Integrating information and communication technology into nursing practice for resilience: A cross-sectional quantitative study

Li-Fang Chang; Pi-Hsia Lee; Dawn Dowding; Chia-Jung Hsieh; Kuei-Ru Chou; Tso-Ying Lee

doi:10.1371/journal.pone.0324865

Integrating information and communication technology into nursing practice for resilience: A cross-sectional quantitative study

Li-Fang Chang, Pi-Hsia Lee, Dawn Dowding, Chia-Jung Hsieh, Kuei-Ru Chou, Tso-Ying Lee^*

^*Corresponding author for this work

Nursing & Midwifery

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: The adoption of information and communication technology (ICT) tools was accelerated by the COVID-19 pandemic to facilitate contactless interaction and reduce infection risk. However, there remains a lack of quantitative analysis regarding nurses' perceptions and experience with these ICT tools.

PURPOSE: This survey study aimed to assess nurses' experience and satisfaction with ICT tools during the COVID-19 pandemic.

METHODS: Registered nurses were recruited into this questionnaire-based cross-sectional study. Questions about organizational ICT training and support, impact on patient care, and ICT perception were asked.

RESULTS: A total of 237 nurses completed and returned the questionnaire. The majority of nurses reported that ICT tools support instant consultation and communication with patients (62.0%). ICT tools' suitability and effectiveness of features were 6.40 ± 1.72 and 6.10 ± 1.73, respectively. Nurses' attitudes and perceived benefits of the ICT tools scored 3.59 ± 0.81 and 3.52 ± 0.87, respectively. The mean system usability score was 52.75 ± 11.75. Subgroup analyses highlighted the influence of ICT training, support, concerns about patient safety, and user anxiousness on the scores.

CONCLUSION: Participants identified equipment, infrastructure, and workflow changes as major issues in ICT use, which require organizational efforts for improvement. Addressing data utility and security concerns through policy initiatives is also imperative. This study highlights the necessity of organizational initiatives to promote good use of ICT tools and to enhance nursing resilience, especially when facing a health emergency, more resources should be allocated to the IT department that aims to respond soon; strategies including integrating digital tools for emergencies into other established systems, expanding the size of IT team for maintenance and providing training course with multiple modules.

Original language	English
Article number	e0324865
Journal	PLoS ONE
Volume	20
Issue number	6
DOIs	https://doi.org/10.1371/journal.pone.0324865
Publication status	Published - 4 Jun 2025

Keywords

Humans
Cross-Sectional Studies
COVID-19/epidemiology
Female
Male
Adult
Surveys and Questionnaires
Information Technology
Middle Aged
Nurses/psychology
SARS-CoV-2
Pandemics
Attitude of Health Personnel
Communication

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1371/journal.pone.0324865Licence: CC BY

DHSCRG: Digital Health and Social Care Research Group
Dowding, D. (Researcher), Hawley-Hague, H. (Researcher), O'Connor, S. (Researcher), Stanmore, E. (Researcher), Kirk, S. (Researcher), Hall, A. (Researcher), Burden, S. (Researcher), Deane, J. (Researcher), Eost-Telling, C. (Researcher), Gasteiger, N. (Researcher), Jeyasingham, D. (Researcher), Christie, J. (Researcher), Rogers, K. (Researcher), Dumville, J. (Researcher), Atkinson, R. (Researcher), Vercell, A. (Researcher) & Ford, C. (Researcher)
Project: Research

Cite this

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title = "Integrating information and communication technology into nursing practice for resilience: A cross-sectional quantitative study",

abstract = "BACKGROUND: The adoption of information and communication technology (ICT) tools was accelerated by the COVID-19 pandemic to facilitate contactless interaction and reduce infection risk. However, there remains a lack of quantitative analysis regarding nurses' perceptions and experience with these ICT tools.PURPOSE: This survey study aimed to assess nurses' experience and satisfaction with ICT tools during the COVID-19 pandemic.METHODS: Registered nurses were recruited into this questionnaire-based cross-sectional study. Questions about organizational ICT training and support, impact on patient care, and ICT perception were asked.RESULTS: A total of 237 nurses completed and returned the questionnaire. The majority of nurses reported that ICT tools support instant consultation and communication with patients (62.0%). ICT tools' suitability and effectiveness of features were 6.40 ± 1.72 and 6.10 ± 1.73, respectively. Nurses' attitudes and perceived benefits of the ICT tools scored 3.59 ± 0.81 and 3.52 ± 0.87, respectively. The mean system usability score was 52.75 ± 11.75. Subgroup analyses highlighted the influence of ICT training, support, concerns about patient safety, and user anxiousness on the scores.CONCLUSION: Participants identified equipment, infrastructure, and workflow changes as major issues in ICT use, which require organizational efforts for improvement. Addressing data utility and security concerns through policy initiatives is also imperative. This study highlights the necessity of organizational initiatives to promote good use of ICT tools and to enhance nursing resilience, especially when facing a health emergency, more resources should be allocated to the IT department that aims to respond soon; strategies including integrating digital tools for emergencies into other established systems, expanding the size of IT team for maintenance and providing training course with multiple modules.",

keywords = "Humans, Cross-Sectional Studies, COVID-19/epidemiology, Female, Male, Adult, Surveys and Questionnaires, Information Technology, Middle Aged, Nurses/psychology, SARS-CoV-2, Pandemics, Attitude of Health Personnel, Communication",

author = "Li-Fang Chang and Pi-Hsia Lee and Dawn Dowding and Chia-Jung Hsieh and Kuei-Ru Chou and Tso-Ying Lee",

note = "Copyright: {\textcopyright} 2025 Chang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.",

year = "2025",

month = jun,

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doi = "10.1371/journal.pone.0324865",

