Commenced in January 2007
Paper Count: 30831
A Case Study of Clinicians’ Perceptions of Enterprise Content Management at Tygerberg Hospital
Authors: Temitope O. Tokosi
Abstract:Healthcare is a human right. The sensitivity of health issues has necessitated the introduction of Enterprise Content Management (ECM) at district hospitals in the Western Cape Province of South Africa. The objective is understanding clinicians’ perception of ECM at their workplace. It is a descriptive case study design of constructivist paradigm. It employed a phenomenological data analysis method using a pattern matching deductive based analytical procedure. Purposive and s4nowball sampling techniques were applied in selecting participants. Clinicians expressed concerns and frustrations using ECM such as, non-integration with other hospital systems. Inadequate access points to ECM. Incorrect labelling of notes and bar-coding causes more time wasted in finding information. System features and/or functions (such as search and edit) are not possible. Hospital management and clinicians are not constantly interacting and discussing. Information turnaround time is unacceptably lengthy. Resolving these problems would involve a positive working relationship between hospital management and clinicians. In addition, prioritising the problems faced by clinicians in relation to relevance can ensure problem-solving in order to meet clinicians’ expectations and hospitals’ objective. Clinicians’ perception should invoke attention from hospital management with regards technology use. The study’s results can be generalised across clinician groupings exposed to ECM at various district hospitals because of professional and hospital homogeneity.
Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1131315Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 631
 E. Ammenwerth et al., “IT-adoption and the interaction of task, technology and individuals: a fit framework and a case study,” BMC Medical Informatics and Decision Making, vol. 6, no. 3, pp. 1-13, 2006.
 J. S. Ash et al., “Factors and forces affecting EHR system adoption: Report of a 2004 ACMI discussion,” Journal of the American Medical Informatics Association, vol. 12, no.1, pp. 8-12, 2005.
 H. Ayatollahi, “Paper-based versus computer-based records in the emergency department: Staff preferences, expectations, and concerns,” Health Informatics Journal, vol. 15, no. 3, pp. 199-211, 2009.
 E. Babbie and J. Mouton, “The practice of social research”. Cape Town: Oxford University Press, 2001.
 J. Braithwaite, “An empirically-based model for clinician-managers' behavioural routines”, Journal of Health Organization and Management, vol. 18, no. 4, pp. 240 – 261, 2004.
 L. C. Burton et al., “Using electronic health records to help coordinate care”, The Milbank Quarterly, vol. 82, no. 3, pp. 457-581, 2004.
 E. M. Campbell et al., “Types of unintended consequences related to computerized provider order entry”, Journal of the American Medical Informatics Association, vol. 13, no. 5, pp. 547-556, 2006.
 C. S. Chapman and L. A. Kihn, “Information system integration, enabling control and performance”, Accounting, organizations and society, vol. 34, no. 2, pp. 151-169, 2009.
 B.F. Crabtree and W. L. Miller, “Doing Qualitative Research”, 2nd Edition. Newbury Park, CA: Sage Publications, 1999.
 A. J. E. De Veer and A. L. Francke, “Attitudes of nursing staff towards electronic patient records: A questionnaire survey”, International Journal of Nursing Studies, vol. 47, pp. 846–854, 2010.
 A. Flores, “Secure exchange of information in electronic health records”, Unpublished doctoral thesis, School of Information Systems and Technology, University of Wollongong: Australia, 2010.
 P. Gates and J. Urquhart, “The electronic paperless medical office; has it arrived?” Internal Medicine Journal, vol. 3, no. 2, pp. 108-111, 2011.
 T. Greenhalgh et al., “Tensions and Paradoxes in Electronic Patient Record Research: A Systematic Literature Review Using the Meta-narrative Method”, The Milbank Quarterly, vol. 87, no. 4, pp. 729-788, 2009.
 M. Greiver et al., “Implementation of electronic medical records: Theory-informed qualitative study”, Canadian Family Physician, vol. 57, no. 10, pp. 390–397, 2011.
 F. Griffiths et al., “Why are health care interventions delivered over the internet? A systematic review of the published literature”, Journal of Medical Internet Research, vol. 8, no. 2, 2006.
