Attitudes of nurses towards clinical information systems: a systematic review and meta-analysis.
Clinical Information System
Electronic Health Records
Hospital
Information Technology
Iran
Meta-Analysis
Nursing
Systematic Review
Journal
International nursing review
ISSN: 1466-7657
Titre abrégé: Int Nurs Rev
Pays: England
ID NLM: 7808754
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
revised:
15
05
2020
received:
31
10
2019
accepted:
19
05
2020
pubmed:
2
7
2020
medline:
26
11
2021
entrez:
2
7
2020
Statut:
ppublish
Résumé
This systematic review and meta-analysis evaluates the attitudes of Iranian nurses towards clinical information systems in nursing practice. Nurses are essential in the successful adoption and implementation of clinical information systems. A systematic search was performed in Medline, Embase, Cochrane, CINAHL, Scopus, and Web of Science and Farsi databases, to retrieve relevant studies. The methodological quality of the studies is assessed via the Joanna Briggs Institute's critical appraisal checklist for analytical cross-sectional studies. The random effect model was utilized to analyse the data due to the high heterogeneity in the included studies (n = 17). Results indicate that clinical information systems impact on at least seven aspects of nursing practice, including documentation, patient safety, quality of treatment, communication, treatment management, nursing tasks and hospital resource management. Results also indicated that one aspect of using clinical information systems in nursing practice is satisfaction with the 'quality and design of clinical information systems', such as ease of use and learning, flexibility and software speed. Clinical information systems can contribute to different aspects of nursing practice. However, their design should improve significantly in order to help nurses perform their professional activities in an efficient and satisfactory manner. Before the full deployment of clinical information systems, their usability should be tested. In pilot testing, nurses should provide necessary feedback about how well the systems work and improvements needed to meet their professional goals.
Sections du résumé
AIM
OBJECTIVE
This systematic review and meta-analysis evaluates the attitudes of Iranian nurses towards clinical information systems in nursing practice.
BACKGROUND
BACKGROUND
Nurses are essential in the successful adoption and implementation of clinical information systems.
METHODS
METHODS
A systematic search was performed in Medline, Embase, Cochrane, CINAHL, Scopus, and Web of Science and Farsi databases, to retrieve relevant studies. The methodological quality of the studies is assessed via the Joanna Briggs Institute's critical appraisal checklist for analytical cross-sectional studies. The random effect model was utilized to analyse the data due to the high heterogeneity in the included studies (n = 17).
RESULTS
RESULTS
Results indicate that clinical information systems impact on at least seven aspects of nursing practice, including documentation, patient safety, quality of treatment, communication, treatment management, nursing tasks and hospital resource management. Results also indicated that one aspect of using clinical information systems in nursing practice is satisfaction with the 'quality and design of clinical information systems', such as ease of use and learning, flexibility and software speed.
CONCLUSION
CONCLUSIONS
Clinical information systems can contribute to different aspects of nursing practice. However, their design should improve significantly in order to help nurses perform their professional activities in an efficient and satisfactory manner.
IMPLICATIONS FOR NURSING POLICY
CONCLUSIONS
Before the full deployment of clinical information systems, their usability should be tested. In pilot testing, nurses should provide necessary feedback about how well the systems work and improvements needed to meet their professional goals.
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
59-66Informations de copyright
© 2020 International Council of Nurses.
Références
AbuMustafa, A.M. & Jaber, M. (2019) Factor affecting medical errors reporting among medical team in pediatric hospitals in Gaza governorate. Journal of Medical Research and Health Sciences, 2 (11), 794-801.
Agharezaei, Z., et al. (2014) Attitude of Iranian physicians and nurses toward a clinical decision support system for pulmonary embolism and deep vein thrombosis. Computer Methods and Programs in Biomedicine, 115 (2), 95-101.
Ahmadian, L., Dorosti, N., Khajouei, R. & Gohari, S.H. (2017) Challenges of using Hospital Information Systems by nurses: comparing academic and non-academic hospitals. Electronic Physician, 9 (6), 4625.
Akhu-Zaheya, L., Al-Maaitah, R. & Bany Hani, S. (2018) quality of nursing documentation: Paper-based health records versus electronic-based health records. Journal of Clinical Nursing, 27 (3-4), 578-589.
Alanazi, B., Butler-Henderson, K., Siddiqui, N. & Greenfield, D. (2018) An exploration of the effect of age, experience and training on the EHR role in reducing medical errors: perceptions of health professionals. Proceedings of the HIMAA/NCCH 35th National Conference, Health Information Management: Engaging the Next Generation. Health Information Management Association of Australia Ltd. available from: http://ecite.utas.edu.au/134946
Aldosari, B., Al-Mansour, S., Aldosari, H. & Alanazi, A. (2018) Assessment of factors influencing nurses acceptance of electronic medical record in a Saudi Arabia hospital. Informatics in Medicine Unlocked, 10, 82-88.
