title: Hospital information technology systems' impact on nurses and nursing care.
abstract: OBJECTIVE
  We conducted a review of the literature to determine the impact of health information technologies (HITs) on nurses and nursing care.
  
  
  BACKGROUND
  Nurses' effective use of HIT has the potential to produce a positive impact on nursing-sensitive patient outcomes, patient safety, and quality of care.
  
  
  METHODS
  A review of the literature produced 564 unique references of which 74 were selected for review.
  
  
  RESULTS
  Findings suggest that (1) HIT improves the quality of nursing documentation; (2) HIT reduces medication administration errors; (3) nurses are generally satisfied with HIT and have positive attitudes about it; and (4) nurse involvement in all stages of HIT design and implementation, and effective leadership throughout these processes, can improve HIT.
  
  
  CONCLUSIONS
  HIT has had positive influences on nurse satisfaction and patient care. Effective nursing leadership can positively influence the effective development, dissemination, and use of HIT.
authors.affiliation: School of Nursing, Center for the Health Professions, University of California, San Francisco, CA 94118, USA. rwaneka@thecenter.ucsf.edu
authors.forename: Renae
authors.initials: R
authors.lastname: Waneka
authors.forename: Joanne
authors.initials: J
authors.lastname: Spetz
mesh_terms: D004282:Documentation; D006751:Hospital Information Systems; D006801:Humans; D007588:Job Satisfaction; D008508:Medication Errors / Q000517:prevention & control; D009718:Nurse Administrators; D009732:Nursing Care; D013997:Time Factors