ArticleBMC medical informatics and decision making2021
Factors associated with nurses' user resistance to change of electronic health record systems.
Article in BMC medical informatics and decision making, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Impact of Digital Hospitals on Patient and Clinician Experience: Systematic Review and Qualitative Evidence Synthesis.Journal of medical Internet research · 2024Pooled it
- Telemedicine Adoption Among Health Care Professionals in Israeli Geriatric Medical Centers: Moderated Mediation Cross-Sectional Questionnaire Study.JMIR human factors · 2026Article
- Context-Dependent Challenges in Nurse Migration: A Qualitative Study of Malaysian Nurses in Singapore, Saudi Arabia and Brunei.International nursing review · 2026Article
- Article
- Using a quality improvement framework to evaluate the feasibility of implementing a patient-reported outcome measure for recovery in an office-based treatment setting for opioid use disorder.Addiction science & clinical practice · 2025Article
- Treatment Preferences of Neurologists in Generalized Myasthenia Gravis: A Conjoint Analysis Study.Neurology and therapy · 2025Article
- ACHO virtual assistant and digital care delivery for treatment adherence: a qualitative study of care practices and representations among nursing professionals.BMC nursing · 2025Article
- Digitally dedicated nurses: a nationwide cross-sectional study of associated career and digital factors in the workplace.BMC health services research · 2025Article
- META-Measurement for Evolution, Transformation, and Autorealization: A New Assessment Protocol.Behavioral sciences (Basel, Switzerland) · 2025Article
- Ranking Nursing Diagnoses by Predictive Relevance for Intensive Care Unit Transfer Risk in Adult and Pediatric Patients: A Machine Learning Approach with Random Forest.Healthcare (Basel, Switzerland) · 2025Article
- Digital ethical reflection in home nursing care: Nurse leaders' and nurses' experiences.Nursing ethics · 2025Article
- Nurses' Perception towards Electronic Medical Records System: An Integrative Review of Barriers and Facilitators.Iranian journal of public health · 2025Review
- Article
- Development and validation of an instrument to evaluate the perspective of using the electronic health record in a hospital setting.BMC medical informatics and decision making · 2024Article
- Evaluation of Digitalisation in Healthcare and the Quantification of the "Unmeasurable".Journal of general internal medicine · 2023Article
- Reasons for resistance to change in nursing: an integrative review.BMC nursing · 2023Article
- Nurses' Attitudes and Factors Affecting Use of Electronic Health Record in Saudi Arabia.Healthcare (Basel, Switzerland) · 2023Article
- Nursing Informatics' Contribution to One Health.Yearbook of medical informatics · 2023Article
- The Integrated Electronic Health System in Iranian health centers: benefits and challenges.BMC primary care · 2023Article
- Satisfied or not satisfied? Electronic health records system implementation in Ghana: Health leaders' perspective.BMC medical informatics and decision making · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElectronic health record (EHR) systems often face user resistance in hospitals, which results in a failure to acquire their full benefits. To implement the EHR successfully, it is crucial to reduce nurses' resistance to use the system. This study aimed to investigate the factors associated with nurses' resistance to use the EHR system.
methodsA descriptive correlational study was conducted with nurses working at four university hospitals in Korea using self-administered questionnaires to measure user resistance behavior, resistance to change, perceived usefulness, perceived ease of use, perceived value, colleagues' opinions, self-efficacy for change, and organizational support for change. Path analysis was performed to examine direct and indirect association with user resistance behavior.
resultsA total of 223 nurses completed the questionnaires. All seven factors were found to be significantly associated with user resistance, either directly or indirectly. The total effect on user resistance behavior was highest in resistance to change (0.65), followed by perceived usefulness (- 0.33); both had direct but no indirect effects. Conversely, self-efficacy for change (- 0.25), perceived value (- 0.21), colleagues' opinions (- 0.16), perceived ease of use (- 0.16), and organizational support for change (- 0.05) had indirect but no direct effects.
conclusionsThe study examined the factors associated with nurses' user resistance behavior after the implementation of a new EHR system. These findings could help hospitals develop better EHR implementation strategies to reduce user resistance behavior among the nursing staff.
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