Identification and Classification of Usability Problems in a Nursing Information System

Abstract

Nursing information system is a system that nurses are required to use in order to perform their daily activities. Poor user interface design of nursing information system can cause problems in nurses' interaction with the system. This research aimed to evaluate the usability of nursing information system. During this study, five evaluators examined the nursing information system with the heuristic evaluation method and by using the checklist of Nielsen usability principles. Then, the identified problems were categorized into 10 Nielsen usability principles, and the severity of the problems was determined. They also attributed each problem to one of usability attributes. A total of 104 unique problems were identified. Most of the problems were related to the principle of “consistency and standards.” More than a third of the identified problems were classed as major and catastrophe, with the highest severity in the average problems of “help and documentation” and “error prevention.” Most of the identified problems were attributed to effectiveness and satisfaction. Because a significant number of identified usability problems in nursing information system were major and catastrophe and were attributed to effectiveness and satisfaction, being able to remedy the problems could improve nurses' interaction with the system user interface and increase satisfaction and effectiveness of nurses.

Digital Future of Emergency Medical Services: Envisioning and Usability of Electronic Patient Care Report System

“…Finally, unpleasant interface design can cause challenges in users' interaction with the system [50]. In this study the overall mean score of the interface quality subscale was 3.57 (SD � 1.064), meaning that the majority of the EMS staff rate their interface quality subscale as "useable" at a high level, since a high level interval (3.40-5) as shown in Table 2.…”

“…For example, the participants required the need for clear error messages together with guidance on how to fix them, providing information correlated to common tasks, and improving functions and capabilities of the design to meet the EMS staff's expectations. Earlier research [50,53] has shown that similar modifications can enhance users' interactions with systems.…”

Удосконалення Медичних Інформаційних Систем Як Компонент Розвитку Системи Охорони Здоров’я

“…В охороні здоров'я зручність використання МІС визначається їх зрозумілістю, легкістю у вивченні роботи, легкістю сприйняття, привабливістю, корисністю та потужністю в частині виконання завдань охорони здоров'я. В окремих дослідженнях показано, що протягом останніх двох -трьох десятиліть розробники МІС в окремих країнах провели виражені вдосконалення таких систем для задоволення вимог ЗОЗ та національних систем охорони здоров'я, а також відповідно до запитів та побажань рядових користувачів такого програмного забезпечення [9][10][11].…”

Transition to a new nursing information system embedded with clinical decision support: a mixed-method study using the HOT-fit framework

“…Multiple technology acceptance theories recognize user experience as key to the adoption of health information technologies (HITs) [ 9 ]. HITs poorly adapted to the work context can cause contradictions to nursing workflows, compromising EHR usability [ 10 ]. Perceived poor EHR usability is associated with a higher level of emotional exhaustion among nurses [ 11 ], hindering system adoption [ 12 ].…”