Hospital Information Technology Systems' Impact on Nurses and Nursing Care
Abstract
OBJECTIVE: We conducted a review of the literature to determine the impact of health information technologies (HITs) on nurses and nursing care. BACKGROUND: Nurses' effective use of HIT has the potential to produce a positive impact on nursing-sensitive patient outcomes, patient safety, and quality of care. METHODS: A review of the literature produced 564 unique references of which 74 were selected for review. RESULTS: Findings suggest that (1) HIT improves the quality of nursing documentation; (2) HIT reduces medication administration errors; (3) nurses are generally satisfied with HIT and have positive attitudes about it; and (4) nurse involvement in all stages of HIT design and implementation, and effective leadership throughout these processes, can improve HIT. CONCLUSION: HIT has had positive influences on nurse satisfaction and patient care. Effective nursing leadership can positively influence the effective development, dissemination, and use of HIT.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Positive staff attitudes were described as beliefs that new systems would benefit patients, interest in technologies, perceived usefulness, and motivation in working with the systems.
“Positive staff attitudes were described as: beliefs that the new systems would benefit patients [56], interest in the technologies, perceived usefulness and motivation in working with the systems [21].”
From Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) (2016) · cites this paper as [56]
Leadership engagement at all stages of development and implementation can help improve effective implementation of e-health systems.
“Leadership engagement at all stages of the development and implementation processes can help improve the effective implementation of e-health systems [43, 54, 56, 58]”
From Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) (2016) · cites this paper as [56]
Most studies conclude that no clear relationships between demographic characteristics and attitudes could be established.
“however, most studies conclude that no clear relationships between these characteristics and attitudes could be established [46, 56, 57].”
From Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) (2016) · cites this paper as [56]
Strategies to challenge negative attitudes include fostering a culture of communication and cooperation, involving eventual users in development and implementation, leadership, friendly and context-aware user interfaces, better education, and clearly communicating intended benefits and realistic expectations.
“Strategies to challenge negative attitudes included fostering a culture of communication and cooperation, involving the eventual users of systems in the development and implementation [20, 49], leadership [56], friendly and context-aware user interfaces which promote perceived ease of use and usefulness [21], better education [47], and clearly and prospectively communicating intended benefits and”
From Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update) (2016) · cites this paper as [56]
Cites
Chaudhry, B., Wang, J., Wu, S., Maglione, M., Mojica, W., Roth, E., Morton, S. C., & Shekelle, P. G. (2006) · Annals of Internal Medicine · doi:10.7326/0003-4819-144-10-200605160-00125 · Cited by 3,159 · see citing works
Poissant, L. (2005) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1700 · Cited by 901 · see citing works
Patterson, E. S., Cook, R. I., & Render, M. L. (2002) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1061 · Cited by 370 · see citing works
Improving quality through effective implementation of information technology in healthcare
Ovretveit, J., Scott, T., Rundall, T. G., Shortell, S. M., & Brommels, M. (2007) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzm031 · Cited by 204 · see citing works
Evaluating the Impact of Computerized Clinical Documentation
Smith, K., SMITH, V., Krugman, M. E., & Oman, K. S. (2005) · CIN Computers Informatics Nursing · doi:10.1097/00024665-200505000-00008 · Cited by 142 · see citing works
Vogelzang, M., Zijlstra, F., & Nijsten, M. W. (2005) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-5-38 · Cited by 139 · see citing works
A Randomized Evaluation of a Computer-Based Nursing Documentation System
Ronald Eichstädter, D., Haux, R., Pohl, U., Rebel, S., Ziegler, S., & Ammenwerth, E. (2001) · Methods of Information in Medicine · doi:10.1055/s-0038-1634465 · Cited by 128 · see citing works
DeYoung, J. L., VanderKooi, M. E., & Barletta, J. F. (2009) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp080355 · Cited by 115 · see citing works
Implementation of an electronic system for medication reconciliation
Kramer, J. S., Hopkins, P. J., Rosendale, J. C., Garrelts, J. C., Hale, L. S., Nester, T. M., Cochran, P., Eidem, L. A., & Haneke, R. D. (2007) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp060506 · Cited by 107 · see citing works
Alquraini, H., Alhashem, A. M., Shah, M. A., & Chowdhury, R. I. (2007) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2007.04113.x · Cited by 104 · see citing works
LARRABEE, J. H., Boldreghini, S., Elder-Sorrells, K., Turner, Z., Wender, R. G., Hart, J. M., & Lenzi, P. S. (2001) · PubMed · Cited by 87 · see citing works
Nursing Attitudes and Images of Electronic Patient Record Systems
Dillon, T. W., Blankenship, R. J., & Crews, T. (2005) · CIN Computers Informatics Nursing · doi:10.1097/00024665-200505000-00009 · Cited by 87 · see citing works
The impact of computerized documentation on nurses' use of time.
