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Nurses’ Perception of Challenges in the Use of an Electronic Nursing Documentation System

Heidarizadeh, Khadijeh MSc; Rassouli, Maryam PhD, RN; Manoochehri, Houman PhD; Zagheri Tafreshi, Mansoureh PhD; Kashef Ghorbanpour, Reza MA

CIN: Computers, Informatics, Nursing: November 2017 - Volume 35 - Issue 11 - p 599–605
doi: 10.1097/CIN.0000000000000358

This qualitative study was based on the Technology Acceptance Model and conducted through directed content analysis to explore perceptions of nurses in Iran of the challenges of using an electronic documentation system. Participants were selected through purposive sampling via interview from a teaching hospital in western Iran. Data were analyzed using MAXQDA 10. Data consistency was ensured through validation methods and by the researcher’s prolonged engagement in the subject. Twelve codes, four subcategories, and two main categories (“perceived usefulness” and “perceived difficulty”) emerged from the analysis of the data based on the Technology Acceptance Model. “Perceived usefulness” consisted of the subcategories “subjective norms” and “experienced benefits”; and “perceived difficulty” contained the subcategories “rationalization” as well as “challenges in accepting change.” According to the Technology Acceptance Model, to promote acceptance of this system, the benefits of usage should be highlighted. The biggest hurdle to acceptance is familiarity and comfort with previous methods.

Author Affiliations: School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences (Ms Heidarizadeh and Drs Rassouli, Manoochehri, and Zagheri Tafreshi); and Iranian Social Security Organization, Tehran, Iran (Mr Kashef Ghorbanpour).

The present study is part of a nursing PhD thesis and a research project approved by the Research Council of Shahid Beheshti University of Medical Sciences.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Maryam Rassouli, PhD, RN, Pediatric Nursing Department, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Vali-e Asr St, Cross Niyayesh Highway, Tehran, Iran (

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