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围手术期护士对电子健康记录的态度。

Perioperative nurses' attitudes toward the electronic health record.

作者信息

Yontz Laura S, Zinn Jennifer L, Schumacher Edward J

出版信息

J Perianesth Nurs. 2015 Feb;30(1):23-32. doi: 10.1016/j.jopan.2014.01.007. Epub 2014 Nov 1.

DOI:10.1016/j.jopan.2014.01.007
PMID:25616883
Abstract

BACKGROUND

The adoption of an electronic health record (EHR) is mandated under current health care legislation reform. The EHR provides data that are patient centered and improves patient safety. There are limited data; however, regarding the attitudes of perioperative nurses toward the use of the EHR.

PURPOSE

The purpose of this project was to identify perioperative nurses' attitudes toward the use of the EHR.

DESIGN

Quantitative descriptive survey was used to determine attitudes toward the electronic health record.

METHODS

Perioperative nurses in a southeastern health system completed an online survey to determine their attitudes toward the EHR in providing patient care.

FINDINGS

Overall, respondents felt the EHR was beneficial, did not add to the workload, improved documentation, and would not eliminate any nursing jobs.

CONCLUSIONS

Nursing acceptance and the utilization of the EHR are necessary for the successful integration of an EHR and to support the goal of patient-centered care. Identification of attitudes and potential barriers of perioperative nurses in using the EHR will improve patient safety, communication, reduce costs, and empower those who implement an EHR.

摘要

背景

根据当前医疗保健立法改革要求采用电子健康记录(EHR)。电子健康记录提供以患者为中心的数据并提高患者安全性。然而,关于围手术期护士对使用电子健康记录的态度的数据有限。

目的

本项目的目的是确定围手术期护士对使用电子健康记录的态度。

设计

采用定量描述性调查来确定对电子健康记录的态度。

方法

东南部医疗系统的围手术期护士完成了一项在线调查,以确定他们对电子健康记录在提供患者护理方面的态度。

结果

总体而言,受访者认为电子健康记录有益,不会增加工作量,改善了文档记录,并且不会消除任何护理工作岗位。

结论

护士对电子健康记录的接受和使用对于电子健康记录的成功整合以及支持以患者为中心的护理目标是必要的。识别围手术期护士在使用电子健康记录时的态度和潜在障碍将提高患者安全性、改善沟通、降低成本,并使实施电子健康记录的人员更有能力。

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