Investigating nurses' knowledge, attitudes, and skills patterns towards clinical management system: Results of a cluster analysis

Abstract

To determine whether definable subtypes exist within a cohort of Hong Kong nurses as related to the clinical management system use in their clinical practices based on their knowledge, attitudes, skills, and background factors. Data were collected using a structured questionnaire. The sample of 242 registered nurses was recruited from three hospitals in Hong Kong. The study employs personal and demographic variables, knowledge, attitudes, and skills scale. A cluster analysis yielded two clusters. Each cluster represents a different profile of Hong Kong nurses on the clinical management system use in their clinical practices. The first group (Cluster 1) was labeled ‘lower attitudes, less skilful and average knowledge’ group, and represented 55.4% of the total respondents. The second group (Cluster 2) was labeled as ‘positive attitudes, good knowledge but less skilful’. They comprised almost 44.6% of this nursing sample. Cluster 2 had more older nurses, the majority were educated to the baccalaureate or above level, with more than 10 years working experience, and they held a more senior ranking then Cluster 1. A clear profile of Hong Kong nurses may benefit healthcare professionals in making appropriate education or assistance to prompt the use of the clinical management system by nurses an officially recognized profession. The findings were useful in determining nurse-users' specific needs and their preferences for modification of the clinical management system. Such findings should be used to formulate strategies to encourage nurses to resolve actual problems following computer training and to increase the depth and breadth of nurses' knowledge, attitudes, and skills toward such system.

Keywords:

• Computerization
• clinical management system

Acknowledgements

We would like to thank Chau N.W., Chiu H.Y., Choi H.Y., Kwan W.M., Leung M.W., Mak Y.C., and Tsang W.S. on data collection, and all the nurses who volunteered to participate in the study. The author would also like to thank Liu J. for permission to modify her instrument, and Day M.C. for her technical writing support.