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Exploring nurses’ reactions to a novel technology to support acute health care delivery

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  • Bridie Kent
  • Bernice Redley
  • Nilmini Wickramasinghe
  • Lemai Nguyen
  • Nyree J. Taylor
  • Hoda Moghimi
  • Mari Botti

Abstract

Aims and objectives To explore nurses’ reactions to new novel technology for acute health care. Background Past failures of technology developers to deliver products that meet nurses’ needs have led to resistance and reluctance in the technology adoption process. Thus, involving nurses in a collaborative process from early conceptualisation serves to inform design reflective upon current clinical practice, facilitating the cementing of ‘vision’ and expectations of the technology. Design An exploratory descriptive design to capture nurses’ immediate impressions. Methods Four focus groups (52 nurses from medical and surgical wards at two hospitals in Australia; one private and one public). Results Nursing reactions towards the new technology illustrated a variance in barrier and enabler comments across multiple domains of the Theoretical Domains Framework. Most challenging for nurses were the perceived threat to their clinical skill, and the potential capability of the novel technology to capture their clinical workflow. Enabling reactions included visions that this could help integrate care between departments; help management and support of nursing processes; and coordinating their patients care between clinicians. Nurses’ reactions differed across hospital sites, influenced by their experiences of using technology. For example, Site 1 nurses reported wide variability in their distribution of barrier and enabling comments and nurses at Site 2, where technology was prevalent, reported mostly positive responses. Conclusion This early involvement offered nursing input and facilitated understanding of the potential capabilities of novel technology to support nursing work, particularly the characteristics seen as potentially beneficial (enabling technology) and those conflicting (barrier technology) with the delivery of both safe and effective patient care. Relevance to clinical practice Collaborative involvement of nurses from the early conceptualisation of technology development brings benefits that increase the likelihood of successful use of a tool intended to support the delivery of safe and efficient patient care.

Suggested Citation

  • Bridie Kent & Bernice Redley & Nilmini Wickramasinghe & Lemai Nguyen & Nyree J. Taylor & Hoda Moghimi & Mari Botti, 2015. "Exploring nurses’ reactions to a novel technology to support acute health care delivery," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(15-16), pages 2340-2351, August.
    • Handle: RePEc:wly:jocnur:v:24:y:2015:i:15-16:p:2340-2351
    DOI: 10.1111/jocn.12881
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    References listed on IDEAS

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    1. Viswanath Venkatesh & Fred D. Davis, 2000. "A Theoretical Extension of the Technology Acceptance Model: Four Longitudinal Field Studies," Management Science, INFORMS, vol. 46(2), pages 186-204, February.
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    Cited by:

    1. Janie Brown & Nicole Pope & Anna Maria Bosco & Jaci Mason & Alani Morgan, 2020. "Issues affecting nurses' capability to use digital technology at work: An integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(15-16), pages 2801-2819, August.
    2. Gitte Bunkenborg & Lars Smith‐Hansen & Ingrid Poulsen, 2019. "Implementing mandatory early warning scoring impacts nurses’ practice of documenting free text notes," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 2990-3000, August.

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