Technology Integration to Support Nurses in an “Inpatient Room of the Future”: Qualitative Analysis

BackgroundThe design and integration of technology within inpatient hospital rooms has a critical role in supporting nursing workflows, enhancing provider experience, and improving patient care. As health care technology evolves, there is a need to design “future-proofed” phy...

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Main Authors: Elizabeth R Stevens, Veronica Alfaro Arias, Son Luu, Katharine Lawrence, Lisa Groom
Format: Article
Language:English
Published: JMIR Publications 2025-06-01
Series:Journal of Medical Internet Research
Online Access:https://www.jmir.org/2025/1/e68689
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author Elizabeth R Stevens
Veronica Alfaro Arias
Son Luu
Katharine Lawrence
Lisa Groom
author_facet Elizabeth R Stevens
Veronica Alfaro Arias
Son Luu
Katharine Lawrence
Lisa Groom
author_sort Elizabeth R Stevens
collection DOAJ
description BackgroundThe design and integration of technology within inpatient hospital rooms has a critical role in supporting nursing workflows, enhancing provider experience, and improving patient care. As health care technology evolves, there is a need to design “future-proofed” physical environments that integrate technology in ways that support workflows and maintain clinical performance. Assessing how current technologies affect nursing workflows can help inform the development of these future environments. ObjectiveWe assessed the current challenges nursing staff face in inpatient rooms, gather insights on technology, and build environment interactions to envision the design of a technology-integrated “Inpatient Room of the Future.” MethodsA qualitative study was conducted involving semistructured interviews, shadowing, and focus groups among nursing staff in the inpatient setting. Methods including horizon scanning, scenario analysis, technology assessment, and backcasting facilitated a comprehensive qualitative analysis of current technology use and needs in inpatient nursing workflows to inform exploratory design considerations for technology-integrated envisioned futures solutions. ResultsIn total, 26 nursing staff across 4 inpatient hospital units participated in this study. Analysis identified four major themes considered central to designing a technology-integrated inpatient room that enhances nursing workflow and experience: (1) the need for seamless integration of technologies advocating for a unified system that minimizes fragmented technology use and enhances efficiency; (2) the potential for technology to reduce cognitive load, alleviate mental strain, and streamline complex workflows; (3) a focus on enhancing interpersonal communication with specific emphasis on tools that facilitate clear and efficient communication among clinicians and with patients; and (4) the importance of improved staff well-being with design considerations aimed at promoting both physical and mental health for health care workers in the inpatient setting. Envisioned future solutions included enhanced patient monitoring with automated measurements and actions through computer vision and data triangulation, a smart electronic health record–integrated supply management system using computer vision to detect supply shortages and auto-delivery of needed supplies, and a personal tech smart assistant capable of real-time patient monitoring and escalation, task prioritization, and hands-free clinical documentation and communication. ConclusionsWhile current technologies address specific tasks, there are significant opportunities for better technology integration, reducing cognitive load, enhancing communication, and promoting the physical and mental well-being of nursing staff. Future research should focus on seamless technology integration aligned with clinical workflows and implementing supportive technologies that do not interfere with clinician judgment and critical thinking. Policy recommendations include oversight mechanisms for evaluating artificial intelligence–enabled devices, safeguarding patient information, and ensuring nurses are actively involved at every stage of technology development and implementation. Future inpatient unit designs should actively engage input from both nursing professionals and technologists in developing future-proofed clinical spaces to ensure the creation of integrated systems that foster a cohesive and harmonious user experience.
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spelling doaj-art-f8fc66ea022949aa968304daa950d9932025-08-20T02:07:24ZengJMIR PublicationsJournal of Medical Internet Research1438-88712025-06-0127e6868910.2196/68689Technology Integration to Support Nurses in an “Inpatient Room of the Future”: Qualitative AnalysisElizabeth R Stevenshttps://orcid.org/0000-0001-6063-1523Veronica Alfaro Ariashttps://orcid.org/0009-0003-7825-2152Son Luuhttps://orcid.org/0000-0002-5607-0396Katharine Lawrencehttps://orcid.org/0000-0001-5640-2138Lisa Groomhttps://orcid.org/0000-0002-7075-0216 BackgroundThe design and integration of technology within inpatient hospital rooms has a critical role in supporting nursing workflows, enhancing provider experience, and improving patient care. As health care technology evolves, there is a need to design “future-proofed” physical environments that integrate technology in ways that support workflows and maintain clinical performance. Assessing how current technologies affect nursing workflows can help inform the development of these future environments. ObjectiveWe assessed the current challenges nursing staff face in inpatient rooms, gather insights on technology, and build environment interactions to envision the design of a technology-integrated “Inpatient Room of the Future.” MethodsA qualitative study was conducted involving semistructured interviews, shadowing, and focus groups among nursing staff in the inpatient setting. Methods including horizon scanning, scenario analysis, technology assessment, and backcasting facilitated a comprehensive qualitative analysis of current technology use and needs in inpatient nursing workflows to inform exploratory design considerations for technology-integrated envisioned futures solutions. ResultsIn total, 26 nursing staff across 4 inpatient hospital units participated in this study. Analysis identified four major themes considered central to designing a technology-integrated inpatient room that enhances nursing workflow and experience: (1) the need for seamless integration of technologies advocating for a unified system that minimizes fragmented technology use and enhances efficiency; (2) the potential for technology to reduce cognitive load, alleviate mental strain, and streamline complex workflows; (3) a focus on enhancing interpersonal communication with specific emphasis on tools that facilitate clear and efficient communication among clinicians and with patients; and (4) the importance of improved staff well-being with design considerations aimed at promoting both physical and mental health for health care workers in the inpatient setting. Envisioned future solutions included enhanced patient monitoring with automated measurements and actions through computer vision and data triangulation, a smart electronic health record–integrated supply management system using computer vision to detect supply shortages and auto-delivery of needed supplies, and a personal tech smart assistant capable of real-time patient monitoring and escalation, task prioritization, and hands-free clinical documentation and communication. ConclusionsWhile current technologies address specific tasks, there are significant opportunities for better technology integration, reducing cognitive load, enhancing communication, and promoting the physical and mental well-being of nursing staff. Future research should focus on seamless technology integration aligned with clinical workflows and implementing supportive technologies that do not interfere with clinician judgment and critical thinking. Policy recommendations include oversight mechanisms for evaluating artificial intelligence–enabled devices, safeguarding patient information, and ensuring nurses are actively involved at every stage of technology development and implementation. Future inpatient unit designs should actively engage input from both nursing professionals and technologists in developing future-proofed clinical spaces to ensure the creation of integrated systems that foster a cohesive and harmonious user experience.https://www.jmir.org/2025/1/e68689
spellingShingle Elizabeth R Stevens
Veronica Alfaro Arias
Son Luu
Katharine Lawrence
Lisa Groom
Technology Integration to Support Nurses in an “Inpatient Room of the Future”: Qualitative Analysis
Journal of Medical Internet Research
title Technology Integration to Support Nurses in an “Inpatient Room of the Future”: Qualitative Analysis
title_full Technology Integration to Support Nurses in an “Inpatient Room of the Future”: Qualitative Analysis
title_fullStr Technology Integration to Support Nurses in an “Inpatient Room of the Future”: Qualitative Analysis
title_full_unstemmed Technology Integration to Support Nurses in an “Inpatient Room of the Future”: Qualitative Analysis
title_short Technology Integration to Support Nurses in an “Inpatient Room of the Future”: Qualitative Analysis
title_sort technology integration to support nurses in an inpatient room of the future qualitative analysis
url https://www.jmir.org/2025/1/e68689
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