Experiences of Nurses Working in a Fully Digital Hospital: A Phenomenological Study

Abstract

Background: With the increasing development and integration of information and communication technology (ICT) into hospitals, there remains a lack of understanding of the impact of these technologies on the hospital's largest core users: nurses. Humber River Hospital (HRH), one of the first hospitals to completely integrate technology across all hospital systems and workflows, has sought to understand how ICTs have transformed the clinical working environment. Objective: The aim of the study was to achieve a deeper understanding of the lived experiences of nurses practising in North America's first digital hospital. Methods: The methodological approach was informed by van Manen's hermeneutic phenomenological methodology. Data were gathered through in-depth semistructured interviews with eight nurses at HRH. Thematic analysis was conducted using the van Manen and Colaizzi methods of data analysis. Results: Six thematic categories that formed the nurses' lived experiences of working in a digital environment were identified: safety, time, teamwork, technology failures, patient responses and adapting.

The concept of coping in male spouses of Iranian women with breast cancer: A qualitative study using a phenomenological approach

“…Following transcription, thematic statements that contributed to participants' experiences and were of direct relevance to the phenomenon were extracted by the researcher using van Manen's (1997) highlighting approach. Meanings were derived from the statements, which were then organized into themes that were common across all participants (Burkoski et al, 2019). Themes were developed by the researcher and reviewed by the research team.…”

“…Observation notes were recorded by the interviewer to document participant expressions and body language. Based on the principles of phenomenology, researcher prejudgments were acknowledged and set aside for the purpose of truly understanding the experiences of the participants (Burkoski et al, 2019;Valle et al, 1989).…”

Generational Differences in Hospital Technology Adoption: A Cross-Sectional Study

“…For example, if nurses' most important value is safety, then adoption of technology should be positioned against the safety aspects of the initiative. In fact, our phenomenological analysis of nurses' experience in the digital hospital environment has provided HRH with the key terminology that we need to use to frame our conversation (i.e., safety, time, teamwork, technology failure, patient response and adoption) when designing education for new and enhanced technology integration to maximum uptake and adoption (Burkoski et al 2019). The experience of nurses at HRH may support the opportunity for other organizations introducing and expanding on their digital platform to develop more robust and meaningful educational programs.…”

Concept d’adaptation chez les conjoints de femmes iraniennes atteintes du cancer du sein : étude qualitative basée sur une approche phénoménologique

“…Les notes d'observation ont été enregistrées par l'intervieweur afin de documenter l'expression et le langage corporel des participants. Conformément aux principes de phénoménologie, les préconceptions de l'équipe de recherche ont été mentionnées, puis laissées de côté dans le but de s'imprégner entièrement de l'expérience des participants (Burkoski et al, 2019;Valle et al, 1989).…”

“…Après la transcription, les énoncés thématiques qui ont contribué aux expériences des participants et qui avaient une pertinence directe avec le phénomène ont été extraits en utilisant l'approche interprétative de van Manen (1997). Les déclarations ont mené à des significations, qui ont ensuite été organisées en thèmes communs à tous les participants (Burkoski et al, 2019). Les thèmes ont été développés par le chercheur et revus par l'équipe de recherche.…”