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Recognizing nurse stakeholder dissonance as a critical determinant of patient safety in new healthcare information technologies.

Proper identification of all stakeholders and the comprehensive assessment of their evolving and often conflicting Needs, Wants, and Desires (NWDs) is a fundamental principle of human factors science and human-centered systems engineering; it is not yet a consistent element in development and deploy...

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Published in:Work Vol. 41; pp. 1904 - 1911
Main Authors: Soares, Marcelo M., Jacobs, Karen, Samaras, Elizabeth A., Real, Sara D., Curtis, Amber M., Meunier, Tessa S.
Format: case study tables/charts Journal Article
Published: Sage Publications Inc. 2012 Supplement
Online Access:View this record in EBSCOhost
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      dt: 2012 Supplement
      vid: 41
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/wor-2012-0406-1904
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        atl: Recognizing nurse stakeholder dissonance as a critical determinant of patient safety in new healthcare information technologies.
      aug:
        au:
          Soares, Marcelo M.
          Jacobs, Karen
          Samaras, Elizabeth A.
          Real, Sara D.
          Curtis, Amber M.
          Meunier, Tessa S.
        affil: Department of Nursing, Colorado State University-Pueblo, 2200 Bonforte Blvd. Pueblo, Colorado, 81001 US
      sug:
        subj:
          Nursing Practice
          Patient Safety
          Health Informatics
          Electronic Health Records
          Acute Care
          Inpatients
          Medical-Surgical Nursing
          Electronic Order Entry
          Trauma Nursing
          Health Care Errors
          Adverse Health Care Event
          Root Cause Analysis
          Conceptual Framework
          Critical Care Nursing
          Registered Nurses
          Documentation
      ab: Proper identification of all stakeholders and the comprehensive assessment of their evolving and often conflicting Needs, Wants, and Desires (NWDs) is a fundamental principle of human factors science and human-centered systems engineering; it is not yet a consistent element in development and deployment of new health information technologies (HIT). As the single largest group of healthcare professionals, nurses are critical stakeholders for these new technologies. Careful analysis can reveal nurse stakeholder dissonance (NSD) when integrating new technologies into the healthcare environment. Stakeholder dissonance is a term that describes the conflict between the NWDs of different stakeholders which, if left unresolved, can result in dissatisfaction, workarounds, errors, and threats to patient safety. Three case studies drawn from the authors' experience in a variety of acute-care settings where new HITs have been recently deployed are examined to illustrate the concept of NSD. Conflicting NWDs, other stakeholders, and possible root causes of the NSD are analyzed and mapped to threats to patient safety. Lessons learned, practical guidance for anticipating, identifying, and mitigating NSD, future research and implications for HFE and nursing practice are discussed.
      pubtype: Academic Journal
      doctype:
        case study
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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