Accepted for/Published in: JMIR Human Factors
Date Submitted: Aug 2, 2023
Open Peer Review Period: Aug 2, 2023 - Sep 27, 2023
Date Accepted: Nov 8, 2024
(closed for review but you can still tweet)
End-user participation in information system development; comparisons of physicians’, nurses’, and social welfare professionals’ experiences from Finnish cross-sectionals surveys
ABSTRACT
Background:
The integration of healthcare and social welfare services together with the consolidation of healthcare information systems (HIS) and client information systems (CIS) has become a timely topic. Despite this development, there is a scarcity of systematic research on physicians’, registered nurses’ (RN) and social welfare professionals’ (SWP) experiences of participating in the development of HISs and CISs.
Objective:
To examine how physicians, RNs and SWPs experience collaboration with HIS/CIS vendors, and what kinds of end users have participated in HIS/CIS development.
Methods:
National 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.
Results:
In total, 4,683 physicians, 3,610 RNs and 990 SWPs responded to the surveys. In all three professional groups, those working in non-managerial positions and the youngest respondents participated least in HIS/CIS development, and 76% of physicians, 78% of RNs and 67% 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 HIS/CIS development were less critical of vendors’ interest and responsiveness to development ideas than those who had not participated at all. In all three professional groups, the youngest were most dissatisfied with HIS/CIS vendor collaboration.
Conclusions:
Experiences of participation in HIS/CIS development were relatively negative across all three 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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