{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T15:04:52Z","timestamp":1785855892413,"version":"3.56.0"},"reference-count":38,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T00:00:00Z","timestamp":1745625600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T00:00:00Z","timestamp":1745625600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100022720","name":"Health Bureau","doi-asserted-by":"publisher","award":["17180721"],"award-info":[{"award-number":["17180721"]}],"id":[{"id":"10.13039\/100022720","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore determinants impacting an Electronic Health Record\u2010based information system implementation and their association with implementation fidelity based on the Theoretical Domains Framework (TDF) from nurses' perspectives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Exploratory sequential mixed\u2010method design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In stage one, semi\u2010structured interviews with 53 purposively selected nurses informed the exploration of TDF domains influencing the implementation of the information system with directed content analysis. In stage two, a cross\u2010sectional survey, informed by the qualitative findings, was conducted among 482 nurses to identify the most relevant and relatively important TDF domains by running generalised linear regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The qualitative interviews generated 13 TDF domains that were identified as major influencing factors, including technology characteristics, knowledge, attitudes, role agreement, self\u2010efficacy, goal\u2010setting, information circulation, and communication among nurses. Quantitative findings showed that 70% of nurses used and printed the written form through the information system, and only 34% offered verbal education consistently. Regression analysis identified nine domains that were relevant and important factors for implementation fidelity, including knowledge, skills, role identity, beliefs in consequences, beliefs in capabilities, intentions, goals, memory and decision processes, and environmental context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings confirmed previous evidence on determinants of implementing digital health technologies, including knowledge, competencies, perceived effectiveness, role agreement, intentions, decision processes, and environmental context. Additionally, we highlighted the importance of goal\u2010setting for successful implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This study investigated the relatively important associated factors that can impact the successful implementation of the nurse\u2010led information system for post\u2010acute care based on nurses' perspectives. These results can guide nurse practitioners in implementing similar initiatives and support evidence\u2010based decision\u2010making. Researchers can also further investigate the relationships between the identified determinants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>Journal Article Reporting Standards for Mixed Methods Research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.16885","type":"journal-article","created":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T03:49:32Z","timestamp":1745639372000},"page":"8929-8945","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Barriers and Facilitators to Implementing a Nurse\u2010Led Information System for Older Adult Patients' Post\u2010Discharge Self\u2010Care: An Exploratory Sequential Mixed\u2010Methods Study"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7869-0599","authenticated-orcid":false,"given":"Dorothy Yingxuan","family":"Wang","sequence":"first","affiliation":[{"name":"JC School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9983-6219","authenticated-orcid":false,"given":"Eliza Lai\u2010Yi","family":"Wong","sequence":"additional","affiliation":[{"name":"JC School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong SAR China"},{"name":"Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie Wai\u2010Ling","family":"Cheung","sequence":"additional","affiliation":[{"name":"JC School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong SAR China"},{"name":"Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoe Pui\u2010Yee","family":"Tam","sequence":"additional","affiliation":[{"name":"JC School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong SAR China"},{"name":"Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kam\u2010Shing","family":"Tang","sequence":"additional","affiliation":[{"name":"JC School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eng\u2010Kiong","family":"Yeoh","sequence":"additional","affiliation":[{"name":"JC School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong SAR China"},{"name":"Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,26]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.5539\/jel.v5n3p288"},{"key":"e_1_2_12_3_1","article-title":"Computer\u2010Generated Reminders Delivered on Paper to Healthcare Professionals: Effects on Professional Practice and Healthcare Outcomes","volume":"7","author":"Arditi C.","year":"2017","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987117741667"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0605-9"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-023-00899-4"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnv091"},{"key":"e_1_2_12_8_1","volume-title":"Designing and Conducting Mixed Methods Research","author":"Creswell J. 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