Table 4.
The most common barriers of using speech recognition systems in nursing reports documentation from the nurses' perspective.
| Row | Barriers | Mean (±SD) |
|---|---|---|
| 1 | Lack of specialized, technical, and experienced staff to teach nurses how to work with speech recognition systems | 3.59 (±1.18) |
| 2 | Inadequate training of nurses | 3.59 (±1.11) |
| 3 | Need to edit and control the quality and modification of documents | 3.59 (±1.03) |
| 4 | Hardware and software problems (systemic and technical issues and errors, low system speed, etc.) | 3.52 (±1.04) |
| 5 | Infrastructure problems related to network and Internet | 3.51 (±1.06) |
| 6 | Negative attitudes of policymakers, senior managers, and nurses about speech recognition technology | 3.51 (±1.06) |
| 7 | Cost of implementation and application of these systems in health organizations | 3.49 (±1.15) |
| 8 | Lack of interaction between providers and patients | 3.48 (±1.14) |
| 9 | Insufficient support of senior managers of using the system in health organizations | 3.48 (±1.11) |
| 10 | Concerns about insufficient transcript accuracy (error increase) | 3.45 (±1.15) |
| 11 | Lack of time for nurses to use the system because of clinical workload | 3.43 (±1.11) |
| 12 | Decrees of accuracy of speech recognition software (effect of accent, slang, and women's voice) | 3.41 (±1.03) |
| 13 | Nurses' resistance to using speech recognition systems | 3.40 (±1.11) |
| 14 | Environmental noise when nurses use the system | 3.40 (±1.07) |
| 15 | Problem accessing clinical information and reported clinical records and searching for information after registration | 3.39 (±1.11) |
| 16 | Incompatibility of speech recognition systems with hospital information system (HIS) and its subsystems | 3.37 (±1.11) |
| 17 | Delay in documentation (increase the time) | 3.33 (±1.20) |
| 18 | Lack of participation of nurses in designing of speech recognition systems | 3.32 (±1.09) |
| 19 | Using abbreviations in system | 3.29 (±1.13) |
| 20 | Dissatisfaction in meeting expectations | 3.29 (± 1.08) |
| 21 | Increase in nurses' workload | 3.14 (±1.24) |
| 22 | Insufficient users' skills to work with speech recognition systems | 2.92 (±0.86) |
| 23 | Nurses' uncertainty about the usefulness of speech recognition systems | 2.23 (±1.07) |