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.
Materials & Methods: 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.
Results: 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.
Conclusion: 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