Transition to a new nursing information system embedded with clinical decision support: a mixed-method study using...

Area of Science:

• Health Informatics
• Nursing Technology
• Human-Computer Interaction

Background:

• Nursing information systems (NIS) with standardized language and decision support are increasingly used.
• User experience (UX) is critical for adopting health information technologies.
• Few studies examine the interplay of user, technology, and organizational factors during NIS implementation.

Purpose of the Study:

• To investigate nurses' perceptions and experiences transitioning to a new nursing information system (Care Direct) 2 years after its initial introduction.
• To apply the human, organization, and technology-fit framework to understand NIS implementation.
• To identify factors influencing the adoption and usability of nursing information systems.

Main Methods:

• A mixed-method study with an embedded design was employed.
• Quantitative data collected via online surveys on system use, effectiveness, and participation.
• Qualitative data gathered through semi-structured interviews with 20 nurses.
• Data integration using the Pillar Integration Process.

Main Results:

• Nurses reported average system use behavior (3.76/5) and moderate perceived system effectiveness (3.07-3.34/5).
• Positive experiences were noted with management and technical support.
• Key themes included perceptions of system content/structure/functionality, interdisciplinary cooperation, and change acceptance.

Conclusions:

• Effective collaboration among clinicians, administrators, and IT staff is crucial for enhancing NIS usability and UX.
• Clear communication of organizational goals and strong top management support are vital for smooth implementation and system adoption.
• Addressing user, technology, and organizational factors is key to successful nursing information system integration.