Alsulami, Z., Conroy, S. & Choonara, I. (2013) Medication errors in the Middle East countries: a systematic review of the literature. European Journal of Clinical Pharmacology, 69 (4), 995-1008.
Ammenwerth, E., et al. (2011) Effect of a nursing information system on the quality of information processing in nursing: An evaluation study using the HIS-monitor instrument. International Journal of Medical Informatics, 80 (1), 25-38.
Bishop, R.O., Patrick, J. & Besiso, A. (2015) Efficiency achievements from a user-developed real-time modifiable clinical information system. Annals of Emergency Medicine, 65 (2), 133-142.
Booth, R., et al. (2018) Evaluating a serious gaming electronic medication administration record system among nursing students: Protocol for a pragmatic randomized controlled trial. JMIR Research Protocols, 7 (5), 138.
Bravetti, C., et al. (2018) A nursing clinical information system for the assessment of the complexity of care. Annali di Igiene: Medicina Preventiva e Di Comunita, 30 (5), 410-420.
Cahan, A. & Cimino, J.J. (2017) A learning health care system using computer-aided diagnosis. Journal of Medical Internet Research, 19 (3), 1-12.
Chen, R.-F. & Hsiao, J.-L. (2012) An investigation on physicians’ acceptance of hospital information systems: a case study. International Journal of Medical Informatics, 81 (12), 810-820.
Chow, S.K., et al. (2012) Nurses’ perceptions and attitudes towards computerisation in a private hospital. Journal of Clinical Nursing, 21 (11-12), 1685-1696.
Christiansen, L., Fagerström, C. & Nilsson, L. (2017) Nurses’ use and perception of an information and communication technology system for improving coordination during hospital discharges: a survey in swedish primary healthcare. CIN. Computers, Informatics, Nursing, 35 (7), 358-363.
Degoulet, P., Luna, D. & de Quiros, F. (2017) Clinical information systems. Elsevier, Global Health Informatics, pp. 129-151. https://doi.org/10.1016/B978-0-12-804591-6.00007-0
Dehghani, M., Hayavie Haghighi, M., Kianpory, S. & Sheibani, B. (2014) Relationships between social capital organizational citizenship behavior and job satisfaction among nursing staff. Nursing Management, 3 (1), 35-44.
Fang, Y.-W., Li, C.-P. & Wang, M.-H. (2016) The development and evaluation of a nursing information system for caring clinical in-patient. Technology and Health Care, 24 (1), 401-406.
De Groot, K., Triemstra, M., Paans, W. & Francke, A.L. (2019) Quality criteria, instruments, and requirements for nursing documentation: A systematic review of systematic reviews. Journal of Advanced Nursing, 75 (7), 1379-1393.
Hsu, H.-H. & Wu, Y.-H. (2017) Investigation of the effects of a nursing information system by using the technology acceptance model. CIN. Computers, Informatics, Nursing, 35 (6), 315-322.
Huryk, L.A. (2010) Factors influencing nurses’ attitudes towards healthcare information technology. Journal of Nursing Management, 18 (5), 606-612.
Janols, R., Lind, T., Göransson, B. & Sandblad, B. (2014) Evaluation of user adoption during three module deployments of region-wide electronic patient record systems. International Journal of Medical Informatics, 83 (6), 438-449.
Kahouei, M., et al. (2014) Nurses’ perceptions of usefulness of nursing information system: module of electronic medical record for patient care in two university hospitals of Iran. Materia Socio-Medica, 26 (1), 30-38.
Kaipio, J., et al. (2020) Physicians’ and nurses’ experiences on EHR usability: Comparison between the professional groups by employment sector and system brand. International Journal of Medical Informatics, 134, 1-9.
Khajouei, R. & Abbasi, R. (2017) Evaluating nurses' satisfaction with two nursing information systems. CIN: Computers, Informatics, Nursing, 35 (6), 307-314.
Khammarnia, M., et al. (2016) Designing computerized provider order entry software in Iran: The nurses’ and physicians’ viewpoints. CIN: Computers, Informatics, Nursing, 34 (9), 413-420.
Lin, H.-C. (2017) Nurses' satisfaction with using nursing information systems from technology acceptance model and information systems success model perspectives: a reductionist approach. CIN: Computers, Informatics, Nursing, 35 (2), 91-99.
Madathil, K.C., et al. (2013) An investigation of the efficacy of electronic consenting interfaces of research permissions management system in a hospital setting. International Journal of Medical Informatics, 82 (9), 854-863.
McNicol, L., et al. (2018) An exploration of patients’ experience of nurses’ use of point-of-care information technology in acute care. Patient Experience Journal, 5 (1), 76-89.
