Comparisons of Physicians’, Nurses’, and Social Welfare Professionals’ Experiences With Participation in Information System Development: Cross-Sectional Survey Study
Abstract BackgroundThe integration of health care and social welfare services together with the consolidation of health care information systems (HISs) and client information systems (CISs) has become a timely topic. Despite this development, there is a scarcity of systematic...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2025-01-01
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| Series: | JMIR Human Factors |
| Online Access: | https://humanfactors.jmir.org/2025/1/e51495 |
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| Summary: | Abstract
BackgroundThe integration of health care and social welfare services together with the consolidation of health care information systems (HISs) and client information systems (CISs) has become a timely topic. Despite this development, there is a scarcity of systematic research on physicians’, registered nurses’ (RNs) and social welfare professionals’ (SWPs) experiences of participating in the development of HISs and CISs.
ObjectiveThis study aimed to examine how physicians, RNs and SWPs experience collaboration with vendors, and what kinds of end users have participated in development.
MethodsNational cross-sectional usability surveys were conducted in Finland among RNs and SWPs in 2020 and physicians in 2021. Questions concerning participation experiences were analyzed by professional group, working sector, managerial position, and age.
ResultsIn total, 4683 physicians, 3610 RNs, and 990 SWPs responded to the surveys. In all 3 professional groups, those working in nonmanagerial positions and the youngest respondents participated least in HIS or CIS development, and 76% (n=3528) of physicians, 78% (n=2814) of RNs and 67% (n=664) of SWPs had not participated at all. When comparing the groups, physicians were least aware of feedback processes and least satisfied with vendors’ interest in end-user feedback and the manner and speed of HIS development. Those who had dedicated working time for development were less critical of vendors’ interest and responsiveness to development ideas than those who had not participated at all. In all 3 professional groups, the youngest were most dissatisfied with vendor collaboration.
ConclusionsExperiences of participation in HIS and CIS development were relatively negative across all 3 professional groups, with physicians being the most critical. Dialogue and collaboration between developers and end users—also the youngest ones and frontline workers—need improvement; simply increasing allotted working time is unlikely to produce more positive participation experiences. |
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| ISSN: | 2292-9495 |