Understanding Antecedents of Nurses' and Physicians' Workaround Behavior Regarding Hospital Information Systems: Qualitative Interview Study

This study provides an understanding of the antecedents of workarounds performed by medical personnel regarding HIS use, structures and categorizes them, and lays the foundation for an understanding of users' deviant behavior. Moreover, by revealing cause-effect relationships between the antecedents, we take on a behavioral perspective and provide a basis for developing effective strategies to prevent the need for workarounds. We contribute to the research stream of workarounds in health care and emphasize that once the reported and derived direct causes and influencing factors of workarounds have been tackled, working conditions, patient safety, and the overall quality of health care may improve under full digital support.