Systematic Review of Factors Influencing the Adoption of Information and Communication Technologies by Healthcare Professionals

In the citing paper

“Concerns about reduced autonomy or trust, independence of practice or inability to practise to full scope were all shown to impede implementation [16, 31, 35, 39, 54, 55].”

In the citing paper

“Conflict with patient expectations [75] and concerns about patient and health professional interaction, for example, when using the new information system, nurses spent more time on documentation than on direct care [31], could lead to a decrease in acceptability of an intervention and subsequently impede implementation.”

In the citing paper

“a lack of confidence in one’s own ability to carry out specific tasks and the feeling of not having authority or enough influence to change or carry out the procedures were found to impede implementation [31, 66].”

In the citing paper

“support to perform additional data entry or deal with paperwork [31, 67, 71, 72] were reported as barriers.”

In the citing paper

“Competing priorities [42, 57, 59, 62, 63, 70, 82], lack of motivation [31, 39, 42, 57, 68, 81] and low awareness of the intervention [31, 35, 38, 39, 43, 44, 68, 75, 80, 81] were shown to impede implementation.”

In the citing paper

“competencies, e.g. adequate training and good computer experience/skills were shown to facilitate implementation [16, 17, 31, 32, 34, 41, 42, 44, 54–58, 60, 67, 70, 77, 80, 81, 84–86].”

In the citing paper

“Additional workload caused by the implementation of new complex interventions was also found to hinder adoption [17, 31, 44, 54, 66, 81, 84].”

In the citing paper

“The availability, or lack thereof, of time to learn new e-health systems, implement them [25, 37, 53] and train staff to use them [49] was reported by several studies as a resource factor important for implementation.”

In the citing paper

“Access to ongoing support to use systems was important for system use [21, 25, 28, 31, 37, 39, 43, 54] and a barrier to implementation when it was lacking [21].”

In the citing paper

“Management support is also important for implementation success [25, 37, 50, 54].”

In the citing paper

“Education was reported to increase staff acceptance of e-health systems [16, 25, 41, 45] including education around anticipated benefits and when those benefits could be expected [54].”

In the citing paper

“A frequent reason for unsuccessful implementation is that the information systems do not fit well with work practices or daily clinical work [25].”

In the citing paper

“Alterations to workflows created by the introduction of e-health systems may also disrupt established professional roles, responsibilities [16, 20, 25, 36, 55] and working styles [18].”

In the citing paper

“Healthcare professionals’ computer skills, abilities and experience were cited by several studies as influencing implementation and acceptance of e-health systems [16, 18, 25, 28, 34, 36, 37, 41, 43, 52, 57].”

In the citing paper

“The designation of champions [18, 20, 25, 29, 31, 32, 36, 37, 39, 51, 54, 58] may be important for implementation success.”

In the citing paper

“The attitudes of colleagues [25, 41] and patients [25, 27, 41] were also reported to influence staff attitudes with regard to e-health acceptance as were staff demographic factors [23, 46, 56].”

In the citing paper

“Training [25, 37, 43] and financial incentives [37] were cited as strategies to overcome skill-related barriers.”

In the citing paper

“The foundation of the framework is based on the aforementioned principles, reviews in the field of eHealth [2,3,22,96-99], progressive insights from eHealth research (see Multimedia Appendix 4), and multidisciplinary theories from psychology, communication, and human–computer interaction design.”