Implementation Concerns

  • Kathryn J. Hannah
  • Marion J. Ball
  • Margaret J. A. Edwards
Part of the Computers in Health Care book series (HI)


Successful implementation of a Nursing Information System (NIS) depends on nursing user acceptance of the system. In this chapter, the focus is on identifying and responding to sources of resistance to computers in health care, and the management of change. We will not provide a step-by-step guide to a successful implementation. Specifics of implementation planning are presented by Jenkins (1988) and Warnock-Matheron & Plummer (1988) in Nursing Informatics: Where Caring and Technology Meet, another volume in the Springer-Verlag series—Computers in Health Care.


Nursing Practice Unrealistic Expectation Preceding Chapter Nursing Department Computer Installation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Ball, M.J. & Snelbecker, G.E. 1982. “Overcoming resistances to telecommunications innovations in medicine and continuing medical education.” Computers in Hospitals, 3(4), 40–45.PubMedGoogle Scholar
  2. Benne, K.D. & Chin, R. 1969. “General strategies for effecting changes in human systems.” In The Planning of Change: Readings in Applied Behavioural Sciences, 2nd ed. New York: Holt, Reinhart, and Winston.Google Scholar
  3. Gabrielli, E.R. 1981. “Memorized versus computerized medical knowledge.” Annual Harry Goldblatt Lecture, Mt Sinai Hospital of Cleveland, Ohio.Google Scholar
  4. Hirel, J.C. 1979. “Future of hospital information systems: General impact of new technology on health care.” Hospital Information Systems-An International Perspective on Problems and Perspectives. New York: Elsevier North-Holland.Google Scholar
  5. Jenkins, S. 1988. “Nurses’ responsibilities in implementation of information systems.”. In Nursing Informatics: Where caring and technology meet. Ball, M., Hannah, K., Gerdin-Jelger, U., & Peterson, H. (eds.). New York: Springer-Verlag. 216–231.Google Scholar
  6. Lewin, K. 1969. “Quasi-stationary social equilibria and the problem of permanent change.” In The Planning of Change, Bennis, W.G., Benne, K.D., & Chin, R. (eds.) New York: Holt, Reinhart, and Winston, 235–238.Google Scholar
  7. Machiavelli, N. 1961. The Prince (1513). Translated by George Bull. New York: Penguin Books.Google Scholar
  8. Warnock-Matheron, A. & Plummer, C. 1988. “Introducing nursing information systems in the clinical setting”. In Nursing Informatics: Where caring and technology meet. Ball, M., Hannah, K., Gerdin-Jelger, U., & Peterson, H., New York: Springer-Verlag, 115–127.Google Scholar


  1. Weed, L.I. 1969. Medical Records, Medical Education and Patient Care. Cleveland, Ohio: Case Western University.Google Scholar
  2. Wegner, E.L., Hayashida, C.T. (1990). Implementing a multipurpose information management system: Some lessons and a model. Journal of Long Term Care Administration. Spring; 18(1): 15–20.Google Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Kathryn J. Hannah
    • 1
  • Marion J. Ball
    • 2
  • Margaret J. A. Edwards
    • 3
  1. 1.Information Management Consulting Branch, Information Technology DivisionAlberta HealthEdmontonCanada
  2. 2.Information ServicesUniversity of MarylandBaltimoreUSA
  3. 3.Margaret J. A. Edwards and Associates Inc.CalgaryCanada

Personalised recommendations