Sockolow Paulina S, Liao Cindy, Chittams Jesse L, Bowles Kathryn H
Drexel University College of Nursing and Health Professions;
NI 2012 (2012). 2012 Jun 23;2012:381. eCollection 2012.
We conducted two mixed methods studies in community-based health care settings to examine EHR use among nurses documenting direct patient care and EHR impact on nurse satisfaction. Quantitative methods included documentation time-to-completion data and a clinician satisfaction survey. Qualitative methods included observations and follow-up interviews. Qualitative data was merged with the quantitative data by comparing findings along themes. Results indicated nurses increased the number and timeliness of notes documented. Nurse use of the EHR as intended varied between the research sites. Barriers to EHR use included cumbersome functionalities that impacted nurse efficiency, lack of interoperability, and hardware issues. Facilitators to adoption included functionalities that provided memory prompts during the care process and enabled nurses to communicate about patient care. Interpretation of findings underscores the importance of the interaction of workflow, EHR functionality, and usability to impact nurse satisfaction, efficiency, and use of the EHR.
我们在社区医疗保健机构开展了两项混合方法研究，以调查记录直接患者护理情况的护士对电子健康记录（EHR）的使用情况以及EHR对护士满意度的影响。定量方法包括记录完成时间的数据和临床医生满意度调查。定性方法包括观察和后续访谈。通过比较各主题的研究结果，将定性数据与定量数据合并。结果表明，护士记录的笔记数量增加且更加及时。护士按预期使用EHR的情况在各研究地点有所不同。EHR使用的障碍包括影响护士效率的繁琐功能、缺乏互操作性以及硬件问题。促进采用的因素包括在护理过程中提供记忆提示并使护士能够就患者护理进行沟通的功能。研究结果的解读强调了工作流程、EHR功能和可用性之间的相互作用对影响护士满意度、效率和EHR使用的重要性。
