Date Approved

12-2014

Graduate Degree Type

Dissertation

Degree Name

Nursing (D.N.P.)

Degree Program

College of Nursing

First Advisor

Cynthia Coviak

Second Advisor

Brian Brasser

Third Advisor

Barbara Hooper

Fourth Advisor

Guenter Tusch

Abstract

Barcode scanning during medication administration is a powerful tool to prevent errors and support patient safety. In spite of the significant patient safety benefits, there is a lack of adoption and acceptance of barcode scanning. The purpose of this project was to implement an evidence-based assessment, utilizing a survey instrument based on the technology acceptance model, to understand adoption and acceptance of barcode scanning at a community hospital. Forty-four people, 38 nurses and 8 respiratory therapists, participated in the survey. Data analyses were performed using descriptive statistics, Kruskal-Wallis, Mann-Whitney U, and Spearman's rho tests. The subscales for the intention to use barcode scanning and the influence of others were rated highest by the survey participants. The subscales for the training and technical support received the lowest ratings. There were significant differences among the departments on the subscale scores, with the acute inpatient area reporting the highest subscale ratings and the surgical services/procedural area reporting the lowest subscale ratings. There were no differences in the scores for the survey subscales in regards to participants' age and years of computer use at work and at home. There were several themes identified related to barcode scanning issues and concerns. Recommendations to address the survey results and the barcode scanning issues were developed.

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