Author Affiliations : Penn Medicine at Chester County Hospital (Dr Monturo and Ms Brockway), West Chester; Department of Nursing, West Chester University (Dr Monturo), Exton; and College Board (Mr Ginev), Yardley, PA.
Comput Inform Nurs. 2022 Jan 1;40(1):53-60. doi: 10.1097/CIN.0000000000000805.
Use of the EHR at the bedside is now commonplace, and some fear this may compromise their relationship with the patient. The purpose of this study was to assess the impact of a transition of an EHR on the patient experience. Three non-equivalent groups consisting of 55 patients responded to instrument questions at three distinct time points: baseline prior to transition and twice after the transition at 6 weeks and 6 months. Questions investigated the point-of-care computer use, user's comfort, and impact on patient relationship with a nurse or provider. Patients perceived more use of the computer by Nurses and a declining use by Others. Nurses remained comfortable using the computer over time, and the perception of Others declined. Nurses were perceived 2.3 times more likely than Others as changing the patient relationship and two times higher with a positive impact. The transition in the EHR did not seem to affect the overall patient experience; however, results should be viewed with caution given the limitations of this study and the dearth of evidence. Evidence-based guidelines for EHR integration may be helpful in the future to address inpatient encounters with all clinicians.
现在，床边使用电子病历已很常见，有人担心这可能会影响他们与患者的关系。本研究旨在评估电子病历过渡对患者体验的影响。三组非等效组（每组 55 名患者）在三个不同时间点对仪器问题做出了回应：过渡前的基线以及过渡后的 6 周和 6 个月。问题调查了护理点计算机的使用、用户的舒适度以及对患者与护士或提供者关系的影响。患者认为护士更多地使用计算机，而其他人的使用则在减少。随着时间的推移，护士对使用计算机的舒适度保持不变，而其他人的舒适度则下降。护士改变患者关系的可能性是其他人的 2.3 倍，而产生积极影响的可能性是其他人的 2 倍。电子病历的过渡似乎并没有影响整体的患者体验；然而，鉴于本研究的局限性和缺乏证据，应谨慎看待这些结果。未来，针对所有临床医生的住院患者就诊，基于证据的电子病历整合指南可能会有所帮助。
