EFFICACY OF HEALTHCARE INFORMATION NEW TECHNOLOGY ON MATERNITY NURSING PRACTICE

Assist. Prof. Eman M. Goweily*

ABSTRACT

Aim: To assess the effect of Healthcare Information New Technology on Maternity Nursing Practice. Design: The study used a descriptive design. The sample (N=165) was composed of registered nurses working on acute maternity care units at Tanta University Hospitals. The sample was obtained from Tanta University Hospital and Elmenchawy Hospital in Garbeia Province in 2015. All eligible nursing units (n=19) were included. Methods: The MISSCARE Survey, Nursing Care Reminders Usage Survey, and the Impact of Healthcare Information Technology Scale were used to collect data to test for mediation. Mediation was tested using the method described by Baron and Kenny. Multiple regression equations were used to analyze the data to determine if mediation occurred between the variables. Results: Missed nursing care, the outcome variable, was regressed on the predictor variable, reminder usage, and the mediator variable impact of technology on maternity nursing practice. The impact of healthcare information technology (IHIT) on nursing practice negatively affected missed nursing care (t = -4.12, p < .001), explaining 9.8% of variance in missed nursing care. With IHIT present, the predictor (reminder usage) was no longer significant (t = -.70, p = .48). Thus, the reduced direct association between reminder usage and missed nursing care when IHIT was in the model supported the hypothesis that IHIT was at least one of the mediators in the relationship between reminder usage and missed nursing care. Conclusions: The perceptions of the impact of healthcare information technology mediates the relationship between nursing care reminder use and missed nursing care. The findings are beneficial to the advancement of health care technology in that designers of healthcare information technology systems need to keep in mind that perceptions regarding impacts of the technology will influence usage.

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