Ease of use and ability to use it | Equipment availability and technical functionality | Attitude | |
---|---|---|---|
Alexander et al. [38] | Terminology was not understandable or did not match with the hard copy record | Equipment availability strongly affected staff perception (Number of workplaces and breakages) | Frustration set in when expectations were not met, problems not solved in a timely manner. This increased staff suspicion and decreased desire to work with the system. |
Did not match what they intended to chart | The lack of equipment failures, and PC availability were viewed as contributing to overtime work and led to distrust in the system | All levels of staff indicated it was difficult to maintain a positive attitude about the system and move forward when the implementation wasn’t going smoothly | |
Staff appeared less comfortable without guidance | The lack of IT support, and PC availability were viewed as contributing to overtime work | When issues hindered job performance that led to dislike of the system and uncertainty about how to use the system correctly | |
Initial and ongoing training was a prominent theme | |||
Cherry et al. [39] | Complex systems are difficult to navigate | Improved staff retention because of a sense of pride and empowerment associated with using computers in the work setting. | |
Barriers frequently mentioned were the quality of staff training | |||
Fear of computers were identified as a barrier | |||
Concerns about training | |||
Strong initial and follow-up training | |||
Cherry et al. [40] | Learning to use the computer is a negative aspect | The primarily disadvantage consistently reported by all were related to technology problems and maintenance | Administrators reported that the system contributed employee satisfaction and staff retention (“the facility is viewed as more modern and more attractive to potential new staff.”) |
Nurses in supervisory positions were overwhelming positive about the system and would be very opposed to going back to the “precomputer” days. | |||
Direct Care Staff: | |||
Managers had a greater respect because they cared enough to give them computers for their work | |||
Munyisia et al. [26] | Data in computerized records was located in various sections of the electronic system and, thus, difficult for the PCs and even the doctors to track the trend | Computerized documentation was not feasible at the bedside | |
We want a chronological view of this data to make care decisions | |||
I am able to go from one resident to the next using the electronic system, but when I have 35 residents, that is a lot of clicking and switching screens | |||
PCs charted certain information items on both paper and on a computer | |||
We report blood pressure data on paper because we get very frustrated looking for a resident’s data from various sections of the electronic system. | |||
Caregivers practice of double charting was partly caused by the way nursing data was organized in the system, making the data inconvenient to review | |||
Rantz et al. [41] | Entered data could not be located later | The primarily disadvantage related to technology problems and maintenance | Some view documentation as a “waste of time” and documentation takes time away from the residents |
Ongoing and refresher training of staff is important | |||
Licensed and certified staff expressed concern that they could be watched by the monitoring of their documentation. On the other side, others saw the monitoring as a positive addition, since when reviewing the documentation they would know that the staff completed their assigned work Frustration set in when the system don’t work (that causes more time) | |||
Technology could be frustrating when it did not work | |||
Using paper created a double documentation system. This creates more problems since information is inconsistently transferred | |||
Yu et al. [35] | Some felt the software was very easy to use | ||
Some wished for more practice instead of lessons | |||
Zhang et al. [42] | We are still learning I feel, we are learning something new every day |