Griffith University, Australia.
Nursing Research Hub, The Royal Melbourne Hospital, Melbourne, Australia.
Int J Med Inform. 2021 Oct;154:104535. doi: 10.1016/j.ijmedinf.2021.104535. Epub 2021 Jul 20.
Electronic Medical Record Systems (EMRs) are now part of nursing and medical professionals daily work in the acute and primary care sectors in Australia. Usability is an important factor in their successful adoption and impacts upon clinical workflow, safety and quality, communication, and collaboration. This study replicates a significant body of work conducted by Finnish researchers applying a usability focused survey to understand medical and nursing professionals' experiences in the Australian context. As we implement EMRs across health systems, their usability and design to support clinicians to effectively deliver and document care, is essential.
We conducted an observational study using a cross sectional survey, the National Usability-Focused HIS Scale (NuHISS) developed and validated by Finnish researchers. For this study 13 usability statements collected clinician impressions of EMRs related to technical quality, ease of use, benefits, and collaboration. We report the responses from medical and nursing professionals working in clinical practice settings in Australia, including primary care and hospital sectors in 2020.
Nursing and medical professionals have different experiences with EMR usability. This depends on the sector they work in and the usability feature measured. In our sample, technical quality features were more positively experienced by doctors in the primary care sector than nurses as well as ease of obtaining patient information and prevention of errors. In the hospital sector nurses experiences with EMRs were more positive with respect to support for routine task completion, learnability, ease of obtaining patient information and entry of patient data.
The NuHISS is a suitable tool for measuring the usability experiences of Australian clinicians and the EMRs utilised. Differences in usability experiences were noted between professional groups and sectors. A focus on the usability perspectives of clinicians when enhancing or developing EMR solutions is advocated.
电子病历系统（EMR）现已成为澳大利亚急症和初级保健领域护理和医疗专业人员日常工作的一部分。可用性是其成功采用的重要因素，它会影响临床工作流程、安全性和质量、沟通和协作。本研究复制了芬兰研究人员的大量工作，他们应用以可用性为重点的调查来了解澳大利亚医疗和护理专业人员的经验。随着我们在卫生系统中实施 EMR，其可用性和设计对于支持临床医生有效地提供和记录护理至关重要。
我们采用横断面调查进行了一项观察性研究，使用的是芬兰研究人员开发和验证的以可用性为重点的国家医疗信息系统量表（NuHISS）。在这项研究中，我们收集了 13 项关于 EMR 相关的可用性声明，这些声明涉及技术质量、易用性、效益和协作，以了解临床医生的印象。我们报告了 2020 年在澳大利亚临床实践环境中工作的医疗和护理专业人员的回复，包括初级保健和医院部门。
护理和医疗专业人员对 EMR 可用性的体验不同。这取决于他们工作的部门和测量的可用性特征。在我们的样本中，初级保健部门的医生对技术质量特征的体验比护士更为积极，他们还更易于获取患者信息和预防错误。在医院部门，护士对 EMR 的体验更为积极，表现在支持常规任务完成、易学性、易于获取患者信息和输入患者数据方面。
NuHISS 是一种适合衡量澳大利亚临床医生和使用的 EMR 可用性体验的工具。在专业群体和部门之间，可用性体验存在差异。我们主张在增强或开发 EMR 解决方案时，关注临床医生的可用性观点。
