{"id":{"repo_id":"uwo","oai_identifier":"oai:uwo.scholaris.ca:20.500.14721/31709"},"canonical_url":"https://search.dev.ndltd.org/etd/uwo/oai:uwo.scholaris.ca:20.500.14721/31709","repository":{"repo_id":"uwo","name":"Western University","base_url":"https://uwo.scholaris.ca/server/oai/request"},"display":{"title":"Understanding the Current State of Health Information Exchange in Long-Term Care Homes","abstract":"Research Questions: The research questions within this thesis aimed to examine the current state of health information exchange (HIE) processes within the Canadian long-term care (LTC) setting and identify opportunities to improve these processes through the proliferation of health information technology (HIT). Methods: The first study undertook a scoping review following Levac et al’s. approach to the methodology. Next, an interpretive study using semi-structured interviews and Hsieh and Shannon's conventional content analysis methodology was undertaken. Findings: The scoping review highlighted that effective HIE processes are susceptible to variations in HIT resources, workload, and social and organizational cultures. The findings of the interpretive study describe common breakdowns in HIE processes and identifies opportunities to connect fragmented information flows through HIT proliferation. Significance: We recommend accelerating the implementation and adoption of HIT to facilitate intra- and inter-organizational HIE for direct-care providers, to strengthen the efficiency of HIE processes, and to improve the safety and quality of care within the LTC sector.","abstract_html":"Research Questions: The research questions within this thesis aimed to examine the current state of health information exchange (HIE) processes within the Canadian long-term care (LTC) setting and identify opportunities to improve these processes through the proliferation of health information technology (HIT). Methods: The first study undertook a scoping review following Levac et al’s. approach to the methodology. Next, an interpretive study using semi-structured interviews and Hsieh and Shannon's conventional content analysis methodology was undertaken. Findings: The scoping review highlighted that effective HIE processes are susceptible to variations in HIT resources, workload, and social and organizational cultures. The findings of the interpretive study describe common breakdowns in HIE processes and identifies opportunities to connect fragmented information flows through HIT proliferation. Significance: We recommend accelerating the implementation and adoption of HIT to facilitate intra- and inter-organizational HIE for direct-care providers, to strengthen the efficiency of HIE processes, and to improve the safety and quality of care within the LTC sector.","abstract_has_math":false,"creators":["Cotton, Kendra R"],"institution":"The University of Western Ontario","degree_name":"M Sc","degree_level":null,"degree_discipline":"Nursing","degree_department":null,"school":null,"contributors":[],"advisors":["Booth, Richard","McMurray, Josephine"],"committee_chairs":[],"committee_members":[],"year":2021,"date_issued":"2021-11-16","date_published":"2021-11-16","updated_at":"2026-07-27T21:56:03Z","subjects":["Health information exchange","communication","information sharing","documentation","long-term care","health information technology","electronic health record"],"languages":["en_ca"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/20.500.14721/31709","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Booth, Richard","McMurray, Josephine"]},{"key":"dc:creator","label":"Author","values":["Cotton, Kendra R"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2025-07-10T19:21:12Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2025-07-10T19:21:12Z"]},{"key":"dc:date.issued","label":"Date","values":["2021-11-16"]},{"key":"dc:publisher","label":"Institution","values":["The University of Western Ontario"]},{"key":"dc:type","label":"Dc Type","values":["thesis"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Nursing"]},{"key":"thesis:degree_name","label":"Degree Name","values":["M Sc"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Health information exchange","communication","information sharing","documentation","long-term care","health information technology","electronic health record"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en_ca"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/20.500.14721/31709"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["The thesis cover page in the PDF document includes references to Western University’s previous institutional repository platform, known as Scholarship@Western, and links to that platform (beginning with ir.lib.uwo.ca). In citing or referring to this thesis, use the DOI or handle from this page instead. Sample citation: Author name, \"Thesis title.\" (Year). Western University Open Repository. https://doi.org/10.71858/123456."]},{"key":"dc:description.abstract","label":"Abstract","values":["Research Questions: The research questions within this thesis aimed to examine the current state of health information exchange (HIE) processes within the Canadian long-term care (LTC) setting and identify opportunities to improve these processes through the proliferation of health information technology (HIT). Methods: The first study undertook a scoping review following Levac et al’s. approach to the methodology. Next, an interpretive study using semi-structured interviews and Hsieh and Shannon's conventional content analysis methodology was undertaken. Findings: The scoping review highlighted that effective HIE processes are susceptible to variations in HIT resources, workload, and social and organizational cultures. The findings of the interpretive study describe common breakdowns in HIE processes and identifies opportunities to connect fragmented information flows through HIT proliferation. Significance: We recommend accelerating the implementation and adoption of HIT to facilitate intra- and inter-organizational HIE for direct-care providers, to strengthen the efficiency of HIE processes, and to improve the safety and quality of care within the LTC sector."]},{"key":"dc:title","label":"Title","values":["Understanding the Current State of Health Information Exchange in Long-Term Care Homes"]}]}],"canonical_facts":{"dc:contributor.advisor":["Booth, Richard","McMurray, Josephine"],"dc:creator":["Cotton, Kendra R"],"dc:date.accessioned":["2025-07-10T19:21:12Z"],"dc:date.available":["2025-07-10T19:21:12Z"],"dc:date.issued":["2021-11-16"],"dc:description":["The thesis cover page in the PDF document includes references to Western University’s previous institutional repository platform, known as Scholarship@Western, and links to that platform (beginning with ir.lib.uwo.ca). In citing or referring to this thesis, use the DOI or handle from this page instead. Sample citation: Author name, \"Thesis title.\" (Year). Western University Open Repository. https://doi.org/10.71858/123456."],"dc:description.abstract":["Research Questions: The research questions within this thesis aimed to examine the current state of health information exchange (HIE) processes within the Canadian long-term care (LTC) setting and identify opportunities to improve these processes through the proliferation of health information technology (HIT). Methods: The first study undertook a scoping review following Levac et al’s. approach to the methodology. Next, an interpretive study using semi-structured interviews and Hsieh and Shannon's conventional content analysis methodology was undertaken. Findings: The scoping review highlighted that effective HIE processes are susceptible to variations in HIT resources, workload, and social and organizational cultures. The findings of the interpretive study describe common breakdowns in HIE processes and identifies opportunities to connect fragmented information flows through HIT proliferation. Significance: We recommend accelerating the implementation and adoption of HIT to facilitate intra- and inter-organizational HIE for direct-care providers, to strengthen the efficiency of HIE processes, and to improve the safety and quality of care within the LTC sector."],"dc:identifier.uri":["https://hdl.handle.net/20.500.14721/31709"],"dc:language.iso":["en_ca"],"dc:publisher":["The University of Western Ontario"],"dc:subject":["Health information exchange","communication","information sharing","documentation","long-term care","health information technology","electronic health record"],"dc:title":["Understanding the Current State of Health Information Exchange in Long-Term Care Homes"],"dc:type":["thesis"],"thesis:degree_discipline":["Nursing"],"thesis:degree_name":["M Sc"]},"updated_at":"2026-07-27T21:56:03Z"}