Jeffrey C. Salloway

Implementing Computerization in Hospitals: A Case Study of the Behavioral and Attitudinal Impacts of a Medical Information System

This study examines the impacts of a medical information system (MIS) upon select work related attitudes and reported work role behavior of a randomly selected group of hospital employees. Measures of attitude toward the MIS, job satisfaction, role tensions, and reports of work activities were administered at three points before and after implementation of the system. Results of analyses of the trends that were observed suggest that over time employee attitudes toward the system became less favorable, levels of job satisfaction increased, and that the system’s introduction affected several categories of reported work activity.

Implementation of a medical information system: evaluation of adaptation.

A study was conducted to explain variability in hospital employee responses to the implementation of a medical information system. Results showed that 28 to 35 percent of the variance in adaptation was explained by the predictor variables, and that the significant variables were attitudes toward computers in general, role ambiguity, personality attributes, the persons work shift and previous history of job mobility.

Adapting to the implementation of a medical information system: a comparison of short—versus long—term findings

This study compares short and long-term responses of a panel of hospital employees to the introduction of a Medical Information System. Personality attributes, education, age, and the persons work shift consistently affected the quality of employee adaptation.

Medical information system training: An analysis of the reactions of hospital employees

Six months after the implementation of a medical information system (MIS) employees were questioned concerning their evaluation of the training they received. Wide variability is observed in the range of employee responses to questions addressing their: satisfaction with the training experience, desire for any additional training, ease of learning to use the system, and level of felt competence in currently using the system. The results of stepwise regression analyses of the response patterns indicate that personality traits, attitudes toward automation, and work history variables are key factors in explaining why employees have different reactions to training.

Who can't get no satisfaction? reactions to medical information system training

This paper presents the results of a questionnaire given to a group of Medical Information System (MIS) users concerning their perceptions of the training they received. The questionnaire focused on perceived adequacy of the training received and felt competence utilizing the MIS after training. A variety of information gathered from the MIS users prior to and shortly after training was also related to perceptions of training. These results indicate that the employees who were more satisfied with their training were subsequently more positive toward the MIS and toward the changes the MIS created in their jobs. Users who were high on Cognitive Structure (a personality measure) indicated that they wished to have more training, but felt competent at work ing with the MIS. The more educated employees perceived themselves as being more competent at working with the MIS.