Nurses’ experiences and viewpoints about the benefits of adopting information technology in health care: a qualitative study in Iran

Background Information technology (IT) plays an important role in nursing practice. Hence, nurses’ experiences and viewpoints about IT integration into healthcare help improve nurses’ adoption of IT. This study aimed to explore the nurses’ experiences and viewpoints about the benefits of IT integration and adoption in healthcare. Methods This study was conducted with a qualitative research approach. Participants included 14 nurses from four hospitals affiliated to a large medical university in Iran, who were selected using a purposive sampling method. Data were collected through semi-structured interviews and analyzed using the conventional content analysis of Lundman and Graneheim. Results Six categories in the study reflected the nurses’ experiences and viewpoints about the benefits of integrating IT into health care. These categories included improving the quality and efficiency of medical services and care, facilitating the communication management in the technological environment, improving information documentation, management, and monitoring, improving resource management, improving management performance and policymaking, and facilitating pathways of organizational and professional growth. Conclusions Lessons learned in this study can help overcoming the barriers of IT adoption, and developing appropriate strategies to familiarize nurses with the benefits of IT in healthcare settings. Healthcare managers are recommended to investigate the experiences of nurses with IT in their hospitals and organize courses to orient hesitant nurses toward adopting IT.

[1]  K. Saranto,et al.  Nursing professionals' experiences of the facilitators and barriers to the use of telehealth applications: a systematic review of qualitative studies , 2018, Scandinavian journal of caring sciences.

[2]  Ghaderi Nansa Leila,et al.  EVALUATION OF HOSPITAL INFORMATION SYSTEMS IN UNIVERSITY HOSPITALS OF TABRIZ UNIVERSITY OF MEDICAL SCIENCES: NURSES PERSPECTIVES , 2013 .

[3]  Maryati Mohd. Yusof,et al.  A case study evaluation of a Critical Care Information System adoption using the socio-technical and fit approach , 2015, Int. J. Medical Informatics.

[4]  Joost van Hoof,et al.  Factors influencing acceptance of technology for aging in place: A systematic review , 2014, Int. J. Medical Informatics.

[5]  Rainer Sauerborn,et al.  “Quality of prenatal and maternal care: bridging the know-do gap” (QUALMAT study): an electronic clinical decision support system for rural Sub-Saharan Africa , 2013, BMC Medical Informatics and Decision Making.

[6]  Asieh Darvish,et al.  The Role of Nursing Informatics on Promoting Quality of Health Care and the Need for Appropriate Education , 2014, Global journal of health science.

[7]  Julia Adler-Milstein,et al.  Does Health Information Exchange Reduce Redundant Imaging? Evidence From Emergency Departments , 2014, Medical care.

[8]  Kaija Saranto,et al.  Impacts of structuring nursing records: a systematic review. , 2014, Scandinavian journal of caring sciences.

[9]  N. Nayeri,et al.  Nurses' Experiences of the Hospital Information Systems , 2015 .

[10]  Thomas Abel,et al.  From Text to Codings: Intercoder Reliability Assessment in Qualitative Content Analysis , 2008, Nursing research.

[11]  Julian Varghese,et al.  Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review , 2018, J. Am. Medical Informatics Assoc..

[12]  N. Ratanawongsa,et al.  Reducing Misses and Near Misses Related to Multitasking on the Electronic Health Record: Observational Study and Qualitative Analysis , 2018, JMIR human factors.

[13]  Daniel Wolstenholme,et al.  Using creative co-design to develop a decision support tool for people with malignant pleural effusion , 2020, BMC Medical Informatics and Decision Making.

[14]  B. Lundman,et al.  Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. , 2004, Nurse education today.

[15]  Monique W. M. Jaspers,et al.  Determination of the effectiveness of two methods for usability evaluation using a CPOE medication ordering system , 2011, Int. J. Medical Informatics.

[16]  Zainab Kazmi.  Effects of exam room EHR use on doctor-patient communication: a systematic literature review. , 2013, Informatics in primary care.

[17]  Xiaoqian Jiang,et al.  A community assessment of privacy preserving techniques for human genomes , 2014, BMC Medical Informatics and Decision Making.

