Nurses' experiences of an initial and reimplemented electronic health record use

Chi Ping Chang, Ting Ting Lee*, Chia Hui Liu, Mary Etta Mills

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


The electronic health record is a key component of healthcare information systems. Currently, numerous hospitals have adopted electronic health records to replace paperbased records to document care processes and improve care quality. Integrating healthcare information system into traditional nursing daily operations requires time and effort for nurses to become familiarized with this new technology. In the stages of electronic health record implementation, smooth adoption can streamline clinical nursing activities. In order to explore the adoption process, a descriptive qualitative study design and focus group interviews were conducted 3 months after and 2 years after electronic health record system implementation (system aborted 1 year in between) in one hospital located in southern Taiwan. Content analysis was performed to analyze the interview data, and six main themes were derived, in the first stage: (1) liability, work stress, and anticipation for electronic health record; (2) slow network speed, user-unfriendly design for learning process; (3) insufficient information technology/organization support; on the second stage: (4) getting used to electronic health record and further system requirements, (5) benefits of electronic health record in time saving and documentation, (6) unrealistic information technology competence expectation and future use. It concluded that user-friendly design and support by informatics technology and manpower backup would facilitate this adoption process as well.

Original languageEnglish
Pages (from-to)183-190
Number of pages8
JournalCIN - Computers Informatics Nursing
Issue number4
StatePublished - 2016


  • Descriptive qualitative study
  • Electronic health record system
  • Focus group interviews
  • Information technology
  • System implementation


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