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A preliminary investigation of complex adaptive systems as a model for explaining organisational change caused by the introduction of health information systems

Journal Article


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Abstract


  • This paper documents the preliminary development of a framework for evaluating organisational change processes during the implementation of an electronic nursing documentation system in residential aged care facilities. It starts with a brief outline of organisational change processes. This is followed by a more detailed exposition of the principles underlying complex adaptive systems (CAS) theory, where we explain how mathematical concepts can be used to illuminate qualitative research approaches. Finally we present some preliminary findings on the facilitators and barriers for the introduction of the electronic documentation system, explained with reference to the CAS theory, based on analysis of interviews with care staff members in a residential aged care facility. While there are clear benefits from electronic nursing documentation, we also identified significant risks, and possible unintended consequences, both positive and negative.

Publication Date


  • 2011

Citation


  • Diment, K., Yu, P. & Garrety, K. (2011). A preliminary investigation of complex adaptive systems as a model for explaining organisational change caused by the introduction of health information systems. Electronic Journal of Health Informatics, 6 (1), 1-7.

Scopus Eid


  • 2-s2.0-79955439423

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=9561&context=infopapers

Ro Metadata Url


  • http://ro.uow.edu.au/infopapers/2225

Number Of Pages


  • 6

Start Page


  • 1

End Page


  • 7

Volume


  • 6

Issue


  • 1

Place Of Publication


  • http://www.ejhi.net/ojs/index.php/ejhi/article/view/137

Abstract


  • This paper documents the preliminary development of a framework for evaluating organisational change processes during the implementation of an electronic nursing documentation system in residential aged care facilities. It starts with a brief outline of organisational change processes. This is followed by a more detailed exposition of the principles underlying complex adaptive systems (CAS) theory, where we explain how mathematical concepts can be used to illuminate qualitative research approaches. Finally we present some preliminary findings on the facilitators and barriers for the introduction of the electronic documentation system, explained with reference to the CAS theory, based on analysis of interviews with care staff members in a residential aged care facility. While there are clear benefits from electronic nursing documentation, we also identified significant risks, and possible unintended consequences, both positive and negative.

Publication Date


  • 2011

Citation


  • Diment, K., Yu, P. & Garrety, K. (2011). A preliminary investigation of complex adaptive systems as a model for explaining organisational change caused by the introduction of health information systems. Electronic Journal of Health Informatics, 6 (1), 1-7.

Scopus Eid


  • 2-s2.0-79955439423

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=9561&context=infopapers

Ro Metadata Url


  • http://ro.uow.edu.au/infopapers/2225

Number Of Pages


  • 6

Start Page


  • 1

End Page


  • 7

Volume


  • 6

Issue


  • 1

Place Of Publication


  • http://www.ejhi.net/ojs/index.php/ejhi/article/view/137