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BMC Medical Informatics and Decision Making
Published in: BMC Medical Informatics and Decision Making 1/2020

Open Access 01-12-2020 | Care | Research article

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

Authors: Jamileh Farokhzadian, Reza Khajouei, Arie Hasman, Leila Ahmadian

Published in: BMC Medical Informatics and Decision Making | Issue 1/2020

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Abstract

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.
Literature
1.
Darvish A, Bahramnezhad F, Keyhanian S, Navidhamidi M. The role of nursing informatics on promoting quality of health care and the need for appropriate education. Glob J Health Sci. 2014;6(6):11.CrossRef
2.
Zadvinskis IM, Smith JG, Yen P-Y. Nurses’ experience with health information technology: longitudinal qualitative study. JMIR Med Inf. 2018;6(2):e38.CrossRef
3.
Rouleau G, Gagnon M-P, Côté J, Payne-Gagnon J, Hudson E, Dubois C-A. Impact of information and communication technologies on nursing care: results of an overview of systematic reviews. J Med Internet Res. 2017;19(4):e122.CrossRef
4.
Kipturgo MK, Kivuti-Bitok LW, Karani AK, Muiva MM. Attitudes of nursing staff towards computerisation: a case of two hospitals in Nairobi, Kenya. BMC Med Inform Decis Mak. 2014;14(1):1.CrossRef
5.
Kaya N. Factors affecting nurses' attitudes toward computers in healthcare. Cin-Comput Inform Nu. 2011;29(2):121–9.CrossRef
6.
Ifinedo P. The moderating effects of demographic and individual characteristics on nurses' acceptance of information systems: a Canadian study. Int J Med Inform. 2016;87:27–35.CrossRef
7.
Crampton NH, Reis S, Shachak A. Computers in the clinical encounter: a scoping review and thematic analysis. J Am Med Inform Assn. 2016;23(3):654–65.CrossRef
8.
Khajouei R, Zahiri Esfahani M, Jahani Y. Comparison of heuristic and cognitive walkthrough usability evaluation methods for evaluating health information systems. J Am Med Inform Assn. 2017;24(e1):e55–60.
9.
Simon SR, Keohane CA, Amato M, Coffey M, Cadet B, Zimlichman E, Bates DW. Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. BMC Med Inform Decis Mak. 2013;13(1):67.CrossRef
10.
Alami H, Lehoux P, Gagnon M-P, Fortin J-P, Fleet R, Ahmed MAA. Rethinking the electronic health record through the quadruple aim: time to align its value with the health system. BMC Med Inform Decis Mak. 2020;20(1):1–5.CrossRef
11.
Khajouei R, Hasman A, Jaspers MW. Determination of the effectiveness of two methods for usability evaluation using a CPOE medication ordering system. Int J Med Inform. 2011;80(5):341–50.CrossRef
12.
Fratzke J, Tucker S, Shedenhelm H, Arnold J, Belda T, Petera M. Enhancing nursing practice by utilizing voice recognition for direct documentation. J Nurs Admin. 2014;44(2):79–86.CrossRef
13.
Campbell EM, Guappone KP, Sittig DF, Dykstra RH, Ash JS. Computerized provider order entry adoption: implications for clinical workflow. J Gen Intern Med. 2009;24(1):21–6.CrossRef
14.
Ash JS, Sittig DF, Dykstra R, Campbell E, Guappone K. The unintended consequences of computerized provider order entry: findings from a mixed methods exploration. Int J Med Inform. 2009;78:S69–76.CrossRef
15.
Kahouei M, Babamohamadi H. Factors affecting information technology acceptance in clinical settings from Nurses' perspective. J Payavard Salamat. 2013;7(4):262–77.
16.
Ifinedo P. Empirical study of Nova Scotia nurses’ adoption of healthcare information systems: implications for management and policy-making. Int J Health Policy Manag. 2018;7(4):317.CrossRef
17.
Asan O, Flynn KE, Azam L, Scanlon MC. Nurses’ perceptions of a novel health information technology: a qualitative study in the pediatric intensive care unit. Int J Hum Comput. 2017;33(4):258–64.CrossRef
18.
Koivunen M, Saranto K. Nursing professionals' experiences of the facilitators and barriers to the use of telehealth applications: a systematic review of qualitative studies. Scand J Caring Sci. 2018;32(1):24–44.CrossRef
19.
McKibbon KA, Gadd CS. A quantitative analysis of qualitative studies in clinical journals for the 2000 publishing year. BMC Med Inform Decis Mak. 2004;4(1):11.CrossRef
20.
Burla L, Knierim B, Barth J, Liewald K, Duetz M, Abel T. From text to codings: intercoder reliability assessment in qualitative content analysis. Nurs Res. 2008;57(2):113–7.CrossRef
21.
