Title
Development and initial evaluation of the Clinical Information Systems Success Model (CISSM).
Abstract
Most clinical information systems (CIS) today are technically sound, but the number of successful implementations of these systems is low. The purpose of this study was to develop and test a theoretically based integrated CIS Success Model (CISSM) from the nurse perspective.Model predictors of CIS success were taken from existing research on information systems acceptance, user satisfaction, use intention, user behavior and perceptions, as well as clinical research. Data collected online from 234 registered nurses in four hospitals were used to test the model. Each nurse had used the Cerner Power Chart Admission Health Profile for at least 3 months.Psychometric testing and factor analysis of the 23-item CISSM instrument established its construct validity and reliability. Initial analysis showed nurses' satisfaction with and dependency on CIS use predicted their perceived CIS use Net Benefit. Further analysis identified Social Influence and Facilitating Conditions as other predictors of CIS user Net Benefit. The level of hospital CIS integration may account for the role of CIS Use Dependency in the success of CIS.Based on our experience, CISSM provides a formative as well as summative tool for evaluating CIS success from the nurse's perspective.
Year
DOI
Venue
2013
10.1016/j.ijmedinf.2013.01.011
International Journal of Medical Informatics
Keywords
Field
DocType
Information systems,Hospital information systems,Informatics,Nursing informatics,Nursing evaluation research
Information system,Informatics,Summative assessment,Knowledge management,Social influence,Chart,Construct validity,Health informatics,Medicine,Formative assessment
Journal
Volume
Issue
ISSN
82
6
1386-5056
Citations 
PageRank 
References 
18
0.73
38
Authors
2
Name
Order
Citations
PageRank
Dianna Garcia-Smith1180.73
Judith A. Effken28110.86