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Nursing Informatics Competency: Assimilation into the Sociotechnical Culture on Healthcare Technology and Understanding of Safety Culture

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2023, PHD, Kent State University, College of Communication and Information.
To competently perform nursing care at a high level while maintaining patient safety, newly hired graduate nurses need to understand each organization’s unique sociotechnical culture and how this culture shapes their nursing behaviors towards health-IT usage and safety competency. The purpose of this study was to explore the relationship between pre-licensure nurses’ informatics competencies and the influence of healthcare experience in modern day complex adaptive system’s sociotechnical culture to describe informatics and safety competencies in students. A descriptive, correlational cross-sectional study of 178 Bachelors of Nursing (BSN) students from 3 Midwestern and1 Pacific Northwest BSN schools using an online survey was undertaken. The Self-Assessment of Informatics Competency (SANICS) scale and a subset of the Surveys on Patient Safety Culture (SOPS™) Hospital Survey were used to quantify the degree of association between student informatics competency and safety competency. The findings reveal pre-licensure work experience was associated with an increase in both nursing informatics and safety competency when compared to students without pre-licensure work experience. There was a positive correlation between perceived usefulness of technology and nursing informatics competency but not with safety competency. Higher BSN grade level was a predictor of higher nursing informatics competency but not a predictor for safety competency. Nursing informatics competency was a predictor of higher safety scores explaining 12.9% of the variance in patient safety (R2 = 0.129, F(1, 176) = 26.04, p < .001). Having a nursing informatics course was not associated with improving overall nursing informatics competency or safety competency. Nursing informatics competency was positively associated with improvements in safety competency. All members of the healthcare team including administration, students, faculty, and staff should understand that there are benefits of exposure to sociotechnical culture acquired through pre-licensure work experiences that contributes to patient safety.
Rebecca Meehan (Committee Chair)
Amy Petrinec (Committee Member)
Tang Tang (Committee Member)
Miriam Matteson (Committee Member)
144 p.

Recommended Citations

Citations

  • Jarzembak, J. M. (2023). Nursing Informatics Competency: Assimilation into the Sociotechnical Culture on Healthcare Technology and Understanding of Safety Culture [Doctoral dissertation, Kent State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=kent1691161460293959

    APA Style (7th edition)

  • Jarzembak, Jeremy. Nursing Informatics Competency: Assimilation into the Sociotechnical Culture on Healthcare Technology and Understanding of Safety Culture . 2023. Kent State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=kent1691161460293959.

    MLA Style (8th edition)

  • Jarzembak, Jeremy. "Nursing Informatics Competency: Assimilation into the Sociotechnical Culture on Healthcare Technology and Understanding of Safety Culture ." Doctoral dissertation, Kent State University, 2023. http://rave.ohiolink.edu/etdc/view?acc_num=kent1691161460293959

    Chicago Manual of Style (17th edition)