Experiences of Nurses Working in a Fully Digital Hospital: A Phenomenological Study.

Background: With the increasing development and integration of information and communication technology (ICT) into hospitals, there remains a lack of understanding of the impact of these technologies on the hospital's largest core users: nurses. Humber River Hospital (HRH), one of the first hospital...

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Publicado en:Nursing Leadership (1910-622X) Vol. 32; pp. 73 - 86
Autores principales: Burkoski, Vanessa, Yoon, Jennifer, Hutchinson, Derek, Solomon, Shirley, Collins, Barbara E.
Formato: research Journal Article
Publicado: Longwoods Publishing 2019 Special Issue
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Experiences of Nurses Working in a Fully Digital Hospital: A Phenomenological Study.
      aug:
        au:
          Burkoski, Vanessa
          Yoon, Jennifer
          Hutchinson, Derek
          Solomon, Shirley
          Collins, Barbara E.
        affil: Chief Nursing Executive & Chief, People Strategy, Humber River Hospital, Toronto, ON
      sug:
        subj:
          Nurse Attitudes
          Life Experiences
          Information Technology Utilization
          Nursing Practice
          Human
          Phenomenological Research
          Nurses
          Hospitals North America
          North America
          Semi-Structured Interview
          Thematic Analysis
          Patient Safety
          Male
          Female
          Teamwork
          Time Management
          Nurse-Patient Relations
          Patient Attitudes
          Male
          Female
      ab: Background: With the increasing development and integration of information and communication technology (ICT) into hospitals, there remains a lack of understanding of the impact of these technologies on the hospital's largest core users: nurses. Humber River Hospital (HRH), one of the first hospitals to completely integrate technology across all hospital systems and workflows, has sought to understand how ICTs have transformed the clinical working environment. Objective: The aim of the study was to achieve a deeper understanding of the lived experiences of nurses practising in North America's first digital hospital. Methods: The methodological approach was informed by van Manen's hermeneutic phenomenological methodology. Data were gathered through in-depth semistructured interviews with eight nurses at HRH. Thematic analysis was conducted using the van Manen and Colaizzi methods of data analysis. Results: Six thematic categories that formed the nurses' lived experiences of working in a digital environment were identified: safety, time, teamwork, technology failures, patient responses and adapting. Conclusion: Nurses at HRH identified six themes regarding their lived experiences working in a fully digital hospital that provide an insight into nurses' values and cause us to reflect on how we might use this information to further support nursing practice in the fully digital environment. Nurses at HRH seem to have normalized the nursing process within the fully digital environment. Technology appears to be viewed by nurses at HRH within the premise of nursing as an art, allowing patient responses to be acknowledged and incorporated into nursing workflows, and as a science, permitting safe care delivery. Overall, nurses perceived technology as being essential for patient safety and facilitating nursing practice. These findings offer insight into nurses' perception of ICTs, and as technological advancements continue to emerge, these findings will inform education, practice and policy.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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