The Impact of Information and Communication Technology on Doctors’ and Registered Nurses’ Working Conditions and Clinical Work – A Cross-Sectional Study in a Norwegian Hospital

Jörg W Kirchhoff,1 Abigail Marks,2 Ann Karin Helgesen,1 Kirsti Lauvli Andersen,1 Hilde Marie Andreassen,1 Vigdis Abrahamsen Grøndahl1 1Faculty of Health, Welfare and Organisation, Østfold University College, Halden, Norway; 2Author Affiliations Newcastle University Business School, Newcastle University, Newcastle Upon Tyne, UKCorrespondence: Jörg W KirchhoffFaculty of Health, Welfare and Organisation, Østfold University College, Halden, NorwayTel +47 47 69 60 86 99Email jorg.kirchhoff@hiof.noPurpose: Previous studies indicate that the introduction of information and communication technology (ICT) in health care organizations impairs health care professional’s working conditions and diminishes job discretion. Most of these studies, however, were designed to explore the influence of ICT exclusively on a single group of health care professionals and thereby did not consider the influence of the same technology on other groups of health care professionals. The aim of this article is to explore the influence of a fully integrated ICT system on both doctors and registered nurses within the same working environment: a high-tech hospital.Methods: This is a cross-sectional study conducted in a high-tech Norwegian hospital. Data were collected in 2016. In total, 264 registered nurses and 172 doctors responded to a questionnaire on their working conditions and experiences with ICT in clinical work. Descriptive statistics, compare means, cross-tables, Chi-square and bivariate correlation analysis were used to analyze the data. Statistical significance was set at p < 0.05.Results: The findings revealed differences in doctors’ and registered nurses’ working conditions. Registered nurses reported a statistically significant higher workload and better job content than doctors. There was no difference in job discretion between doctors and registered nurses. Both occupational groups experienced that the ICT system impairs patient contact and the quality of health services. We found statistically significant correlations between registered nurses’ and doctors’ experiences with ICT in clinical work and working conditions, whereof the strongest correlation was related to job discretion in clinical work.Conclusion: This study concludes that the impact of ICT on doctors’ and registered nurses’ working conditions in a hospital depends on the experiences of ICT in clinical work. In consequence, it is recommended to involve doctors and registered nurses in the implementation of ICT in hospitals.Keywords: health care professionals, information and communication technology, job discretion, job content, working conditions