C.N.I.S. — Innovation into practice
Kimberly defines an innovation as a departure from existing practices or technologies which represent a significant departure from the art at the time it appears. The development and implementation of a Clinical Nursing Information System (C.N.I.S.) is an innovation for Wales. The thought of trying something new is often viewed with caution or fear, and the use of the computer by ward nurses represents a significant departure from their previous practice of record keeping. A literature review identified several papers which considered the introduction of innovations, Hage and Aiken examined the innovation process and sequence of events in relation to organisational change. This work appeared to provide an appropriate theoretical framework to apply when developing and implementing C.N.I.S.
This paper describes the development of C.N.I.S. and discusses how the evaluation, initiation and implementation stages of the innovation process have been applied.
Unable to display preview. Download preview PDF.
- 1.Roberts R, Taylor JA. Computerized clinical nursing information system. In: Bryant JR, Roberts J, Windsor PG, editors. Conference Proceedings - Current perspectives in healthcare computing. 1987. 196–202Google Scholar
- 2.Kimberly JR. Managerial Innovation. In: Nystrom PC, Starbuck WH editors. Handbook of Organizational Design. Vol. 1 1981 Oxford University Press.Google Scholar
- 3.Hage J and Aiken M. Social Change In Complex Organizations. 1970 Random House.Google Scholar
- 4.Hage J. Theories of Organizations. 1980 John Wiley and Sons.Google Scholar
- 5.Gibson SE. Managing Computer Resistance. Computers in Nursing. 1986 Vol. 4/No. 5 (September/October) 201–4Google Scholar
- 6.Ozbolt JG. Knowledge-Based Systems for Supporting Clinical Nursing Decisions. In: Ball MJ, Gerdin Jelger U, and Peterson H editors. Nursing Informatics - Where Caring and Technology Meet. 1988 Springer-Verlag.Google Scholar
- 7.Department of Health, Nursing Division and Operational Research. The resource management initiative and ward nursing management information systems: a review of issues and progress to date. 1988 Department of Health, London, (unpublished)Google Scholar