Evidence map›Paper›PMID 39008341›Full record

ArticleJournal of medical Internet research2024

The Paradoxes of Digital Tools in Hospitals: Qualitative Interview Study.

Marie Wosny, Livia Maria Strasser, Janna Hastings

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
  2. Digital Transformation in Health Care: Are We on the Right Track?Journal of medical Internet research · 2026
    Article
  3. Article
  4. Article
  5. Article
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  7. Article
  8. Building the future of ICU care: Is our digital foundation strong enough? A multicentre survey of Australian and New Zealand intensive care units.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2025
    Article
  9. Review
  10. Article
  11. Article
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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

3 authors.

Marie WosnySchool of Medicine, University of St Gallen, St.Gallen, Switzerland.ORCID 0009-0000-2791-0774
Livia Maria StrasserSchool of Medicine, University of St Gallen, St.Gallen, Switzerland.ORCID 0009-0004-3664-5596
Janna HastingsSchool of Medicine, University of St Gallen, St.Gallen, Switzerland.ORCID 0000-0002-3469-4923

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital tools are progressively reshaping the daily work of health care professionals (HCPs) in hospitals. While this transformation holds substantial promise, it leads to frustrating experiences, raising concerns about negative impacts on clinicians' well-being.

objectiveThe goal of this study was to comprehensively explore the lived experiences of HCPs navigating digital tools throughout their daily routines.

methodsQualitative in-depth interviews with 52 HCPs representing 24 medical specialties across 14 hospitals in Switzerland were performed.

resultsInductive thematic analysis revealed 4 main themes: digital tool use, workflow and processes, HCPs' experience of care delivery, and digital transformation and management of change. Within these themes, 6 intriguing paradoxes emerged, and we hypothesized that these paradoxes might partly explain the persistence of the challenges facing hospital digitalization: the promise of efficiency and the reality of inefficiency, the shift from face to face to interface, juggling frustration and dedication, the illusion of information access and trust, the complexity and intersection of workflows and care paths, and the opportunities and challenges of shadow IT.

conclusionsOur study highlights the central importance of acknowledging and considering the experiences of HCPs to support the transformation of health care technology and to avoid or mitigate any potential negative experiences that might arise from digitalization. The viewpoints of HCPs add relevant insights into long-standing informatics problems in health care and may suggest new strategies to follow when tackling future challenges.

Indexed as

Qualitative ResearchDelivery of Health CareFemaleHealth PersonnelHospitalsHumansInterviews as TopicMaleSwitzerlandWorkflowclinical information systemsclinician burnoutdigital tooldigital toolsexperiencefrustrationhealth carehealth care information technologyhealth care professionalshealth care technologyhospitalhospital information technologyhospitalsinterviewinterviewsparadoxesqualitative interview studySwitzerlandtechnology implementationthematic analysis

Identifiers

PMID39008341
PMCPMC11287097

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.