Open Access Highly Accessed Research article

Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users

Anke JE de Veer1*, Margot AH Fleuren2, Nienke Bekkema1 and Anneke L Francke13

Author Affiliations

1 The Netherlands Institute for Health Services Research (NIVEL), P.O. Box 1568, 3500 BN Utrecht, the Netherlands

2 TNO, Leiden, the Netherlands

3 Department of Public and Occupational Health, EMGO Institute for Health and Care Research (EMGO+) of the VU University Medical Center Amsterdam, the Netherlands

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BMC Medical Informatics and Decision Making 2011, 11:67  doi:10.1186/1472-6947-11-67

Published: 27 October 2011



A growing number of new technologies are becoming available within nursing care that can improve the quality of care, reduce costs, or enhance working conditions. However, such effects can only be achieved if technologies are used as intended. The aim of this study is to gain a better understanding of determinants influencing the success of the introduction of new technologies as perceived by nursing staff.


The study population is a nationally representative research sample of nursing staff (further referred to as the Nursing Staff Panel), of whom 685 (67%) completed a survey questionnaire about their experiences with recently introduced technologies. Participants were working in Dutch hospitals, psychiatric organizations, care organizations for mentally disabled people, home care organizations, nursing homes or homes for the elderly.


Half of the respondents were confronted with the introduction of a new technology in the last three years. Only half of these rated the introduction of the technology as positive.

The factors most frequently mentioned as impeding actual use were related to the (kind of) technology itself, such as malfunctioning, ease of use, relevance for patients, and risks to patients. Furthermore nursing staff stress the importance of an adequate innovation strategy.


A prerequisite for the successful introduction of new technologies is to analyse determinants that may impede or enhance the introduction among potential users. For technological innovations special attention has to be paid to the (perceived) characteristics of the technology itself.