Author Affiliations: Nurse Scientist (Dr Schenk), Assistant Nurse Manager (Ms Marks), Clinical Research Nurse (Ms Hoffman), and IRB Coordinator (Ms Goss), Providence St Patrick Hospital, Missoula, Montana.
J Nurs Adm. 2021 Jan;51(1):43-48. doi: 10.1097/NNA.0000000000000965.
To examine changes in registered nurse (RN) perceptions of electronic documentation over a 4-year period.
The investigators previously reported differences in RN perceptions prior to and 1 year after adoption of a comprehensive electronic health record (EHR).
Investigators repeated the study 4 years after adoption, using the Nurses' Perceptions of Electronic Documentation tool and interviews with a subset of RNs.
Nurses scored higher on ease of use domain and lower on concern about the EHR domain and showed no difference on the impacts of the EHR domain. Interviews revealed that 4 years later, some aspects of documentation were easier; the tool was comprehensive, but not without risk, and nurses remained ambivalent about the EHR.
Use of EHR technology impacts nursing work. It is important to understand how nurses' perceptions change over time. This study gives nursing leaders insight into adoption and acceptance of an EHR.
在四年的时间里，考察注册护士（RN）对电子文档的认知变化。
研究人员此前报告了在全面采用电子健康记录（EHR）之前和之后一年，RN 对 EHR 的认知差异。
研究人员在采用 EHR 四年后，使用护士对电子文档的认知工具和对部分 RN 的访谈重复了这项研究。
护士在易用性方面的评分较高，在对 EHR 的担忧方面的评分较低，而在 EHR 的影响方面则没有差异。访谈显示，四年后，文档的某些方面变得更容易；该工具全面，但并非没有风险，护士对 EHR 仍然持矛盾态度。
EHR 技术的使用影响护理工作。了解护士的认知如何随时间变化非常重要。本研究为护理领导者提供了对 EHR 采用和接受的深入了解。
