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The Imperative of Solving Nurses' Usability Problems With Health Information Technology.

Nancy Staggers1, Beth L Elias, Ellen Makar

  • 1Author Affiliations: President and Summit Health Informatics and Adjunct Professor (Dr Staggers), Department of Biomedical Informatics and College of Nursing, University of Utah, Salt Lake City; Associate Professor (Dr Elias), School of Nursing, Virginia Commonwealth University, Richmond; Senior Director (Dr Makar), Professional Practice, INOVA Fairfax Hospital, Virginia; and Professor (Dr Alexander), School of Nursing, University of Missouri Sinclair, Columbia.

The Journal of Nursing Administration
|March 24, 2018
PubMed
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Nurses face significant health information technology (IT) usability challenges impacting patient care and healthcare operations. Addressing these requires greater nursing input in IT design and development.

Area of Science:

  • Health Informatics
  • Human-Computer Interaction
  • Nursing Practice

Background:

  • Usability issues in health information technology (IT) are a primary concern for nursing professionals and executives.
  • These challenges significantly affect the quality of care and operational efficiency within healthcare settings.

Purpose of the Study:

  • To identify specific usability pain points encountered by nurses using health IT.
  • To assess the impact and significance of these usability challenges.
  • To explore responsibilities and propose solutions for enhancing the nurse-IT user experience.

Main Methods:

  • Conducted semistructured interviews with 27 experts, including nursing leaders, informaticists, executives, engineers, researchers, and human factors specialists.
  • Included participants from acute care, long-term care, and vendor environments.

Related Experiment Videos

  • Utilized content analysis to identify recurring themes from the interview data.

    • Main Results:

    • Four major themes emerged: user experience pain points, the importance of these issues, a perceived responsibility gap, and the need for action on usability.
    • Identified specific usability challenges that nurses face daily.
    • Highlighted the gap in responsibility for addressing and resolving these IT usability problems.

    Conclusions:

    • Persistent health IT usability issues negatively affect patients, nurses, and healthcare organizations.
    • Recommended solutions include amplifying nursing voices nationally and locally, developing digital strategies for nursing, incentivizing IT usability improvements, and better integrating nurses' work into IT design.