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INTERNATIONAL JOURNAL OF LATEST TECHNOLOGY IN ENGINEERING,
MANAGEMENT & APPLIED SCIENCE (IJLTEMAS)
ISSN 2278-2540 | DOI: 10.51583/IJLTEMAS | Volume XV, Issue III, March 2026
Impact of Hospital Information Management System (HIMS) on
Nursing Documentation in Selected Hospital: A Study Among Staff
Nurses
ELBY K PAUL, Sherin Annie Varghese
Chirayu medical college and hospital
DOI:
https://doi.org/10.51583/IJLTEMAS.2026.150300128
Received: 26 March 2026; 31 March 2026; Published: 24 April 2026
ABSTRACT
Hospital Information Management System (HIMS) has become an essential digital tool in modern healthcare
institutions for improving patient care documentation and clinical communication. Nursing documentation is a
critical component of patient safety, legal accountability, and continuity of care. This descriptive cross-sectional
quantitative study was conducted to assess the impact of HIMS on nursing documentation among 150 staff nurses
working in selected hospital wards including intensive care unit, medical ward, surgical ward, and emergency
unit. Convenient sampling technique was used to select participants. A structured questionnaire consisting of
demographic variables, ease of HIMS use, documentation accuracy, time management, and challenges faced by
nurses was administered.
The findings revealed that 84% of nurses reported improved documentation accuracy, 61.3% experienced
reduced documentation time after adaptation, and 92% stated that patient records became easier to retrieve after
HIMS implementation. Medication documentation errors were reduced according to 87.3% of respondents.
Major challenges identified included slow server response (38.7%), frequent login/logout issues (28%), duplicate
entries (20.7%), and limited computer terminals (12.6%). Positive perception score regarding HIMS was 78%.
Significant association was observed between years of professional experience and ease of HIMS use. The study
concludes that HIMS has a positive impact on nursing documentation, though technical barriers remain a
challenge.
Keywords: Hospital Information Management System, Nursing Documentation, Electronic Health Records,
Staff Nurses, Digital Documentation
INTRODUCTION
Hospital Information Management System is a digital platform widely used in hospitals for managing patient
records, medication orders, nursing notes, laboratory investigations, and interdisciplinary communication. In
nursing practice, HIMS has become central to clinical documentation because it improves accessibility of
records, reduces handwriting-related errors, and supports continuity of patient care.
Nursing documentation is an essential legal, professional, and communication responsibility of nurses. Accurate
documentation ensures safe clinical decision-making and effective patient monitoring. Electronic documentation
systems improve completeness and timeliness of records; however, nurses may initially face challenges related
to adaptation, system complexity, and technical interruptions.
With increasing digitalization of healthcare services, understanding the practical impact of HIMS on nurses’
documentation performance is important for improving hospital informatics systems and nursing efficiency.
Objectives of the Study
1. To assess nurses’ perception regarding HIMS in nursing documentation.
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INTERNATIONAL JOURNAL OF LATEST TECHNOLOGY IN ENGINEERING,
MANAGEMENT & APPLIED SCIENCE (IJLTEMAS)
ISSN 2278-2540 | DOI: 10.51583/IJLTEMAS | Volume XV, Issue III, March 2026
2. To evaluate the effect of HIMS on documentation accuracy.
3. To determine time-saving benefits of HIMS.
4. To identify challenges faced by nurses while using HIMS.
MATERIALS AND METHODS
Research Design
Descriptive cross-sectional quantitative study.
Setting
The study was conducted in Chirayu medical college and hospital wards:
Intensive Care Unit
Medical Ward
Surgical Ward
Emergency Unit
Sample Size
Accessible population : 279
Confidence Level :95%
Margin of Error: 5%
Population Proportion: 70%
Population Size: 279
This means 150 or more measurements/surveys are needed to have a confidence level of 95% that the real value
is within ±5% of the measured/surveyed value.
Sampling Technique
Convenient sampling technique.
Inclusion Criteria
Staff nurses have more than 2 year experience and using HIMS for more than six months
Nurses working in inpatient departments
Exclusion Criteria
Staff nurses those who were absent during studies
Staff nurses those who were not willing to participate in studies
Data Collection Tool
A structured questionnaire with five sections:
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INTERNATIONAL JOURNAL OF LATEST TECHNOLOGY IN ENGINEERING,
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ISSN 2278-2540 | DOI: 10.51583/IJLTEMAS | Volume XV, Issue III, March 2026
1. Demographic profile
2. Ease of HIMS use
3. Documentation accuracy
4. Time management
5. Challenges faced
Ethical Consideration
Institutional permission was obtained prior to data collection. Confidentiality of participants was maintained.
