Paper Type

Complete

Paper Number

PACIS2026-1599

Description

Health Information Systems (HIS) have become critical infrastructure for improving healthcare delivery, particularly in developing countries. However, persistent digital disruptions such as unreliable connectivity, system failures, and limited technical support often threaten the continuous use of these systems by healthcare workers. While prior research has largely focused on initial adoption of HIS, evidence on the resilience mechanisms that enable sustained use under disruption remains fragmented across health, nursing, and information systems literatures. This study addresses this gap by synthesizing digital resilience factors that support healthcare workers’ continued use of HIS. Through a systematic literature review, 34 relevant studies were analyzed. From 82 initial codes, we derive 10 consolidated factors organized at three levels: personal capacity, organizational support, and technological factors and map each factor to the resilience capacity it primarily supports. The study contributes a multi-level perspective for strengthening resilient digital health systems and identifies gaps for future research.

Comments

14-Healthcare

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Jul 5th, 12:00 AM

From Disruptions to Adaptation: A Systematic Literature Review of Digital Resilience Factors for Healthcare Workers' Continued Use of Health Information Systems

Health Information Systems (HIS) have become critical infrastructure for improving healthcare delivery, particularly in developing countries. However, persistent digital disruptions such as unreliable connectivity, system failures, and limited technical support often threaten the continuous use of these systems by healthcare workers. While prior research has largely focused on initial adoption of HIS, evidence on the resilience mechanisms that enable sustained use under disruption remains fragmented across health, nursing, and information systems literatures. This study addresses this gap by synthesizing digital resilience factors that support healthcare workers’ continued use of HIS. Through a systematic literature review, 34 relevant studies were analyzed. From 82 initial codes, we derive 10 consolidated factors organized at three levels: personal capacity, organizational support, and technological factors and map each factor to the resilience capacity it primarily supports. The study contributes a multi-level perspective for strengthening resilient digital health systems and identifies gaps for future research.