Understanding Unmet Needs and Opportunities for Digital Transformation in Nursing Admission Assessment: A Qualitative Study
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Nursing admission assessment is a critical first step in the inpatient care process, providing essential information for clinical decision-making and patient safety. However, despite its importance, this process places a significant burden on nurses, who face challenges such as time pressure, documentation overload, and communication barriers, particularly among elderly patients. This qualitative descriptive study explores the experiences of nurses, patients, and caregivers regarding the nursing admission assessment process at a large tertiary hospital. Through focus group and in-depth interviews, we identified four major themes: (1) perceived meaning of the assessment, (2) operational and systemic challenges, (3) communication challenges among stakeholders, and (4) suggestions for future improvement. Based on these findings, we propose the development of a self-report questionnaire, a digital pre-admission system, enhanced EHR integration, and user-centered system design. These insights offer guidance for workflow innovations aimed at reducing nursing workload while maintaining high-quality care.