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T2 - A cross-sectional quantitative study

AU - Chang, Li-Fang

AU - Lee, Pi-Hsia

AU - Dowding, Dawn

AU - Hsieh, Chia-Jung

AU - Chou, Kuei-Ru

AU - Lee, Tso-Ying

N1 - Copyright: © 2025 Chang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

PY - 2025/6/4

Y1 - 2025/6/4

N2 - BACKGROUND: The adoption of information and communication technology (ICT) tools was accelerated by the COVID-19 pandemic to facilitate contactless interaction and reduce infection risk. However, there remains a lack of quantitative analysis regarding nurses' perceptions and experience with these ICT tools.PURPOSE: This survey study aimed to assess nurses' experience and satisfaction with ICT tools during the COVID-19 pandemic.METHODS: Registered nurses were recruited into this questionnaire-based cross-sectional study. Questions about organizational ICT training and support, impact on patient care, and ICT perception were asked.RESULTS: A total of 237 nurses completed and returned the questionnaire. The majority of nurses reported that ICT tools support instant consultation and communication with patients (62.0%). ICT tools' suitability and effectiveness of features were 6.40 ± 1.72 and 6.10 ± 1.73, respectively. Nurses' attitudes and perceived benefits of the ICT tools scored 3.59 ± 0.81 and 3.52 ± 0.87, respectively. The mean system usability score was 52.75 ± 11.75. Subgroup analyses highlighted the influence of ICT training, support, concerns about patient safety, and user anxiousness on the scores.CONCLUSION: Participants identified equipment, infrastructure, and workflow changes as major issues in ICT use, which require organizational efforts for improvement. Addressing data utility and security concerns through policy initiatives is also imperative. This study highlights the necessity of organizational initiatives to promote good use of ICT tools and to enhance nursing resilience, especially when facing a health emergency, more resources should be allocated to the IT department that aims to respond soon; strategies including integrating digital tools for emergencies into other established systems, expanding the size of IT team for maintenance and providing training course with multiple modules.

AB - BACKGROUND: The adoption of information and communication technology (ICT) tools was accelerated by the COVID-19 pandemic to facilitate contactless interaction and reduce infection risk. However, there remains a lack of quantitative analysis regarding nurses' perceptions and experience with these ICT tools.PURPOSE: This survey study aimed to assess nurses' experience and satisfaction with ICT tools during the COVID-19 pandemic.METHODS: Registered nurses were recruited into this questionnaire-based cross-sectional study. Questions about organizational ICT training and support, impact on patient care, and ICT perception were asked.RESULTS: A total of 237 nurses completed and returned the questionnaire. The majority of nurses reported that ICT tools support instant consultation and communication with patients (62.0%). ICT tools' suitability and effectiveness of features were 6.40 ± 1.72 and 6.10 ± 1.73, respectively. Nurses' attitudes and perceived benefits of the ICT tools scored 3.59 ± 0.81 and 3.52 ± 0.87, respectively. The mean system usability score was 52.75 ± 11.75. Subgroup analyses highlighted the influence of ICT training, support, concerns about patient safety, and user anxiousness on the scores.CONCLUSION: Participants identified equipment, infrastructure, and workflow changes as major issues in ICT use, which require organizational efforts for improvement. Addressing data utility and security concerns through policy initiatives is also imperative. This study highlights the necessity of organizational initiatives to promote good use of ICT tools and to enhance nursing resilience, especially when facing a health emergency, more resources should be allocated to the IT department that aims to respond soon; strategies including integrating digital tools for emergencies into other established systems, expanding the size of IT team for maintenance and providing training course with multiple modules.

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KW - Female

KW - Male

KW - Adult

KW - Surveys and Questionnaires

KW - Information Technology

KW - Middle Aged

KW - Nurses/psychology

KW - SARS-CoV-2

KW - Pandemics

KW - Attitude of Health Personnel

KW - Communication

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DO - 10.1371/journal.pone.0324865

M3 - Article

C2 - 40465704

SN - 1932-6203

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JO - PLoS ONE

JF - PLoS ONE

IS - 6

M1 - e0324865

ER -

Integrating information and communication technology into nursing practice for resilience: A cross-sectional quantitative study

Abstract

Keywords

UN SDGs

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DHSCRG: Digital Health and Social Care Research Group

Cite this