Department of Conflict Resolution Studies Theses and Dissertations

Date of Award


Document Type


Degree Name

Doctor of Philosophy (PhD)


College of Arts, Humanities and Social Sciences – Department of Conflict Resolution Studies

First Advisor

Robin Cooper

Second Advisor

Dustin Berna

Third Advisor

Urszula Strawinska-Zanko


EHR use, electronic health record, healthcare, nurses, technology


Nurses are the largest group of health information technology system users. As the nurses are the focal point of patient care because they interact with multiple areas under the healthcare realm and manage multiple components of patient care, the use of EHR technology is likely to have an impact on their careers and healthcare delivery outcomes. Conflicts experienced during EHR use or adoption have been researched; however, despite these studies, understanding nurses’ experiences of conflicts remain underexplored; in particular, there have been no research studies that have differentiated between interpersonal and intrapersonal conflicts experienced. The general problem addressed in this study is the lack of understanding of the issues faced by nurses after adopting the EHR system. The current study employed a qualitative descriptive design to collect detailed information from study participants by means of semi-structured interviews on the lived experiences of 15 nurses working in two separate hospital settings. To assist in the design of the study and interpretation of the findings, complex adaptive systems theory and theory of cooperation and competition model were utilized. The findings contribute to the body of existing knowledge about the effectiveness of EHR in a hospital setting by providing useful insights that can help improve the implementation of these systems and as a result improve the healthcare system, nurses’ satisfaction and ultimately favorable patient care outcomes.