Original Article

Nursing and midwifery students’ attitudes to computer use in healthcare


Background & Aim: Nurses are exposed to the changing demands in technology as they execute their patient-related duties in the workplace. Integration of information technology (IT) in healthcare systems improves the quality of care provided. Nursing and midwifery students with prior exposure to computers tend to have a positive influence of IT. This study was carried out to determine the attitudes of the students of nursing and midwifery at School of Health to the use of computers in healthcare.
Methods & Materials: The sample was composed of 247 nursing and midwifery students selected by using non-probability sampling method. Survey method and pretest for attitudes toward computers in healthcare scale were used in data collection. Chi-square significance test was conducted in data analysis.
Results: About 94.3% of the students were female, 48.6% were graduates of regular high school, 58.7% were students of nursing and 32.8% were 2nd year students. Moreover, 62.6% of the students had a computer, 80.2% took a computer course, 47.0% used the computer for 1-3 h/day, 96% considered computer use necessary for their profession and 96.8% found it necessary for their profession to possess a computer. It was found that 45.3% of the students were enthusiastic view of the potential of computer use in healthcare.
Conclusion: There was no significant difference between the nursing students and the midwifery students in terms of attitudes to use of computers in healthcare, whereas a significant relationship was found between computer use in healthcare and the daily duration of daily computer use and whether the students possess a computer. This result is significant in terms of planning, applying, and integrating hospital information systems.

Goorman E, Berg M. Modelling nursing activities: electronic patient records and their discontents. Nurs Inq 2000; 7(1): 3-9.

Ajuwon GA. Computer and internet use by first year clinical and nursing students in a Nigerian teaching hospital. BMC Med In- form Decis Mak 2003; 3: 10.

Dick RS, Steen EB. The computer-based patient record: an essential technology for health care. Washington, DC: National Academies; 1991.

Axford RL, Carter BE. Impact of clinical information systems on nursing practice. Nurses' perspectives. Comput Nurs 1996; 14(3): 156-63.

Lee TT, Yeh CH, Ho LH. Application of a computerized nursing care plan system in one hospital: experiences of ICU nurses in Taiwan. J Adv Nurs 2002; 39(1): 61-7.

Nkosi ZZ, Asah F, Pillay P. Post-basic nurs- ing students' access to and attitudes toward the use of information technology in prac- tice: a descriptive analysis. J Nurs Manag 2011; 19(7): 876-82.

McBride SH, Nagle LM. Attitudes toward computers. A test of construct validity. Comput Nurs 1996; 14(3): 164-70.

Lee TT. Nurses' perceptions of their docu- mentation experiences in a computerized nursing care planning system. J Clin Nurs 2006; 15(11): 1376-82.

Sabuncu N. Bilgisayar ve hemşirelik yak- laşımı. Hemşirelik Forumu 1998; 1(2): 81-2. [In Turkish].

Atack L. Becoming a web-based learner: registered nurses' experiences. J Adv Nurs 2003; 44(3): 289-97.

Elder BL, Koehn ML. Assessment tool for nursing student computer competencies. Nurs Educ Perspect 2009; 30(3): 148-52.

Smith D, Morris A, Janke J. Nursing satis- faction and attitudes with computerized software implementation: a quasi- experimental study. Comput Inform Nurs 2011; 29(4): 245-50.

Button D, Harrington A, Belan I. E-learning and information communication technology (ICT) in nursing education: A review of the literature. Nurse Educ Today 2013.

Chan MF. Investigating nurses' knowledge, attitudes, and skills patterns towards clinical management system: results of a cluster analysis. Med Inform Internet Med 2006; 31(3): 161-74.

Lee TT. Nurses' concerns about using in- formation systems: analysis of comments on a computerized nursing care plan system in Taiwan. J Clin Nurs 2005; 14(3): 344-53.

Koc Z. Determination of nursing students opinion related to computer use in nursing education and practice. Journal of Nursing 2006; 10(2): 29-40. [In Turkish].

Görgülü S, Uçar H, Dinç L. Nursing student’s view of computer technology. Hacettepe Uni- versity Faculty of Health Sciences Nursing Journal 1999; 6(2): 11-20. [In Turkish].

Yavuz M. The use of computers at the Ege University School of Nursing. Proceedings of the 1st International and 8th National Nurs- ing Congress 2001 29 Oct-2 Nov; Antalya, Turky. p. 517-20.