[18]  Maryam Jahanbakhsh,et al.  The Status of Hospital Information Systems in Iranian Hospitals , 2014, Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH.

[19]  Dean F. Sittig,et al.  Computerized Provider Order Entry Adoption: Implications for Clinical Workflow , 2008, Journal of General Internal Medicine.

[20]  S. Çetin.  A Qualitative Evaluation of the Knowledge Levels of Nurses Regarding Informatics and Health Informatics : The Case of Atatürk Training and Research Hospital , 2015 .

[21]  Monique W. M. Jaspers,et al.  Clinicians satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety , 2011, Int. J. Medical Informatics.

[22]  P. Ifinedo.  Empirical Study of Nova Scotia Nurses’ Adoption of Healthcare Information Systems: Implications for Management and Policy-Making , 2017, International journal of health policy and management.

[23]  Inga M. Zadvinskis,et al.  Nurses’ Experience With Health Information Technology: Longitudinal Qualitative Study , 2018, JMIR medical informatics.

[24]  Pascale Lehoux,et al.  Rethinking the electronic health record through the quadruple aim: time to align its value with the health system , 2020, BMC Medical Informatics and Decision Making.

[25]  Steven R. Simon,et al.  Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study , 2013, BMC Medical Informatics and Decision Making.

[26]  K. Ann McKibbon,et al.  A quantitative analysis of qualitative studies in clinical journals for the 2000 publishing year , 2004, BMC Medical Informatics Decis. Mak..

[27]  Onur Asan,et al.  Nurses’ Perceptions of a Novel Health Information Technology: A Qualitative Study in the Pediatric Intensive Care Unit , 2017, Int. J. Hum. Comput. Interact..

[28]  Mathew K. Kipturgo,et al.  Attitudes of nursing staff towards computerisation: a case of two hospitals in Nairobi, Kenya , 2014, BMC Medical Informatics and Decision Making.

[29]  Reza Khajouei,et al.  Evaluation methods used on health information systems (HISs) in Iran and the effects of HISs on Iranian healthcare: A systematic review , 2015, Int. J. Medical Informatics.

[30]  Joan S. Ash,et al.  The unintended consequences of computerized provider order entry: Findings from a mixed methods exploration , 2009, Int. J. Medical Informatics.

[31]  Marie-Pierre Gagnon,et al.  Impact of Information and Communication Technologies on Nursing Care: Results of an Overview of Systematic Reviews , 2017, Journal of medical Internet research.

[32]  Kahouei Mehdi,et al.  Factors Affecting Information Technology Acceptance In Clinical Settings From Nurses' Perspective , 2013 .

[33]  Rainu Kaushal,et al.  Effects of health information technology on patient outcomes: a systematic review , 2016, J. Am. Medical Informatics Assoc..

[34]  N. Kaya,et al.  Factors Affecting Nurses' Attitudes Toward Computers in Healthcare , 2011, Computers, informatics, nursing : CIN.

[35]  Göran Tomson,et al.  Guidelines for maternal and neonatal "point of care": Needs of and attitudes towards a computerized clinical decision support system in rural Burkina Faso , 2014, Int. J. Medical Informatics.

[36]  Reza Khajouei,et al.  Comparison of heuristic and cognitive walkthrough usability evaluation methods for evaluating health information systems , 2017, J. Am. Medical Informatics Assoc..

[37]  Thomas E. Belda,et al.  Enhancing Nursing Practice by Utilizing Voice Recognition for Direct Documentation , 2014, The Journal of nursing administration.

[38]  Princely Ifinedo,et al.  The moderating effects of demographic and individual characteristics on nurses' acceptance of information systems: A canadian study , 2016, Int. J. Medical Informatics.

[39]  Aviv Shachak,et al.  Computers in the clinical encounter: a scoping review and thematic analysis , 2016, J. Am. Medical Informatics Assoc..

[40]  Reza Khajouei,et al.  The evaluation of hospital laboratory information management systems based on the standards of the American National Standard Institute , 2014, Journal of education and health promotion.