Background The transition from paper‐based documentation to electronic nursing records (ENRs) is a critical component of digital transformation in healthcare. In intensive care units (ICUs), where timely and accurate documentation is essential, nurses’ readiness plays a pivotal role in determining the success of ENR implementation. However, readiness remains uneven across healthcare settings, particularly in resource‐constrained context. This study aimed to explore ICU nurses’ readiness to adopt ENRs within a hospital setting in Indonesia where nursing documentation remains predominantly manual. Methods A qualitative descriptive design using thematic analysis was employed. In‐depth interviews were conducted with 15 ICU nurses. The study was conducted in the ICU of a hospital in Indonesia. ICU nurses were recruited using purposive sampling based on their direct involvement in patient care and nursing documentation. Semistructured interviews were conducted, with data collection and analysis occurring concurrently. Participant recruitment continued until data saturation was achieved, which occurred after 15 interviews. Interview transcripts were analyzed using thematic analysis. Results Five interrelated themes emerged: (1) the current state of ENR implementation characterized by limited digital integration and ongoing reliance on manual documentation, (2) perceived benefit of ENRs including improved efficiency, accuracy, and accessibility of patient data, (3) readiness for ENR implementation required leadership, infrastructure supports, and human resources capacity, (4) anticipated challenges and barriers to implement comprises resistance to change and limited digital literacy, and (5) expectations for ENRs implementation highlighting the need for training, policy development, and system integration. Readiness was found to be conditional and context‐dependent rather than solely individual. Conclusions ICU nurses demonstrated cautious yet positive readiness toward ENR adoption. Successful implementation requires coordinated sociotechnical strategies that address organizational, technological, and human factors simultaneously. These findings provide context‐specific and transferable insights for similar critical care settings undergoing digital transition.
Wahyuni et al. (Thu,) studied this question.