ArticleJournal of the American Medical Informatics Association : JAMIA2025
The impact of inpatient medication administration technologies on nursing autonomy and practice: a meta-ethnographic synthesis of the qualitative literature.
Article in Journal of the American Medical Informatics Association : JAMIA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
The trial behind it
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Who cites it
1 citing paper in PubMed.
- People and organizations: the human side of biomedical and health informatics.Journal of the American Medical Informatics Association : JAMIA · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo conduct a meta-ethnographic synthesis summarizing the overarching themes of the qualitative literature on nurse interaction with medication administration technologies (MAT) comprising electronic medication administration record (eMAR) and bar-coded medication administration (BCMA). MATERIALS AND
methodsWe searched scientific databases from their inception until September 23, 2024, resulting in 2270 unique articles, and extracted data from 27 articles. Scientific rigor was assessed by the Standards for Reporting Qualitative Research (SRQR) checklist. Noblit and Hare's methodology was used to conduct a meta-ethnography to identify and interpret emergent themes.
resultsSRQR revealed low-to-medium methodological quality and theoretical framing of the literature. We found 6 overarching themes connecting MAT with nursing work: (1) View of the MAT system as mechanistic and invariant vs living and co-evolving with its users drives the research approach; (2) MAT limits nurse autonomy; (3) MAT unnaturally splits the medication administration workflow; (4) Nurses must manage MAT challenges at the sharp end; (5) MAT does not align with social dependencies of nursing work; and (6) MAT increases perceived safety but can also result in new types of errors. DISCUSSION: MAT does not support key cognitive work that nurses must perform to maintain safety. Additionally, MAT can impede problem solving during medication management and limit nursing autonomy that is essential for safe medication administration.
conclusionRecommendations based in human factors engineering recognizing how MAT design impacts nursing work and workload are essential in improving the fit of MAT to nurse cognitive workflows.
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Registered trials
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