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105–12.CrossRef
22.
Ghaderi NL, Piri Z, Salmani E, Gholipour H, Sharghi R. Evaluation of hospital information systems in university hospitals of Tabriz university of medical sciences: nurses perspectives. Health Information Manag. 2013;10(2):1–11.
23.
Ahmadian L, Nejad SS, Khajouei R. Evaluation methods used on health information systems (HISs) in Iran and the effects of HISs on Iranian healthcare: a systematic review. Int J Med Inform. 2015;84(6):444–53.CrossRef
24.
Varghese J, Kleine M, Gessner SI, Sandmann S, Dugas M. Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review. J Am Med Inform Assn. 2018;25(5):593–602.CrossRef
25.
Ratanawongsa N, Matta GY, Bohsali FB, Chisolm MS. Reducing misses and near misses related to multitasking on the electronic health record: observational study and qualitative analysis. JMIR Hum Factors. 2018;5(1):e4.CrossRef
26.
Brenner SK, Kaushal R, Grinspan Z, Joyce C, Kim I, Allard RJ, Delgado D, Abramson EL. Effects of health information technology on patient outcomes: a systematic review. J Am Med Inform Assn. 2016;23(5):1016–36.CrossRef
27.
Cipriano P, Hamer S. Enabling the ordinary: more time to care. Am Nurse Today. 2013;8(11):2–4.
28.
Kazmi Z. Effects of exam room EHR use on doctor-patient communication: a systematic literature review. J Innov Health Inform. 2014;21(1):30–9.
29.
Saranto K, Kinnunen UM, Kivekäs E, Lappalainen AM, Liljamo P, Rajalahti E, Hyppönen H. Impacts of structuring nursing records: a systematic review. Scand J Caring Sci. 2014;28(4):629–47.CrossRef
30.
Isfahani SS, Khajouei R, Jahanbakhsh M, Mirmohamadi M. The evaluation of hospital laboratory information management systems based on the standards of the American National Standard Institute. J Edu Health Promot. 2014;3:1–13.
31.
Peek ST, Wouters EJ, van Hoof J, Luijkx KG, Boeije HR, Vrijhoef HJ. Factors influencing acceptance of technology for aging in place: a systematic review. Int J Med Inform. 2014;83(4):235–48.CrossRef
32.
Lammers EJ, Adler-Milstein J, Kocher KE. Does health information exchange reduce redundant imaging? Evidence from emergency departments. Med Care. 2014;52(3):227–34.CrossRef
33.
Yusof MM. A case study evaluation of a critical care information system adoption using the socio-technical and fit approach. Int J Med Inform. 2015;84(7):486–99.CrossRef
34.
Dehghan Nayeri N, Mohammadi Firouzeh M, Seylani K. Nurses' experiences of the hospital information systems. J Hayat. 2015;20(4):5–18.
35.
Rahimipour M, Ghaiyoomi A, Alimohamadzadeh K. The relationship between hospital information system and psychological empowerment of hospital employees. Health Inf Manage. 2016;12:712–8.
36.
Çetin S, Ergün MA, Tekindal MA, Tekindal B, Tekindal M. A qualitative evaluation of the knowledge levels of nurses regarding informatics and health informatics: the case of Atatürk training and research hospital. Int J Caring Sci. 2015;8(3):555.
37.
Jahanbakhsh M, Sharifi M, Ayat M. The status of hospital information systems in Iranian hospitals. Acta Informatica. 2014;22(4):268.CrossRef
38.
Khajouei R, Wierenga P, Hasman A, Jaspers MW. Clinicians satisfaction with CPOE ease of use and effect on clinicians’ workflow, efficiency and medication safety. Int J Med Inform. 2011;80(5):297–309.CrossRef
39.
Zakane SA, Gustafsson LL, Tomson G, Loukanova S, Sié A, Nasiell J, Bastholm-Rahmner P. Guidelines for maternal and neonatal “point of care”: needs of and attitudes towards a computerized clinical decision support system in rural Burkina Faso. Int J Med Inform. 2014;83(6):459–69.CrossRef
40.
Blank A, Prytherch H, Kaltschmidt J, Krings A, Sukums F, Mensah N, Zakane A, Loukanova S, Gustafsson LL, Sauerborn R. “Quality of prenatal and maternal care: bridging the know-do gap”(QUALMAT study): an electronic clinical decision support system for rural sub-Saharan Africa. BMC Med Inform Decis Mak. 2013;13(1):44.CrossRef
Metadata
Title
Nurses’ experiences and viewpoints about the benefits of adopting information technology in health care: a qualitative study in Iran
Authors
Jamileh Farokhzadian
Reza Khajouei
Arie Hasman
Leila Ahmadian
Publication date
01-12-2020
Publisher
BioMed Central
Keyword
Care
Published in
BMC Medical Informatics and Decision Making / Issue 1/2020
Electronic ISSN: 1472-6947
DOI
https://doi.org/10.1186/s12911-020-01260-5

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