Hansen MM. Nursing students' attitudes to- ward technology: a national study. Philadel- phia, PA: Lippincott Williams & Wilkins, Inc.; 2006. p. 112-8.

Kaya N. Factors affecting nurses' attitudes toward computers in healthcare. Comput In- form Nurs 2011; 29(2): 121-9.

Sultana N. Nurses' attitudes towards com- puterization in clinical practice. J Adv Nurs 1990; 15(6): 696-702.

Simpson G, Kenrick M. Nurses' attitudes toward computerization in clinical practice in a British general hospital. Comput Nurs 1997; 15(1): 37-42.

Liu JE, Pothiban L, Lu Z, Khamphonsiri T. Computer knowledge, attitudes, and skills of nurses in People's Hospital of Beijing Medi- cal University. Comput Nurs 2000; 18(4): 197-206.

Timmons S. Nurses resisting information technology. Nurs Inq 2003; 10(4): 257-69.

Brumini G, Kovic I, Zombori D, Lulic I, Petrovecki M. Nurses' attitudes towards computers: cross sectional questionnaire study. Croat Med J 2005; 46(1): 101-4.

Alquraini H, Alhashem AM, Shah MA, Chowdhury RI. Factors influencing nurses' attitudes towards the use of computerized health information systems in Kuwaiti hos- pitals. J Adv Nurs 2007; 57(4): 375-81.

Shoham S, Gonen A. Intentions of hospital nurses to work with computers: based on the theory of planned behavior. Comput Inform Nurs 2008; 26(2): 106-16.

Barnoy S, Volfin-Pruss D, Ehrenfeld M, Kushnir T. Factors affecting nurses' attitudes in Israel toward patients who present them with Internet medical information. Nurs Outlook 2008; 56(6): 314-21.

Liang JC, Wu SH, Tsai CC. Nurses' Internet self-efficacy and attitudes toward web-based continuing learning. Nurse Educ Today 2011; 31(8): 768-73.

Vadivukkarasi RP, Muthamilselvi G, Man- jeet K. A Comparative study to assess an at- titude towards computer application in nurs- ing practice among the staff nurses. Asian Journal of Nursing Education and Research 2013; 3(2): 82-6.

Merrow SL. Graduate Nursing Students' Knowledge of Computer Terminology and Attitudes Toward Computers. Proc Annu Symp Comput Appl Med Care 1988; 9: 350-4.

Kaminski J. P.A.T.C.H. Assessment scale v. 3 pretest for attitudes toward computers in healthcare [Online]. [cited 1996]; Available from: URL: http://nursing- informatics.com/niassess/plan.html

Kaya N. Validity and reliability of Turkish version of the pretest for attitudes towards computers in healthcare assessment scale. Journal of Istanbul University Florence Nightingale School of Nursing 2008; 16(61): 24-32.

Fidancıoğlu H, Beydağ D, Gök F, Kızilkaya M. University school for health sciences students' opinions about internet Using. Maltepe Universitesi Hemşirelik Bilim ve Sanatı Dergisi 2009; 2(1): 3-9. [In Turkish].

Erdemir F, Hanoğlu ZÇ, Akman A. Com- puter and internet use of nurses, and their opinion about the value of use of computers in nursing. Proceedings of the 2nd National Medical Information Conference; 2005 Sep 28-30; Antalya, Turkey. [In Turkish].

Webster J, Davis J, Holt V, Stallan G, New K, Yegdich T. Australian nurses' and mid- wives' knowledge of computers and their at- titudes to using them in their practice. J Adv Nurs 2003; 41(2): 140-6.

Vadivukkarasi RP, Manjeet K. Attitude To- wards computer application in nursing prac- tice by PATCH Scale. International Journal of Nursing Care 2013; 1(1): 97-100.

Akin Ö, Khorshid L. The investigation of the nursing students’ attitudes towards use of computer. Journal of Ege University School of Nursing 2006; 22(1): 55-67. [In Turkish].

Tarnow KG, Mayo-Rejai R. Quick assess- ment of computer skills: setting the bar. Nurse Educ 2005; 30(2): 50-1.

IssueVol 1 No 3 (2014): Summer QRcode
SectionOriginal Article(s)
content validity instrument development psychometric properties questionnaire

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Atay S, Arıkan D, Yılmaz F, Aslantürk N, Uzun A. Nursing and midwifery students’ attitudes to computer use in healthcare. NPT. 1(3):147-154.