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Table 5 Translation between studies: Hindering or promoting aspects for experiencing benefits through the IT

From: Staff experiences within the implementation of computer-based nursing records in residential aged care facilities: a systematic review and synthesis of qualitative research

  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   
  1. Italicized quotations represent the views of participants of included studies. Non-italicized quotations represent views of authors of included studies.
  2. CNA = Certified Nurse Assistant.
  3. DON = Director of Nursing.
  4. PC = Personal Carer.