Facilitators and Barriers to the Adoption of an Electronic Medical Record System by Intensive Care Nurses

Somtochukwu Amaka Osajiuba, Rebecca Jedwab, Rafael Calvo, Naomi Dobroff, Nicholas Glozier, Alison Hutchinson, Michael Leiter, Katrina Nankervis, Helen Rawson, Bernice Redley, Elizabeth Manias

Research output: Chapter in Book/Report/Conference proceedingConference PaperResearchpeer-review

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Introducing new technology, such as an electronic medical record (EMR) into an Intensive Care Unit (ICU), can contribute to nurses' stress and negative consequences for patient safety. The aim of this study was to explore ICU nurses' perceptions of factors expected to influence their adoption of an EMR in their workplace. The objectives were to: 1) measure psychological factors expected to influence ICU nurses' adoption of EMR, and 2) explore perceptions of facilitators and barriers to the implementation of an EMR in their workplace. Using an explanatory sequential mixed method approach, data were collected using surveys and focus groups. ICU nurses reported high scores for motivation, work engagement and wellbeing. Focus group analyses revealed two themes: Hope the EMR will bring a new world and Fear of unintended consequences. Recommendations relate to strategies for education and training, environmental restructuring and enablement. Overall, ICU nurses were optimistic about EMR implementation.

Original languageEnglish
Title of host publicationNurses and Midwives in the Digital Age
Subtitle of host publicationSelected Papers, Posters and Panels from the 15th International Congress in Nursing Informatics
EditorsMichelle Honey, Charlene Ronquillo, Ting-Ting Lee, Lucy Westbrooke
Place of PublicationAmsterdam Netherlands
PublisherIOS Press
Number of pages6
ISBN (Electronic)9781643682211
ISBN (Print)9781643682204
Publication statusPublished - 2021
EventInternational Congress on Nursing Informatics 2021 - Virtual, Online
Duration: 23 Aug 20212 Sept 2021
Conference number: 15th

Publication series

NameStudies in Health Technology and Informatics
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365


ConferenceInternational Congress on Nursing Informatics 2021
Abbreviated titleNI 2021
CityVirtual, Online
Internet address


  • Electronic medical records
  • engagement
  • intensive care
  • motivation
  • nurses
  • Theoretical Domains Framework
  • wellbeing

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