Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Effectiveness of polyhexanide, chlorhexidine with neomycin and mupirocin for nasal methicillin-resistant Staphylococcus aureus (MRSA) decolonisation: non-inferiority RCT (TIDE).

Health technology assessment (Winchester, England)·2026
Same author

Identifying innovative models of urgent care in rural coastal areas in England: the Elevate study - a mixed-methods protocol.

BMJ open·2026
Same author

In my hands, in my theatre, in spite of evidence-The implementation gap in surgery.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2026
Same author

Evaluation of Nurse-Managed Heparin Nomogram Adherence After Implementation of an Electronic Health Record-Embedded Heparin Calculator: An Antithrombotic Stewardship Initiative.

The Annals of pharmacotherapy·2025
Same author

Effectiveness of Safe and Well Visits in reducing falls and improving quality of life among older people: The FIREFLI RCT.

Public health research (Southampton, England)·2025
Same author

Development and implementation of autoverification best practices.

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists·2025

Related Experiment Video

Updated: Mar 9, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
07:31

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

8.2K

Exploring the implementation of an electronic record into a maternity unit: a qualitative study using Normalisation

Arabella Scantlebury1, Laura Sheard2, Ian Watt3

  • 1York Trials Unit, Department of Health Sciences, University of York, York, YO10 5DD, UK. Arabella.scantlebury@york.ac.uk.

BMC Medical Informatics and Decision Making
|January 8, 2017
PubMed
Summary

Implementing electronic record systems (ERS) in healthcare presents significant barriers. Staff understanding and perceived benefits are crucial for ERS normalization, impacting clinical practice and patient safety.

Keywords:
BenefitsElectronic recordsImplementationMaternityNormalisation Process TheoryPatient safety

More Related Videos

Preterm EEG: A Multimodal Neurophysiological Protocol
19:32

Preterm EEG: A Multimodal Neurophysiological Protocol

Published on: February 18, 2012

29.1K
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
14:43

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

13.7K

Related Experiment Videos

Last Updated: Mar 9, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
07:31

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

8.2K
Preterm EEG: A Multimodal Neurophysiological Protocol
19:32

Preterm EEG: A Multimodal Neurophysiological Protocol

Published on: February 18, 2012

29.1K
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
14:43

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

13.7K

Area of Science:

  • Health Informatics
  • Healthcare Management
  • Clinical Systems Implementation

Background:

  • Electronic record systems (ERS) are increasingly adopted in healthcare settings.
  • Understanding the normalization process of ERS is crucial for successful implementation.
  • Barriers and benefits of ERS in routine practice require thorough investigation.

Purpose of the Study:

  • To explore the benefits, barriers, and disadvantages of implementing an electronic record system (ERS).
  • To assess the extent to which ERS has become normalized into routine healthcare practice.

Main Methods:

  • Qualitative semi-structured interviews with 19 NHS staff members (doctors, midwives, healthcare assistants) in a maternity unit.
  • Thematic analysis of interview data collected during the first year of phased ERS implementation.
  • Utilized Normalization Process Theory (NPT) mechanisms (coherence, cognitive participation, collective action, reflexive monitoring) as a theoretical framework.

Main Results:

  • Mixed understanding of ERS rationale; many staff were unclear about its purpose.
  • Engagement with ERS depended on training, support, and willingness to transition from paper records.
  • Perceived negative impacts on patient-clinician relationships, time, and patient safety were reported.
  • Lack of system integration and parallel use of paper hindered ERS adoption.

Conclusions:

  • ERS implementation yielded limited clinical benefits and significant perceived disadvantages.
  • Successful embedding of ERS into routine practice is a complex and lengthy process.
  • Identifying implementation barriers can streamline ERS adoption and prevent detriments to clinical services.