title: Exploring nurses' reactions to a novel technology to support acute health care delivery.
abstract: OBJECTIVE
  To explore nurses' reactions to new novel technology for acute health care.
  
  
  BACKGROUND
  Past failures of technology developers to deliver products that meet nurses' needs have led to resistance and reluctance in the technology adoption process. Thus, involving nurses in a collaborative process from early conceptualisation serves to inform design reflective upon current clinical practice, facilitating the cementing of 'vision' and expectations of the technology.
  
  
  METHODS
  An exploratory descriptive design to capture nurses' immediate impressions.
  
  
  METHODS
  Four focus groups (52 nurses from medical and surgical wards at two hospitals in Australia; one private and one public).
  
  
  RESULTS
  Nursing reactions towards the new technology illustrated a variance in barrier and enabler comments across multiple domains of the Theoretical Domains Framework. Most challenging for nurses were the perceived threat to their clinical skill, and the potential capability of the novel technology to capture their clinical workflow. Enabling reactions included visions that this could help integrate care between departments; help management and support of nursing processes; and coordinating their patients care between clinicians. Nurses' reactions differed across hospital sites, influenced by their experiences of using technology. For example, Site 1 nurses reported wide variability in their distribution of barrier and enabling comments and nurses at Site 2, where technology was prevalent, reported mostly positive responses.
  
  
  CONCLUSIONS
  This early involvement offered nursing input and facilitated understanding of the potential capabilities of novel technology to support nursing work, particularly the characteristics seen as potentially beneficial (enabling technology) and those conflicting (barrier technology) with the delivery of both safe and effective patient care.
  
  
  CONCLUSIONS
  Collaborative involvement of nurses from the early conceptualisation of technology development brings benefits that increase the likelihood of successful use of a tool intended to support the delivery of safe and efficient patient care.
authors.affiliation: Plymouth University, Plymouth, UK.
authors.forename: Bridie
authors.initials: B
authors.lastname: Kent
authors.affiliation: Epworth Healthcare and Deakin University, Richmond, Vic., Australia.
authors.forename: Bernice
authors.initials: B
authors.lastname: Redley
authors.affiliation: Epworth Chair in Health Information Management, Epworth HealthCare and Deakin University, Vic., Australia.
authors.forename: Nilmini
authors.initials: N
authors.lastname: Wickramasinghe
authors.affiliation: Deakin Business School, Department of Information Systems and Business Analytics, Deakin University, VIC., Australia.
authors.forename: Lemai
authors.initials: L
authors.lastname: Nguyen
authors.affiliation: DATACOM Healthcare Solutions, Cremorne, Vic., Australia.
authors.forename: Nyree J
authors.initials: NJ
authors.lastname: Taylor
authors.affiliation: Epworth Research Institute, RMIT University, Richmond, Vic., Australia.
authors.forename: Hoda
authors.initials: H
authors.lastname: Moghimi
authors.affiliation: Epworth/Deakin Centre for Clinical Nursing Research Epworth Health Care, Richmond, Vic., Australia.
authors.forename: Mari
authors.initials: M
authors.lastname: Botti
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003695:Delivery of Health Care; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D016347:Medical Records Systems, Computerized; D009726:Nurses; D014739:Victoria; D017132:Workplace
keywords: acute care; design science; information systems; nurses’ reactions; nursing informatics