Usability and satisfaction of using electronic nursing documentation, lesson-learned from new system implementation at a hospital in Indonesia

Electronic health records are expected to improve the quality of care provided to hospitalized patients. Electronic documentation implementation is a course of action that requires much time and attention. The study aimed to explore and describe the usability and satisfaction of using electronic documentation. Quantitative and descriptive qualitative research methods were done through focus group interviews involving eight nurses and a questionnaire survey to 219 nurses. Satisfaction before and after the implementation of the system was compared using thematic analysis and paired t-test. The system was developed with NANDA, NIC and NOC language and named as "SIMPRO". The results yielded themes on perception about usability, positive and negative responses, barriers to and expectations for successful implementation. SIMPRO was found to increase the nurse satisfaction and usability (p = 0.001). Training on the motives for change might strengthen the nurse's motivation and facilitate the transition to a new system. The study findings implied that electronic nursing documentation was an effective way to improve nursing documentation. In addition, support from the leader and organization might affect the effectiveness of the system implementation.