PDF(Pubmed)
Abstract：
BACKGROUND: Digital tools are progressively reshaping the daily work of health care professionals (HCPs) in hospitals. While this transformation holds substantial promise, it leads to frustrating experiences, raising concerns about negative impacts on clinicians\' well-being.
OBJECTIVE: The goal of this study was to comprehensively explore the lived experiences of HCPs navigating digital tools throughout their daily routines.
METHODS: Qualitative in-depth interviews with 52 HCPs representing 24 medical specialties across 14 hospitals in Switzerland were performed.
RESULTS: Inductive thematic analysis revealed 4 main themes: digital tool use, workflow and processes, HCPs\' experience of care delivery, and digital transformation and management of change. Within these themes, 6 intriguing paradoxes emerged, and we hypothesized that these paradoxes might partly explain the persistence of the challenges facing hospital digitalization: the promise of efficiency and the reality of inefficiency, the shift from face to face to interface, juggling frustration and dedication, the illusion of information access and trust, the complexity and intersection of workflows and care paths, and the opportunities and challenges of shadow IT.
CONCLUSIONS: Our study highlights the central importance of acknowledging and considering the experiences of HCPs to support the transformation of health care technology and to avoid or mitigate any potential negative experiences that might arise from digitalization. The viewpoints of HCPs add relevant insights into long-standing informatics problems in health care and may suggest new strategies to follow when tackling future challenges.
OBJECTIVE: The goal of this study was to comprehensively explore the lived experiences of HCPs navigating digital tools throughout their daily routines.
METHODS: Qualitative in-depth interviews with 52 HCPs representing 24 medical specialties across 14 hospitals in Switzerland were performed.
RESULTS: Inductive thematic analysis revealed 4 main themes: digital tool use, workflow and processes, HCPs\' experience of care delivery, and digital transformation and management of change. Within these themes, 6 intriguing paradoxes emerged, and we hypothesized that these paradoxes might partly explain the persistence of the challenges facing hospital digitalization: the promise of efficiency and the reality of inefficiency, the shift from face to face to interface, juggling frustration and dedication, the illusion of information access and trust, the complexity and intersection of workflows and care paths, and the opportunities and challenges of shadow IT.
CONCLUSIONS: Our study highlights the central importance of acknowledging and considering the experiences of HCPs to support the transformation of health care technology and to avoid or mitigate any potential negative experiences that might arise from digitalization. The viewpoints of HCPs add relevant insights into long-standing informatics problems in health care and may suggest new strategies to follow when tackling future challenges.
摘要：
背景：数字工具正在逐步重塑医院医疗保健专业人员（HCP）的日常工作。虽然这种转变有很大的希望，这会导致令人沮丧的经历，引起人们对对临床医生福祉的负面影响的担忧。
目的：本研究的目的是全面探索HCP在日常生活中使用数字工具的生活体验。
方法：对瑞士14家医院的24个医学专业的52个HCPs进行了定性深入访谈。
结果：归纳主题分析揭示了4个主要主题：数字工具使用，工作流和流程，HCPs护理交付经验，以及数字化转型和管理变革。在这些主题中,出现了6个有趣的悖论，我们假设这些悖论可能部分解释了医院数字化面临的挑战的持续存在：效率的承诺和效率低下的现实，从面对面到界面的转变，杂耍挫折和奉献，信息获取和信任的幻觉，工作流程和护理路径的复杂性和交叉点，以及影子IT的机遇和挑战。
结论：我们的研究强调了承认和考虑HCP的经验以支持医疗保健技术的转变并避免或减轻数字化可能带来的任何潜在负面经验的核心重要性。HCP的观点增加了对医疗保健中长期存在的信息学问题的相关见解，并可能提出应对未来挑战时要遵循的新策略。
目的：本研究的目的是全面探索HCP在日常生活中使用数字工具的生活体验。
方法：对瑞士14家医院的24个医学专业的52个HCPs进行了定性深入访谈。
结果：归纳主题分析揭示了4个主要主题：数字工具使用，工作流和流程，HCPs护理交付经验，以及数字化转型和管理变革。在这些主题中,出现了6个有趣的悖论，我们假设这些悖论可能部分解释了医院数字化面临的挑战的持续存在：效率的承诺和效率低下的现实，从面对面到界面的转变，杂耍挫折和奉献，信息获取和信任的幻觉，工作流程和护理路径的复杂性和交叉点，以及影子IT的机遇和挑战。
结论：我们的研究强调了承认和考虑HCP的经验以支持医疗保健技术的转变并避免或减轻数字化可能带来的任何潜在负面经验的核心重要性。HCP的观点增加了对医疗保健中长期存在的信息学问题的相关见解，并可能提出应对未来挑战时要遵循的新策略。
