Strudwick Gillian, Booth Richard G, Bjarnadottir Ragnhildur I, Collins Sarah, Srivastava Rani
Information Management Group, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Arthur Labatt School of Nursing, Western University, London, Canada.
BMJ Open. 2017 Oct 12;7(10):e018129. doi: 10.1136/bmjopen-2017-018129.
An increasing number of electronic health record (EHR) systems have been implemented in clinical practice environments where nurses work. Findings from previous studies have found that a number of intended benefits of the technology have not yet been realised to date, partially due to poor system adoption among health professionals such as nurses. Previous studies have suggested that nurse managers can support the effective adoption and use of the technology by nurses. However, no known studies have identified what role nurse managers have in supporting technology adoption, nor the specific strategies that managers can employ to support their staff. Therefore, the purpose of this research is to better understand the role of the nurse manager in point-of-care nurses' use of EHRs, and to identify strategies that may be effective in supporting clinical adoption.
This study will use a qualitative descriptive design. Interviews with both nurse managers and point-of-care nursing staff will be conducted in a Canadian mental health and addiction healthcare organisation where an EHR has been implemented. A semistructured interview guide will be used, and interviews will be audio recorded. Transcripts will be analysed using a directed content analysis technique. Strategies to ensure the trustworthiness of the data analysis procedure and findings will be employed.
Ethical approval for this study has been obtained. Dissemination strategies may include a paper submission to a peer-reviewed journal, a conference submission and meetings to share findings with the study site leadership team. Findings from this research will be used to inform a future study which aims to assess levels of competencies and perform a psychometric analysis of the Nursing Informatics Competency Assessment for the Nurse Leader instrument in a Canadian context.
越来越多的电子健康记录（EHR）系统已在护士工作的临床实践环境中得到应用。先前研究的结果发现，该技术的一些预期益处至今尚未实现，部分原因是护士等医疗专业人员对系统的采用情况不佳。先前的研究表明，护士管理者可以支持护士有效采用和使用该技术。然而，尚无已知研究确定护士管理者在支持技术采用方面所起的作用，也未确定管理者可用于支持其员工的具体策略。因此，本研究的目的是更好地理解护士管理者在床边护理护士使用电子健康记录方面的作用，并确定可能有效支持临床采用的策略。
本研究将采用定性描述性设计。将在一家已实施电子健康记录的加拿大心理健康和成瘾医疗保健机构中，对护士管理者和床边护理人员进行访谈。将使用半结构化访谈指南，并对访谈进行录音。将采用定向内容分析技术对访谈记录进行分析。将采用确保数据分析程序和结果可信度的策略。
本研究已获得伦理批准。传播策略可能包括向同行评审期刊提交论文、在会议上提交论文以及与研究地点领导团队分享研究结果的会议。本研究的结果将用于为未来的一项研究提供信息，该研究旨在评估能力水平，并在加拿大背景下对护士领导者护理信息学能力评估工具进行心理测量分析。