Moghaddasi Hamid (2017) The Influence of Informatics on Nursing Care and Professional Development. JOJ NHC, 4 (3), 1-3. https://doi.org/10.19080/jojnhc.2017.04.555639
Moghaddasi, H., Rabiei, R., Asadi, F. & Ostvan, N. (2017) Evaluation of nursing information systems: Application of usability aspects in the development of systems. Healthcare Informatics Research, 23 (2), 101-108.
Moola, S., Munn, Z., Tufanaru, C., Aromataris, E., Sears, K., Sfetcu, R., Currie, M., Qureshi, R., Mattis, P., Lisy, K. & Mu, P.-F. (2017) Chapter 7: Systematic reviews of etiology and risk. In: Aromataris, E. & Munn, Z. (Editors). Joanna Briggs Institute Reviewer's Manual. The Joanna Briggs Institute, Adelaide, Australia. Available at: https://wiki.joannabriggs.org/display/MANUAL/Chapter+7%3A+Systematic+reviews+of+etiology+and+risk
Morris, M. & Fernandez, A. (2019) Quantity of documentation by nursing students using paper and educational electronic medical record system. Nurse Educator, 44 (6), 293-294.
Nakate, G., Dahl, D., Drake, K.B. & Petrucka, P. (2015) Knowledge and attitudes of select Ugandan nurses towards documentation of patient care. African Journal of Nursing and Midwifery, 2 (1), 55-65. Available from: https://www.semanticscholar.org/paper/Knowledge-and-Attitudes-of-Select-Ugandan-Nurses-of-Nakate-Dahl/0873debf42470057cf408f153775f924be4249e8.
Nguyen, L., et al. (2017) Exploring nurses’ reactions to electronic nursing documentation at the point of care. Information Technology & People, 30 (4), 809-831.
Ologeanu-Taddeï, R., Morquin, D. & Bourret, R. (2015) Understanding the perceived usefulness and the ease of use of a hospital information system: the case of a French university hospital. Studies in Health Technology and Informatics, 210, 531-535.
Piscotty, R.J., Kalisch, B. & Gracey-Thomas, A. (2015) Impact of healthcare information technology on nursing practice. Journal of Nursing Scholarship, 47 (4), 287-293.
Rahkar Farshi, M., Jebreili, M. & Abdinia, B. (2015) Comparison of Manual and Electronic Methods of Nursing Record: A Nurse's Perspective. International Journal of Pediatrics, 3 (1.1), 367-373. https://doi.org/10.22038/IJP.2015.3593.
Renolen, Å., et al. (2018) “Keeping on track”-Hospital nurses’ struggles with maintaining workflow while seeking to integrate evidence-based practice into their daily work: A grounded theory study. International Journal of Nursing Studies, 77, 179-188.
Salehinajad, S., Ahmaidn, L. & Khajouei, R. (2014) Effects of health information systems in iran: A systematic review. Journal of. Health Information Management, 11 (2), 270-284. (in persian). Available from: http://him.mui.ac.ir/index.php/him/article/view/1294/2740.
Sarbaz, M., Kimiafar, K. & Nazari, E. (2018) The perspective of nurses on nursing information system: a case study in a developing country. Studies in Health Technology and Informatics, 247, 431-435. https://doi.org/10.3233/978-1-61499-852-5-431
Sharifian, R., Askarian, F., Nematolahi, M. & Farhadi, P. (2014) Factors influencing nurses' acceptance of hospital information systems in Iran: application of the Unified Theory of Acceptance and Use of Technology. Health Information Management Journal, 43 (3), 23-28.
Shield, R.R., et al. (2010) Gradual electronic health record implementation: new insights on physician and patient adaptation. The Annals of Family Medicine, 8 (4), 316-326.
Staudinger, B., Staudinger, O., Them, C. & Ostermann, H. (2007) Succesfull implementation of electronic nursing documentation into practice. Canadian Nursing Informatics Journal, 2 (2), 7-19. Available at: http://cjni.net/V2_N2/BStaudinger.pdf
Stevenson, J.E. & Nilsson, G. (2012) Nurses’ perceptions of an electronic patient record from a patient safety perspective: a qualitative study. Journal of Advanced Nursing, 68 (3), 667-676.
Sultan, F., et al. (2014) Development of an in-house hospital information system in a hospital in Pakistan. International Journal of Medical Informatics, 83 (3), 180-188.
Vedel, I., et al. (2012) Healthcare professionals’ adoption and use of a clinical information system (CIS) in primary care: Insights from the Da Vinci study. International Journal of Medical Informatics, 81 (2), 73-87.
Ye, Q., et al. (2019) Using electronic health records data to evaluate the impact of information technology on improving health equity: Evidence from china. Journal of Medical Systems, 43 (6), 176-184.