Evidence map›Paper›PMID 36443738›Full record

ArticleBMC medical informatics and decision making2022

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

Yue Zhai, Zhenghong Yu, Qi Zhang, Wei Qin, Chun Yang, Yuxia Zhang

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In one paragraph

Article in BMC medical informatics and decision making, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yue ZhaiSchool of Nursing, Fudan University, Shanghai, China.
Zhenghong YuDepartment of Nursing, Zhongshan Hospital, Fudan University, Shanghai, China.
Qi ZhangDepartment of Nursing, Zhongshan Hospital, Fudan University, Shanghai, China.
Wei QinDepartment of Nursing, Zhongshan Hospital, Fudan University, Shanghai, China.
Chun YangDepartment of Information, Zhongshan Hospital, Fudan University, Shanghai, China.
Yuxia ZhangSchool of Nursing, Fudan University, Shanghai, China. zhang.yuxia@zs-hospital.sh.cn.

Funding

the Nursing research subproject of Chinese Health Talent Training Project 2019-HLYJ-010
6 · The paper itself

Abstract

backgroundNursing information systems embedded with standardized nursing language and clinical decision support have been increasingly introduced in health care settings. User experience is key to the adoption of health information technologies. Despite extensive research into the user experience with nursing information systems, few studies have focused on the interaction between user, technology and organizational attributes during its implementation. Guided by the human, organization and technology-fit framework, this study aimed to investigate nurses' perceptions and experiences with transition to a new nursing information system (Care Direct) 2 years after its first introduction.

methodsThis is a mixed-method study using an embedded design. An online survey was launched to collect nurses' self-reported use of the new system, perceived system effectiveness and experience of participation in system optimization. Twenty-two semi structured interviews were conducted with twenty nurses with clinical or administrative roles. The quantitative and qualitative data were merged using the Pillar Integration Process.

resultsThe average score of system use behavior was 3.76 ± 0.79. Regarding perceived system effectiveness, the score of each dimension ranged 3.07-3.34 out of 5. Despite large variations in approaches to participating in system optimization, nurses had generally positive experiences with management and technical support. Eight main categories emerged from the integrated findings, which were further condensed into three themes: perceptions on system content, structure, and functionality; perceptions on interdisciplinary and cross-level cooperation; and embracing and accepting the change.

conclusionsEffective collaboration between clinicians, administrators and technical staff is required during system promotion to enhance system usability and user experience. Clear communication of organizational missions to staff and support from top management is needed to smooth the system implementation process and achieve broader system adoption.

Indexed as

Data AccuracySoftwareHumansInformation SystemsSelf ReportTechnologyClinical decision support systemsHospital information systemNursing informaticsQualitative researchUsabilityUser-centered design

Identifiers

PMID36443738
PMCPMC9703774

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.