Pabst, M., Scherubel, J. C., & Minnick, A. F. (1996) · PubMed · Cited by 86 · see citing works
Review: evaluating information systems in nursing
Oroviogoicoechea, C., Elliott, B., & Watson, R. (2008) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2007.01985.x · Cited by 82 · see citing works
Effects of Computerized Provider Order Entry and Nursing Documentation on Workflow
Asaro, P. V., & Boxerman, S. B. (2008) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2008.00235.x · Cited by 82 · see citing works
Factors Affecting Electronic Health Record Adoption in Long-Term Care Facilities
Cherry, B., Carter, M., Owen, D., & Lockhart, C. (2008) · Journal for Healthcare Quality · doi:10.1111/j.1945-1474.2008.tb01133.x · Cited by 81 · see citing works
Gunningberg, L., Fogelberg‐Dahm, M., & Ehrenberg, A. (2009) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2008.02647.x · Cited by 81 · see citing works
Carayon, P., Smith, P. D., Hundt, A. S., Kuruchittham, V., & Qian, L. (2008) · Behaviour and Information Technology · doi:10.1080/01449290701628178 · Cited by 78 · see citing works
Effect of computerized charting on nursing activity in intensive care
Pierpont, G. L., & Thilgen, D. (1995) · Critical Care Medicine · doi:10.1097/00003246-199506000-00012 · Cited by 78 · see citing works
Written and Computerized Care Plans
Daly, J. M., Buckwalter, K., & Maas, M. (2002) · Journal of Gerontological Nursing · doi:10.3928/0098-9134-20020901-05 · Cited by 72 · see citing works
Staggers, N., & Kobus, D. (2000) · Journal of the American Medical Informatics Association · doi:10.1136/jamia.2000.0070164 · Cited by 72 · see citing works
Nurses' Satisfaction With Medication Administration Point-of-Care Technology
Hurley, A. C., Bane, A., Fotakis, S., et al. (2007) · JONA The Journal of Nursing Administration · doi:10.1097/01.nna.0000285114.60689.02 · Cited by 70 · see citing works
Effects of a Computer-based Nursing Documentation System on the Quality of Nursing Documentation
Mahler, C., Ammenwerth, E., Wagner, A., Tautz, A., Happek, T., Hoppe, B., & Ronald Eichstädter, D. (2007) · Journal of Medical Systems · doi:10.1007/s10916-007-9065-0 · Cited by 64 · see citing works
Information handling in the nursing discharge note
Hellesø, R. (2005) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2005.01235.x · Cited by 59 · see citing works
Automated Clinical Documentation
Banner, L., & Olney, C. M. (2009) · CIN Computers Informatics Nursing · doi:10.1097/ncn.0b013e318197287d · Cited by 57 · see citing works
Work activities before and after implementation of an automated dispensing system
Guerrero, R. M., Nickman, N. A., & Jorgenson, J. A. (1996) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/53.5.548 · Cited by 55 · see citing works
A comparative study of the attitudes of users and non‐users towards computerized care planning
GETTY, M., Ryan, A. A., & BA, M. L. C. E. (1999) · Journal of Clinical Nursing · doi:10.1046/j.1365-2702.1999.00273.x · Cited by 54 · see citing works
van Onzenoort, H. A. W., van de Plas, A., Kessels, A. G. H., et al. (2008) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp070368 · Cited by 53 · see citing works
Lium, J. T., Lærum, H., Schulz, T. B., & Faxvaag, A. (2006) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m2108 · Cited by 53 · see citing works
Inter-organizational continuity of care and the electronic patient record: A concept development
Hellesø, R., & Lorensen, M. (2004) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2004.07.005 · Cited by 52 · see citing works
Marasovic, C., Kenney, C., Elliott, D., & Sindhusake, D. P. (1997) · PubMed · Cited by 48 · see citing works
Impact of clinical information systems on nursing practice. Nurses' perspectives.
