Publication Date


Degree Type

Master's Project

Degree Name

Master of Science (MS)



First Advisor

Elizabeth O. Dietz

Second Advisor

Phyllis M. Connolly


Ambulatory Care Information Systems, Computers, Medical Records Systems, Computerized, Nurse Practitioners, Primary Health Care


The research demonstrated that nurse practitioners (NP's) underutilized computer applications that would improve client care in their practice. Computer use by NP's in public clinics, private practice, health maintenance organizations (HMO 's) and other settings in the greater San Francisco Bay area was described. The descriptive research used a non-experimental design. Subjects were 200 nurse practitioners. The survey instrument was developed by the researcher. Of 104 respondents, 86 (83%) used computers at work. "Obtaining client records from other agencies or departments" was rated the most useful computer application for improving client care. "Internet searches" was rated the next most useful computer application; "entering client record information" was rated the third most useful. Use of computer applications varied by practice setting. Only 7 (25%) NP's in private practice accessed client records from other agencies, as did 17 (57%) NP's in public clinics, and nearly all, 29 (94%) of the NP's in HMO's.

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