Results
Demographic Characteristics of Participants
Variable
Frequency
Percentage
Age 21–30 years
82
54.7%
Age 31–40 years
58
32.0%
Above 40 years
10
13.3%
Female
118
78.7%
Male
32
21.3%
B.Sc Nursing
54
64.0%
GNM
96
36.0%
Major Findings
Documentation Accuracy
126 nurses (84%) reported improved documentation accuracy after HIMS implementation.
18 nurses (12%) reported no major change.
6 nurses (4%) reported difficulty correcting errors.
Time Taken for Documentation
92 nurses (61.3%) reported reduced documentation time after gaining familiarity.
38 nurses (25.3%) reported initial increase in documentation time.
20 nurses (13.4%) reported no difference.
Accessibility of Patient Information
138 nurses (92%) reported easier retrieval of patient records.
12 nurses (8%) experienced occasional server delay.
Medication Documentation Safety
131 nurses (87.3%) reported fewer medication documentation errors.
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Challenges Faced by Nurses
Challenge
Frequency
Percentage
Slow system/server
58
38.7%
Frequent login/logout
42
28.0%
Duplicate entries
31
20.7%
Limited computer terminals
19
12.6%
Statistical Analysis
Mean Perception Score
Positive perception score regarding HIMS = 78%
Chi-Square Association
Impact of HIMS on Nursing Documentation Among 150 Staff Nurses
Variable
Mean Score
Standard Deviation (SD)
Chi-Square (χ²)
Ease of HIMS Use by Years of Experience
2.41
0.68
10.62
Documentation Accuracy after HIMS
2.80
0.51
8.94
Time Taken for Documentation
2.48
0.72
7.86
Accessibility of Patient Information
2.92
0.39
11.24
Medication Documentation Safety
2.87
0.44
9.76
Challenges Faced During HIMS Use
2.12
0.83
6.91
Association between Years of Experience and Ease of HIMS Use Observed Frequency
Years of Experience
Easy to Use
Moderate Difficulty
Difficult to Use
Total
1–5 years
52
18
5
75
6–10 years
28
12
5
45
Above 10 years
12
10
8
30
Total
92
40
18
150
Expected Frequency Table
Years of Experience
Easy
Moderate
Difficult
1–5 years
46
20
9
6–10 years
27.6
12
5.4
Above 10 years
18.4
8
3.6
Association Between Years of Experience and Ease of HIMS Use Among Staff Nurses (N = 150)
Years of
Experience
Easy to Use
n (%)
Moderate
Difficulty n (%)
Difficult to
Use n (%)
Total
χ²
Value
df
Significance
1–5 years
52 (34.7%)
18 (12.0%)
5 (3.3%)
75
6–10 years
28 (18.7%)
12 (8.0%)
5 (3.3%)
45
Above 10 years
12 (8.0%)
10 (6.7%)
8 (5.3%)
30
Total
92 (61.3%)
40 (26.7%)
18 (12.0%)
150
10.62
4
Significant at p
< 0.05
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The association is statistically significant.
Therefore:
There is significant association between years of experience and ease of HIMS use. Younger nurses
demonstrated faster adaptation compared to senior nurses.
DISCUSSION
The present study demonstrates that HIMS significantly improves nursing documentation quality by enhancing:
Legibility
Accessibility
Completeness
Legal safety
Most nurses perceived electronic documentation as beneficial for reducing medication-related documentation
errors and improving access to patient data. However, technical barriers such as slow servers, repeated login
requirements, and duplicate documentation reduce workflow efficiency.
The findings indicate that younger nurses adapt more rapidly to digital documentation systems, possibly due to
greater familiarity with digital technology. Senior nurses may require additional training support.
CONCLUSION
Hospital Information Management System has a significant positive impact on nursing documentation among
staff nurses. It improves documentation accuracy, accessibility of records, and medication safety while reducing
documentation time after adaptation. Technical improvements remain necessary for maximizing efficiency.
RECOMMENDATIONS
Continuous HIMS training for nurses
Increased availability of bedside terminals
Faster server infrastructure
Simplified nursing documentation interface
Regular audit of electronic nursing documentation
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MANAGEMENT & APPLIED SCIENCE (IJLTEMAS)
ISSN 2278-2540 | DOI: 10.51583/IJLTEMAS | Volume XV, Issue III, March 2026
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