Nurses resisting information technology

Nurs Inq. 2003 Dec;10(4):257-69. doi: 10.1046/j.1440-1800.2003.00177.x.

Abstract

Resistance in the workplace, by nurses, has not been extensively studied from a sociological perspective. In this paper, nurses' resistance to the implementation and use of computer systems is described and analysed, on the basis of semistructured interviews with 31 nurses in three UK NHS hospitals. While the resistance was not "successful", in that it did not prevent the implementation of the systems, it nonetheless persisted. Resistance took a wide variety of forms, including attempts to minimise or "put off" use of the systems, and extensive criticism of the systems, though outright refusal to use them was very rare. Resistance was as much about the ideas and ways of working that the systems embodied as it was about the actual technology being used. The patterns of resistance can best be summed up by the phrase "resistive compliance".

MeSH terms

  • Attitude of Health Personnel*
  • Attitude to Computers*
  • Computer Literacy
  • England
  • Health Knowledge, Attitudes, Practice
  • Hospital Information Systems*
  • Hospitals, District
  • Hospitals, General
  • Humans
  • Medical Records Systems, Computerized*
  • Negativism*
  • Nursing Methodology Research
  • Nursing Records
  • Nursing Staff, Hospital / education
  • Nursing Staff, Hospital / psychology*
  • Surveys and Questionnaires
  • Time Management
  • User-Computer Interface
  • Workload
  • Workplace / psychology