From Mandate to Normalization: Evaluating the Embedding of an Electronic Medication System into Clinical Practice

Digital medication systems aim to reduce medication errors and enhance patient safety. This study examines the early integration of a mandatory electronic medication system. Using the NoMAD questionnaire based on Normalization Process Theory (NPT), we analyzed perceived normalization among hospital staff and explored differences by profession and work experience. A total of 153 valid responses were included. Descriptive analyses showed that mean scores across the four NPT constructs were above the scale midpoint, indicating a general tendency toward agreement. Nurses reported significantly higher normalization scores than physicians (p < .01), while no association with work experience was observed. These findings emphasize the importance of profession-specific implementation strategies to support sustainable digital integration.