Axford, R. L., & Carter, B. E. (1996) · PubMed · Cited by 47 · see citing works
Time differences in handwritten and computer documentation of nursing assessment.
Minda, S. A., & Brundage, D. (1995) · PubMed · Cited by 42 · see citing works
Development and evaluation of nursing user interface screens using multiple methods
Hyun, S., Johnson, S. B., Stetson, P. D., & Henry, S. B. (2009) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2009.05.005 · Cited by 41 · see citing works
Samoutis, G., Soteriades, E. S., Kounalakis, D., Zachariadou, T., Philalithis, A., & Lionis, C. D. (2008) · Journal of Innovation in Health Informatics · doi:10.14236/jhi.v15i4.660 · Cited by 41 · see citing works
Pretest and post-test attitudes of nursing personnel toward a patient care information system.
Murphy, C., Maynard, M., & Morgan, G. (1994) · PubMed · Cited by 39 · see citing works
Computers in the consulting room: a case study of clinician and patient perspectives
Aydin, C. E., Anderson, J. G., Rosen, P. N., et al. (1998) · Health Care Management Science · doi:10.1023/a:1019021913951 · Cited by 34 · see citing works
Singh, R. K. P. G., Servoss, T., Kalsman, M., Fox, C., & Singh, G. (2004) · Journal of Innovation in Health Informatics · doi:10.14236/jhi.v12i4.131 · Cited by 32 · see citing works
Analysis of user-satisfaction with the use of a teleconsultation system in oncology
LARCHER, B., Arisi, E., Berloffa, F., Demichelis, F., Eccher, C., Galligioni, E., Galvagni, M., G, M., Sboner, A., Tomio, L., et al. (2003) · Medical Informatics and the Internet in Medicine · doi:10.1080/14639230310000600470 · Cited by 29 · see citing works
Chan, M. F. (2008) · CIN Computers Informatics Nursing · doi:10.1097/ncn.0b013e31818dd3b0 · Cited by 29 · see citing works
The Medication Administration System—Nurses Assessment of Satisfaction (MAS‐NAS) Scale
Hurley, A. C., Lancaster, D. R., Hayes, J., et al. (2006) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.2006.00117.x · Cited by 28 · see citing works
A new sodium-nitroprusside-infusion controller for the regulation of arterial blood pressure.
Ruiz, R., Borches, D., González, A., & Corral, J. (1993) · PubMed · Cited by 28 · see citing works
Usability testing of digital pen and paper system in nursing documentation.
Yen, P., & Gorman, P. (2005) · PubMed Central · Cited by 27 · see citing works
Nurses' Evaluations of a Novel Design for an Electronic Medication Administration Record
Staggers, N., Kobus, D. A., & Brown, C. S. H. (2007) · CIN Computers Informatics Nursing · doi:10.1097/01.ncn.0000263981.38801.be · Cited by 27 · see citing works
Impact of primary care management on nursing documentation
Törnvall, E., Wahren, L. K., & Wilhelmsson, S. (2007) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2007.00729.x · Cited by 26 · see citing works
Accuracy of bar codes versus handwriting for recording trauma resuscitation events
Chua, R. V., Cordell, W. H., Ernsting, K. L., Bock, H. C., & Nyhuis, A. W. (1993) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(05)81256-9 · Cited by 25 · see citing works
The application of pen-based computer technology to home health care.
Kovner, C. T., SCHUCHMAN, L. C., & Mallard, C. (1997) · PubMed · Cited by 23 · see citing works
Choi, S. S., Jazayeri, D. G., Mitnick, C. D., Chalco, K., Jaime, B., & Fraser, H. (2004) · Studies in health technology and informatics · doi:10.3233/978-1-60750-949-3-202 · Cited by 22 · see citing works
Usability evaluation of the progress note construction set.
