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Caring for Computers: The Hidden Work of Clinical Nurses during the Introduction of Health Information Systems in a Teaching Hospital in Taiwan

Liberal Arts Center, Department of Nursing, Da-Yeh University, Changhua 51591, Taiwan
Academic Editor: Richard Gray
Received: 25 January 2021 / Revised: 9 February 2021 / Accepted: 10 February 2021 / Published: 13 February 2021
Implementing health information systems for enhancing patient care and management occurs worldwide. Discovering how nurses, as important system end-users, experience technology-reliant clinical practice involved focus groups (n = 25) and in-depth individual interviews with nurses (n = 4) and informatics staff (n = 3) in a major Taiwanese medical center. This qualitative study explores the unintended effects of these systems on nurses’ role and clinical practice. First, nurses’ additional role caring for computer devices supporting patient care involves highly-demanding invisible effort, especially when tackling system malfunctions affecting patients with urgent conditions. Second, nurses are resourceful in developing solutions to protect patients during unexpected technical malfunctions. Third, troubleshooting using telephone technical support as the first resort is problematic. It is argued that computerization requires nurses to care for co-clients: patients and computers. Managing technical malfunctions is an unintended consequence for nurses, reflecting the hidden work required by new technology. View Full-Text
Keywords: computerization; duality of technology; health information systems; hidden work; nurses’ experience computerization; duality of technology; health information systems; hidden work; nurses’ experience
MDPI and ACS Style

Huang, F.-T. Caring for Computers: The Hidden Work of Clinical Nurses during the Introduction of Health Information Systems in a Teaching Hospital in Taiwan. Nurs. Rep. 2021, 11, 105-119. https://0-doi-org.brum.beds.ac.uk/10.3390/nursrep11010011

AMA Style

Huang F-T. Caring for Computers: The Hidden Work of Clinical Nurses during the Introduction of Health Information Systems in a Teaching Hospital in Taiwan. Nursing Reports. 2021; 11(1):105-119. https://0-doi-org.brum.beds.ac.uk/10.3390/nursrep11010011

Chicago/Turabian Style

Huang, Feng-Tzu. 2021. "Caring for Computers: The Hidden Work of Clinical Nurses during the Introduction of Health Information Systems in a Teaching Hospital in Taiwan" Nursing Reports 11, no. 1: 105-119. https://0-doi-org.brum.beds.ac.uk/10.3390/nursrep11010011

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