australia; D005260:Female; D005853:Geriatrics / Q000379:methods*; D006801:Humans; D008297:Male; D016347:Medical Records Systems, Computerized; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000523:psychology*; D017063:Outcome Assessment, Health Care; D011795:Surveys and Questionnaires; D016526:Workload