Figure 1
Detected themes codes categories and codes in qualitative analysis of submitted student opinions_
| Theme | Category | Codes |
|---|---|---|
| Professional suitability | Nursing theory compatibility | Follows the nursing process, Holistic, Universal, Supports nursing theory, Secure, Relatable to existing paper-based documentation |
| Flexibility | Flexible for enabling free text, Flexible for allowing limited data documentation, Diverse nursing diagnosis creation, Individually fitted nursing care plan, Efficient compared to paper-based documentation, | |
| Structured data representation | Clear data organization, Colour coded problem documentation, Easy to use, Inhibits incompleteness of documented data, Supports patient progress tracking, Practical graphical representations, Clear patient data overview | |
| Functionalities and design | Non-user-friendly functionalities | Does not automatically save data, Does not flag logical inconsistencies, Does not provide pre-structured elements of a nursing care plan, Unintuitive to use, Poor standardized languages integration, Poor overview of medical data |
| Poor visual design | Monotonous colour scheme, Outdated visual design, Sharp edges, Small buttons, Small font | |
| Time-consuming | Does not provide pre-structured elements of a nursing care plan, Unintuitive to use, Overuse of manual typing | |
| Improvements recommendations | Functionalities enhancements | Include images documentation, Improve interdisciplinary use, Formulate data to enable research, Include risk screening tools, Include notifications and warnings, Include standardized nursing languages |
| Ensure user training | Provide nursing process training, Provide user training |
Comparison of survey results for the observed aspects of application use_
| Application usability aspect | Cronbach’s alpha | Application | M (Q1–Q3) | Mann-Whitney U |
|---|---|---|---|---|
| Overall impressiona | 0.942 | A | 4.0 (3.0–5.0) | p<0.001 |
| Learnabilitya | 0.943 | A | 5.0 (2.5–6.0) | p=0.002 |
| Operabilitya | 0.849 | A | 5.0 (3.0–5.5) | p<0.001 |
| Visual designa | 0.906 | A | 5.0 (3.8–6.5) | p<0.001 |
| Usability for patient data documentationb | 0.938 | A | 3.0 (2.8–4.0) | p=0.002 |
| Usability for nursing care plan formulationb | 0.950 | A | 3.0 (2.6–4.0) | p=0.001 |
| Satisfaction with formulated nursing care planb | 0.948 | A | 3.0 (3.0–4.0) | p=0.015 |