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Conditions for the Successful Implementation of Computer-Aided Drug Monitoring From Registered Nurses' Perspective—A Case Site Analysis

Johansson-Pajala, Rose-Marie, PhD, RN

CIN: Computers, Informatics, Nursing: April 2019 - Volume 37 - Issue 4 - p 196–202
doi: 10.1097/CIN.0000000000000496

This research addressed the introduction of a computerized decision support system for drug monitoring to be used by registered nurses in nursing homes. The system was introduced, and its effects were evaluated over the period of 1 year; however, at the end of 1 year, the implementation was not successful in all the participating settings. The aim of this study was to identify the conditions needed for the successful implementation of a computerized decision support system from the registered nurses' perspective. Two case sites were purposively selected based on the implementation's success in one nursing home, but not in the other. Focus group discussions were performed, one in each setting, with eight registered nurses. An inductive thematic analysis was conducted. The findings revealed six themes illustrating the registered nurses' views about the conditions needed: need to see benefits, have the time and take the time, curb administrative hassle, collaboration at all levels, stated responsibility, and requirements set from managerial positions. The most outstanding findings, when compared with the previous implementations of nursing informatics, involved collaboration and the view of drug monitoring responsibility in relation to themselves and the physicians.

Author Affiliation: School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden.

The author has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Rose-Marie Johansson-Pajala, PhD, RN, School of Health, Care and Social Welfare, Mälardalen University, PO Box 325, Drottninggatan 16A, SE-631 05 Eskilstuna, Sweden (

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