 O. Hanseth, “Integration-Complexity-Risk: The Making of Information Systems Out-of-Control”, In Risk, Complexity and ICT, edited by C.U. Ciborra and O. Hanseth, pp.1-22. Oslo: Edward Elgar, 2007.
 R. C. Hawkins, “Laboratory Turnaround Time”, The Clinical Biochemist Reviews, vol. 28, pp. 179-194, 2007.
 V. Ilie et al., “Paper versus Electronic Medical Records: The Effects of Access on Physicians' Decisions to Use Complex Information Technologies”, Decision Sciences, vol. 40, no. 2, pp. 213-241, 2009.
 M. Koivunen, “Acceptance and use of information technology among nurses in psychiatric hospitals”, Unpublished thesis, University of Turku, Finland, 2009.
 S.P. Kossman, “Perceptions of impact of electronic health records on nurses' work”, Studies in health technology and informatics, vol. 122, pp. 337-341, 2006.
 D. Kreps and H. Richardson, “IT Success and Failure: The Problem of Scale”, Political Quarterly, vol. 78, no. 3, pp. 439-446, 2007.
 N. Menachemi, “Barriers to ambulatory EHR: Who are ‘imminent adopters’ and how do they differ from other physicians?” Informatics in Primary Care, vol. 14, no. 2, pp. 101-108, 2006.
 E. G. Poon et al., “Relationship between use of electronic health record features and health care quality: results of a state-wide survey”, Medical Care, vol. 48, no. 3, pp. 203-209, 2010.
 S. T. Rosenbloom et al., “Data from clinical notes: a perspective on the tension between structure and flexible documentation”, Journal of the American Medical Informatics Association, vol. 18, no. 2, pp. 181-186, 2011.
 M. Rowe and P. Struthers, “The use of information and communication technology by South African physiotherapy students”, South African Journal of Physiotherapy, vol. 65, no. 3, pp. 32-37, 2009.
 N. L. Ruxwana, “The adoption of Quality Assurance in eHealth acquisition for rural hospitals in the Eastern Cape Province”, Unpublished doctoral thesis, Nelson Mandela Metropolitan University, South Africa, 2010.
 J. T. Scott et al., 'Kaiser Permanente’s experience of implementing an electronic medical record: a qualitative study”, BMJ), vol. 331, pp. 1313–1316, 2005.
 S. R. Simon et al., “Electronic health records: Which practices have them, and how are clinicians using them?”, Journal of Evaluation in Clinical Practice, vol. 14, no. 1, pp. 43-47, 2008.
 S. Thorne, “Data analysis in qualitative research”, Evidence Based Nursing, vol. 3, no. 3, pp. 68-70, 2000.
 J. H. Wu et al., “A study of student satisfaction in a blended e-learning system environment”, Computers & Education, vol. 55, no. 1, pp. 155-164, 2010.
 H. D. Yang and Y. Yoo, “It's all about attitude: revisiting the technology acceptance model”, Decision Support Systems, vol. 38, no. 1, pp. 19-31, 2004.
 A. Lin and N. C. Chen, “Cloud computing as an innovation: Perception, attitude, and adoption”, International Journal of Information Management, vol. 32, no. 6, pp. 533-540, 2012.
 Y-Y. Shih and K. Fang, 'The use of a decomposed theory of planned behavior to study Internet banking in Taiwan”, Internet Research, vol. 14, no. 3, pp. 213–223, 2004.
 R. L. Thompson et al., “Personal computing: toward a conceptual model of utilization”, MIS quarterly, vol. 15, no. 1, pp. 125-143, 1991.
 T. Teo, “Examining the influence of subjective norm and facilitating conditions on the intention to use technology among pre-service teachers: a structural equation modeling of an extended technology acceptance model”, Asia Pacific Education Review, vol. 11, no. 2, pp. 253-262, 2010.
 P. Baxter and S. Jack, “Qualitative case study methodology: Study design and implementation for novice researchers”, The qualitative report, vol. 13, no. 4, pp. 544-559, 2008.