Schenk Elizabeth C, Mayer Dorothy M, Ward-Barney Erin, Estill Pamela, Goss Lola, Shreffler-Grant Jean
Author Affiliations: Nurse Scientist (Dr Schenk), Clinical Nurse (Ms Ward-Barney), Quality Manager (Ms Estill), and IRB Coordinator (Ms Goss), Providence St Patrick Hospital, Missoula, Montana; and Assistant Professor (Dr Mayer) and Professor (Dr Shreffler-Grant), Montana State University College of Nursing, Bozeman.
J Nurs Adm. 2016 Mar;46(3):139-45. doi: 10.1097/NNA.0000000000000313.
The purpose of this study was to understand nurses' perceptions of a newly adopted electronic health record (EHR).
As use of EHRs in hospital settings increases, leaders prepare staff members for change. There is limited information about impacts of EHR adoption on RNs using EHRs at the point of care.
Clinical RNs were surveyed about 3 domains (ease of use, usefulness, and attitude) before and after implementation of an EHR. A small subset of nurses was interviewed for a deeper understanding of perceptions associated with this change.
One year after adoption, nurses believed that the EHR did not improve patient care, the learning curve was steep, and they had lower confidence using the EHR than anticipated. Nurses commented on both their frustration and optimism about EHRs.
This study provides insight into RNs' perceptions of an EHR, providing important information for nursing administrators.
本研究的目的是了解护士对新采用的电子健康记录(EHR)的看法。
随着医院环境中电子健康记录的使用增加,领导者让工作人员为变革做好准备。关于采用电子健康记录对在护理点使用电子健康记录的注册护士的影响的信息有限。
在实施电子健康记录之前和之后,对临床注册护士进行了关于三个领域(易用性、有用性和态度)的调查。对一小部分护士进行了访谈,以更深入地了解与这一变化相关的看法。
采用电子健康记录一年后,护士们认为电子健康记录并没有改善患者护理,学习曲线很陡,而且他们使用电子健康记录的信心比预期的要低。护士们对电子健康记录表达了沮丧和乐观的情绪。
本研究深入了解了注册护士对电子健康记录的看法,为护理管理人员提供了重要信息。