Analysis of Nursing Activity in General Hospital Using Hospital Information System

Objectives: This study intended to identify the staff nurse's activity in general hospital, where its Hospital Information System is well established and Electronic Nursing Record System was being used for 2 years. Methods: Procedure was done with the following steps; In the first step, nursing activity time was analysed by checklist, which 28 nurses filled out by themselves. The group interview was followed. Results: During the day shift, the direct nursing activities took 37.04%, indirect nursing 40.74%, ward management 18.52% and personal time 3.70% respectively. In evening shift, nurses used 29.41% on direct nursing, 45.10% on indirect nursing, 19.61% on ward management and 5.88% on personal time. In night shift, direct nursing took 17.91%, indirect nursing 46.27%, ward management 17.91% and personal time 11.98%. The group interview reported the differences in nursing activities which recognized by the included staff nurses after the introduction of ENR; speed and convenience in working, the correctness and speed of recording, reduction of indirect nursing time including recording time and increase of direct nursing time and patient education. Conclusions: The introduction of HIS including ENR system was verified to be effective on improvement of nursing quality, by bringing reduction of indirect nursing time and increase of direct nursing time.