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Health Information Technology in the Workplace: Findings From a 2010 National Survey of Registered Nurses

DesRoches, Catherine M. DRPH; Miralles, Paola BS; Buerhaus, Peter PhD, RN; Hess, Robert PhD, RN; Donelan, Karen ScD

JONA: The Journal of Nursing Administration: September 2011 - Volume 41 - Issue 9 - p 357-364
doi: 10.1097/NNA.0b013e31822a7165

The objective of this study was to examine RNs' experiences with health information technology (HIT) and their perceptions of the effect of this technology on quality of care and daily work. The adoption and use of HIT are expected to increase substantially over the next 5 years because of policy efforts at the federal and state levels. Given the size of the RN workforce and their critical role in healthcare delivery, their experiences with HIT could help adoption efforts. The method used was a nationally representative survey of 1500 nurses with a 56% response rate. Findings suggest wide variation in the availability of HIT functionality, with functions more likely available to hospital RNs. Overall, RNs perceived the effect of these technologies on quality of care and their daily work as positive. Ensuring that HIT systems are relevant to and usable for RNs will be a critical component in achieving the meaningful use of these systems.

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Author Affiliations: Senior Scientist (Dr DesRoches), Mathematica Policy Research, Cambridge, Massachusetts; Program Coordinator (Ms Miralles), Senior Scientist (Dr Donelan), Mongan Institute for Health Policy, Massachusetts General Hospital, Boston; Instructor (Dr Donelan), Harvard Medical School, Boston, Massachusetts; Professor, Director of the Center of Interdisciplinary Health Workforce Studies (Dr Buerhaus), Vanderbilt University Medical Center, Nashville, Tennessee; Executive Vice President (Dr Hess), Gannett Education, Global Programming, Gannett Healthcare Group, Hoffman Estates, Illinois.

Funding: This study was funded by an unrestricted grant from the Johnson and Johnson Campaign for Nursing's Future and by the Gannett Healthcare Group. Johnson and Johnson played no role in the design and conduct of the study, analysis and interpretation of results, and preparation or approval of the article.

The authors declare no conflict of interest.

Correspondence: Dr DesRoches, Mathematica Policy Research,955 Massachusetts Ave, Suite 801, Cambridge, MA 02139 (

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© 2011 Lippincott Williams & Wilkins, Inc.