| Autor: |
Jennifer A, Browne, Carrie Jo, Braden |
| Rok vydání: |
2013 |
| Předmět: |
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| Zdroj: |
NI 2012 : 11th International Congress on Nursing Informatics, June 23-27, 2012, Montreal, Canada. International Congress in Nursing Informatics (11th : 2012 : Montreal, Quebec). 2012 |
| Popis: |
There are many investigations of nursing work-arounds reported in the literature.1 Despite numerous studies the concept remains vague and not logically linked to a theory base. Assumptions associated with many of these studies are not clearly articulated, leading to poor logic fit with analysis. Nursing literature reflects the assumptions that work-arounds are bad and must be eliminated. This paper defines work-around in its full range of variation consistent with a complex adaptive system base from two perspectives: essential attributes when operating as a mediator and as a moderator. Given the need for increased conceptual rigor in Nursing Informatics research, the moderator/mediator delineation is important. Moderating variables tend to be endemic to situations and are relatively resistant to intervention while mediating work-arounds may represent appropriate problem solving management of routine exceptions2 A clearer understanding of work-arounds can inform integration of the Electronic Health Record and safety, quality and efficiency initiatives. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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