Exploring the Need for Health Information Technology Adoption in the Pediatric and Neonatal Medication Administration Process: A Qualitative Study.

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Title: Exploring the Need for Health Information Technology Adoption in the Pediatric and Neonatal Medication Administration Process: A Qualitative Study.
Authors: Norouzi, Somaye1,2 (AUTHOR), Agah, Jila3 (AUTHOR), Sarkohi, Zahra4 (AUTHOR), Nematollahi, Monirsadat5 (AUTHOR), Ahmadian, Leila6,7 (AUTHOR) l.Ahmadian@kmu.ac.ir
Source: Inquiry (00469580). 6/15/2026, Vol. 63, p1-13. 13p.
Subject Terms: *Corporate culture, *Qualitative research, *Psychological burnout, *Interprofessional relations, *Computer software, *Content analysis, *Information technology, *Professional peer review, *Motivation (Psychology), *Research methodology, *Time management, *Professional employee training, Pharmaceutical arithmetic, Research funding, Medication errors, Medical quality control, Drug administration, Clinical decision support systems, Neonatal intensive care units, Statistical sampling, Interviewing, Participant observation, Pharmaceutical chemistry, Body weight, Probability theory, Research evaluation, Neonatal intensive care, Judgment sampling, Nursing, Pediatrics, Stature, Nurses' attitudes, Medication therapy management, Intensive care units, Data analysis software, Psychology of nurses
Geographic Terms: Iran
Abstract: Introduction: Medication administration in pediatric and neonatal care is complex and high-risk due to weight-based dosing and rapid physiological changes. Health information technology (HIT) offers promising solutions to enhance safety through tools like dose calculators and clinical decision-support systems. This study explored nurses' experiences with the medication administration process (MAP) to identify HIT-driven solutions for safer practices. Methods: As part of a larger project to develop a knowledge-based decision support system, a conventional qualitative content analysis was conducted. Data from interviews and observations of 19 nurses across seven hospital units were analyzed inductively using the Lundman and Graneheim method and validated by expert review. Results: Analysis identified one main category and four subcategories. Nurses emphasized the complexity of dose calculations, the high risk of medication errors, and a pressing need for structured change. Findings highlighted that technological interventions are crucial to improve workflow efficiency, enhance accuracy, and reduce errors. Integrating digital tools was found to foster better peer collaboration, improve care quality, decrease burnout, and create a safer, more efficient medication process. Conclusion: Key recommendations emphasized implementing advanced decision support systems for dose calculation and error alerts, integrating intelligent EHR features such as automated double-checks, and adopting a user-centered design approach in developing these digital tools. [ABSTRACT FROM AUTHOR]
Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Exploring the Need for Health Information Technology Adoption in the Pediatric and Neonatal Medication Administration Process: A Qualitative Study.
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  Data: <searchLink fieldCode="AR" term="%22Norouzi%2C+Somaye%22">Norouzi, Somaye</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Agah%2C+Jila%22">Agah, Jila</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sarkohi%2C+Zahra%22">Sarkohi, Zahra</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nematollahi%2C+Monirsadat%22">Nematollahi, Monirsadat</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ahmadian%2C+Leila%22">Ahmadian, Leila</searchLink><relatesTo>6,7</relatesTo> (AUTHOR)<i> l.Ahmadian@kmu.ac.ir</i>
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  Data: Introduction: Medication administration in pediatric and neonatal care is complex and high-risk due to weight-based dosing and rapid physiological changes. Health information technology (HIT) offers promising solutions to enhance safety through tools like dose calculators and clinical decision-support systems. This study explored nurses' experiences with the medication administration process (MAP) to identify HIT-driven solutions for safer practices. Methods: As part of a larger project to develop a knowledge-based decision support system, a conventional qualitative content analysis was conducted. Data from interviews and observations of 19 nurses across seven hospital units were analyzed inductively using the Lundman and Graneheim method and validated by expert review. Results: Analysis identified one main category and four subcategories. Nurses emphasized the complexity of dose calculations, the high risk of medication errors, and a pressing need for structured change. Findings highlighted that technological interventions are crucial to improve workflow efficiency, enhance accuracy, and reduce errors. Integrating digital tools was found to foster better peer collaboration, improve care quality, decrease burnout, and create a safer, more efficient medication process. Conclusion: Key recommendations emphasized implementing advanced decision support systems for dose calculation and error alerts, integrating intelligent EHR features such as automated double-checks, and adopting a user-centered design approach in developing these digital tools. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1177/00469580261460609
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      – Code: eng
        Text: English
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        PageCount: 13
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    Subjects:
      – SubjectFull: Corporate culture
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Psychological burnout
        Type: general
      – SubjectFull: Interprofessional relations
        Type: general
      – SubjectFull: Computer software
        Type: general
      – SubjectFull: Content analysis
        Type: general
      – SubjectFull: Information technology
        Type: general
      – SubjectFull: Professional peer review
        Type: general
      – SubjectFull: Motivation (Psychology)
        Type: general
      – SubjectFull: Research methodology
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      – SubjectFull: Time management
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      – SubjectFull: Professional employee training
        Type: general
      – SubjectFull: Pharmaceutical arithmetic
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      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Medication errors
        Type: general
      – SubjectFull: Medical quality control
        Type: general
      – SubjectFull: Drug administration
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      – SubjectFull: Neonatal intensive care units
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        Type: general
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      – SubjectFull: Nursing
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      – SubjectFull: Pediatrics
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      – SubjectFull: Stature
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      – SubjectFull: Medication therapy management
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      – SubjectFull: Psychology of nurses
        Type: general
      – SubjectFull: Iran
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      – TitleFull: Exploring the Need for Health Information Technology Adoption in the Pediatric and Neonatal Medication Administration Process: A Qualitative Study.
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              Text: 6/15/2026
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