Easier and Faster Is Not Always Better: Grounded Theory of the Impact of Large-Scale System Transformation on the Clinical Work of Emergency Medicine Nurses and Physicians

Elaine Zibrowski   ¹ , MSc (Neuroscience), MSc (Epidemiology) ;   Lisa Shepherd   ² , MD, MHPE ;   Kamran Sedig   ^{3, 4} , PhD ;   Richard Booth   ⁵ , RN, PhD ;   Candace Gibson   ⁶ , PhD

¹ Health Information Science, Faculty of Information & Media Sciences, University of Western Ontario, London, ON, Canada

² Division of Emergency Medicine, Department of Medicine, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada

³ Department of Computer Science, University of Western Ontario, London, ON, Canada

⁴ Faculty of Information & Media Sciences, University of Western Ontario, London, ON, Canada

⁵ Arthur Labatt Family School of Nursing, University of Western Ontario, London, ON, Canada

⁶ Pathology & Laboratory Medicine, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada