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Metrics details. Nursing information systems embedded with standardized nursing language and clinical decision support have been increasingly introduced in health care settings. User experience is key to the adoption of health information technologies. Despite extensive research into the user experience with nursing information systems, few studies have focused on the interaction between user, technology and organizational attributes during its implementation.

This is a mixed-method study using an embedded design. Twenty-two semi structured interviews were conducted with twenty nurses with clinical or administrative roles.

The quantitative and qualitative data were merged using the Pillar Integration Process. The average score of system use behavior was 3. Regarding perceived system effectiveness, the score of each dimension ranged 3.

Despite large variations in approaches to participating in system optimization, nurses had generally positive experiences with management and technical support. Eight main categories emerged from the integrated findings, which were further condensed into three themes: perceptions on system content, structure, and functionality; perceptions on interdisciplinary and cross-level cooperation; and embracing and accepting the change. Effective collaboration between clinicians, administrators and technical staff is required during system promotion to enhance system usability and user experience.