CHALLENGES AND BARRIERS OF NURSING INFORMATION SYSTEM: AN INTEGRATIVE REVIEW

The Nursing Information System is part of the hospital information system and health care system, are designed to help nurses provide better patient care. The correct functioning of these systems will improve the integrity of clinical data, improve the quality of nursing care and meet the needs of users. The Nursing Information System facing barriers and challenges. This study has been conducted with the aim to identify the challenges and barriers of the Nursing Information System and provide strategies to address these barriers.
The present study is an integrated review of evidence and conducted based on the Broome approach. The studies that related to the purpose of study, being written in English or Persian, the full text were accessible and published in the last 10 years, entered into research. Articles without name, no date and non-scientific were excluded. A wide range of Keywords such as Nursing Information System, Information System, Nursing, and Hospital Information System was used to retrieve related studies. Besides studying library, Persian and International accredited online databases such as CINAHL, EBSCO, SID, Magiran, Iranmedex, PubMed, Medline, Google scholar, Elsevier, Sciencedirect were used. Ultimately, 23 articles were included. Data were analyzed based on Broom's method.
Analysis results showed that barriers challenges and barriers of nursing information systems consist of six main categories: Non-compliance of designed programs with nursing duties: a) lack of nursing standard terminology; b) lack of minimum nursing data sets; 2) lack of proper and comprehensive classification system; 3) lack of system support from nursing clinical decision making; 4) Barriers to nursing documentation: a) Lack of formatting and grouping of reports; b) Computer and technical problems; c) confidentiality issues and patient information security; 5) individual factors; 6) organizational factors.
Nursing information systems can easily meet nursing information needs. These systems help nurses manage information, improve workflow, implement nursing processes, improve nursing care, and manage data, information, and knowledge. In this regard, the development of information systems is needed, removing existing challenges and obstacles.