Impact of Hospital Information Management System (HIMS) on Nursing Documentation in Selected Hospital: A Study Among Staff Nurses

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.