Brown, S. H., Hardenbrook, S. P., Herrick, L., Onge, J. S., Bailey, K. R., & Elkin, P. L. (2001) · Europe PMC (PubMed Central) · Cited by 19 · see citing works
Replacing an Inpatient Electronic Medical Record
Paré, G., Moreault, M.-P., Lemay, A., et al. (2008) · Methods of Information in Medicine · doi:10.3414/me0557 · Cited by 17 · see citing works
Lunney, M., PARKER, L., FIORE, L., et al. (2004) · CIN Computers Informatics Nursing · doi:10.1097/00024665-200411000-00006 · Cited by 16 · see citing works
Evaluation of the impact of a bedside terminal system in a rapidly changing community hospital.
Sj, B., Ma, C., Schinella, P., et al. (1996) · PubMed · Cited by 16 · see citing works
End-User Perceptions of a Computerized Medication System: Is There Resistance to Change?
Malato, L. A., & Kim, S. (2004) · Journal of Health and Human Services Administration · doi:10.1177/107937390402700106 · Cited by 14 · see citing works
Moderating and Mediating Roles of Nurses' Beliefs
Abdrbo, A. A., Hudak, C. A., Anthony, M. K., & Douglas, S. L. (2008) · Western Journal of Nursing Research · doi:10.1177/0193945908325078 · Cited by 10 · see citing works
Aydin, C. E., Rosen, P. N., & Felitti, V. J. (1994) · PubMed · Cited by 9 · see citing works
Sackett, K., Erdley, W. S., & Jones, J. (2006) · PubMed · Cited by 8 · see citing works
Perceptions of Pediatric Nurses Toward Bar-code Point-of-care Medication Administration
Topps, C., López, L. S., Messmer, P. R., et al. (2005) · Nursing Administration Quarterly · doi:10.1097/00006216-200501000-00016 · Cited by 7 · see citing works
Nurses' perceptions of the impact of a computerized information system on a critical care unit.
Lyness, A. L., Hravnak, M., & Martich, D. (1997) · PubMed · Cited by 7 · see citing works
Accuracy of web-based recording program for in-hospital resuscitation: laboratory study
Park, Y. S., Park, I., You, J. S., et al. (2008) · Emergency Medicine Journal · doi:10.1136/emj.2007.054569 · Cited by 6 · see citing works
Ito, C., Satoh, I., Michiya, H., et al. (1997) · PubMed · Cited by 5 · see citing works
Collaborative care documentation by exception system.
Ashworth, G. B., & Aubrey, C. (1992) · PubMed · Cited by 3 · see citing works
Providing support for the Informing Healthcare programme in Wales
Thomas, B., & Warm, D. L. (2009) · Nursing Standard · doi:10.7748/ns2009.03.23.26.35.c6833 · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Ross, J., Stevenson, F., Lau, R., & Murray, E. (2016) · Implementation Science · doi:10.1186/s13012-016-0510-7 · Cited by 1,011 · see citing works
A systematic review of speech recognition technology in health care
Johnson, M., Lapkin, S., Long, V., Sanchez, P., Suominen, H., Basilakis, J., & Dawson, L. (2014) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-14-94 · Cited by 141 · see citing works
Uribe Guajardo, M. G., Baillie, A., Louie, E., Giannopoulos, V., Wood, K., Riordan, B., Haber, P., & Morley, K. (2022) · Journal of Multimorbidity and Comorbidity · doi:10.1177/26335565221096977 · Cited by 10 · see citing works
- Authors
- Waneka, R., & Spetz, J.
- Affiliations
- University of California, San Francisco (US)
- ORCID
- Spetz, Joanne
- Venue
- JONA: The Journal of Nursing Administration
- Published
- 2010-12
- Volume
- 40
- Issue
- 12
- Pages
- 509-514
- ISSN
- 0002-0443 (ISSN-L)
- OpenAlex
- W2312341732
- Cited by
- 69
- References
- 62
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 4 · 2022: 4 · 2021: 1 · 2020: 1 · 2019: 8 · 2018: 2 · 2017: 5 · 2016: 8 · 2015: 10 · 2014: 9 · 2012: 7
- FWCI
- 0.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JONA The Journal of Nursing Administration (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Diagnosis and Documentation
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Keywords
- health information technology, nurses, nursing care, nursing documentation, medication administration errors, patient safety, quality of care, nursing satisfaction, nurse attitudes, nursing leadership, hospital information systems
- MeSH terms
- Documentation, Hospital Information Systems, Humans, Job Satisfaction, Medication Errors, Nurse Administrators, Nursing Care, Time Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
