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Emotional aspects of computer-based provider order entry: a qualitative study
Dean F Sittig1, Michael Krall, Joann Kaalaas-Sittig
1Department of Medical Informatics, Northwest Permanente, P.C., Center for Health Research, 3800 N. Interstate Ave., Portland, OR 97227, USA. dean.f.sittig@kp.org
Summary
Computer-based provider order entry (CPOE) systems evoke strong emotions during implementation. Negative emotional responses are most common, potentially hindering CPOE adoption in healthcare settings.
Area of Science:
- Health Informatics
- Human-Computer Interaction
- Healthcare Management
Background:
- Computer-based provider order entry (CPOE) systems are designed to enhance healthcare efficiency and accuracy.
- However, CPOE implementation and use are frequently associated with significant emotional responses from clinicians.
Purpose of the Study:
- This qualitative research aimed to investigate the range of emotions experienced by healthcare professionals during CPOE implementation and utilization.
- The study sought to understand the emotional landscape surrounding these critical health IT systems.
Main Methods:
- A secondary analysis was conducted on existing qualitative data, including interviews and observations from over 50 individuals.
- Three researchers systematically identified and thematically analyzed quotes related to emotional responses to CPOE.
- A validated hierarchical taxonomy of emotions was used to classify the identified themes.
Main Results:
- The implementation and use of CPOE systems elicited a spectrum of emotions, encompassing positive, negative, and neutral responses.
- Negative emotional responses were overwhelmingly the most prevalent category observed across all participants and settings.
- Specific CPOE features and implementation strategies were linked to heightened negative emotions.
Conclusions:
- The design and implementation of CPOE systems are complex and emotionally charged processes.
- Failure to acknowledge and address the intense emotions, particularly negative ones, can impede the routine integration of CPOE into clinical workflows.
- Incorporating positive feedback mechanisms for both CPOE systems and organizational strategies may help mitigate negative emotional impacts and improve system adoption.