Purpose: User research in the form of at-elbow go-live support was conducted with inpatient nursing staff in addition to a post-implementation survey to better understand how to support these clinical end users with adoption of a novel clinical mobile device (CMD).
Background/significance: Adoption of healthcare information technology (HIT) is critical to successful implementations. The benefits of HIT can only be realized if fully utilized by clinicians. Supporting clinical end users continues to be a challenge for healthcare organizations. Our aim was to better understand the needs of nurses in order to support their adoption of a novel CMD. In better understanding their needs, the objective was to improve our support strategy.
Methods: In July 2018, a novel CMD was implemented at a 450-bed teaching hospital. The CMD contains a suite of applications including a mobile electronic health record that optimizes nursing workflows. Post-go-live support was conducted with nurses on the units for two weeks after implementation. At ten months post-go-live, nursing leadership distributed a 13-question online survey to 880 nurses. On-unit rounds were conducted to socialize the survey and field feedback from clinical end users. Graphs were generated to illustrate trends in survey responses. Major findings from free-text responses were evaluated for themes and categorized accordingly.
Results: A total of 118 nurses responded to the survey. A majority of respondents (62.42%) reported using the CMD in their clinical setting. A majority of respondents reported in the affirmative that the CMD is easy to use, improves clinical productivity, and supports patient-centered care. Free-text responses offered valuable insights into the perceptions and needs of survey respondents. Major findings were categorized into three main themes: educational opportunities, functionality and usability optimizations, and other feedback and concerns. From these user research findings, insights were gained that informed support strategy recommendations.
Conclusions/implications: Conducting user research with nurses offers valuable insights to inform an organization’s understanding of facilitators and respective barriers to adoption of mobile devices. Insights gained can be leveraged to develop tailored recommendations to support adoption of healthcare information technology, thus driving healthcare transformation.