Author Affiliation: College of Nursing, Chonnam National University (Drs Kweon and Lee), Gwangju, Republic of Korea.
Comput Inform Nurs. 2021 May 24;39(10):592-603. doi: 10.1097/CIN.0000000000000762.
This study aimed to examine nurses' EMR workarounds in mental healthcare settings. Of the 52 nurses invited to participate in this study, 50 nurses (96.1%) completed the survey using the EMR nursing workaround instrument and open-ended questions. The data collected were analyzed using descriptive statistics and Pearson's correlation coefficients. The descriptive data were grouped into four units including the cases, contributing causes, and consequences of EMR workarounds, and suggestions for improving EMR implementation. The results showed scores above an average of 3.0 in all of the EMR workaround items, indicating the considerable involvement of nurses in EMR workarounds. The workarounds related to EMR use were using the physician's login account for medication access, performing retrospective documentation, performing documentation before an expected busy situation, and seeking and entering information on external medications. The workarounds associated with colleagues unfamiliar with EMR use included waiting for, filling in for, teaching, and assisting unskilled colleagues. This study identified the problems, consequences, and suggestions associated with EMR implementation for psychiatric patient care. This study added useful information for the administrative, technical, and clinical improvement of EMR implementation in mental healthcare practice.
本研究旨在探讨精神卫生保健环境中护士的电子病历 (EMR) 工作回避行为。在这项研究中，邀请了 52 名护士参与，其中 50 名护士（96.1%）完成了使用 EMR 护理工作回避工具和开放性问题的调查。使用描述性统计和 Pearson 相关系数对收集的数据进行分析。描述性数据分为四个单元，包括 EMR 工作回避的案例、促成因素、后果以及改进 EMR 实施的建议。结果显示，所有 EMR 工作回避项目的得分均高于平均 3.0，表明护士在很大程度上参与了 EMR 工作回避。与 EMR 使用相关的回避行为包括使用医生的登录账户获取药物信息、进行回顾性文档记录、在预期繁忙情况之前进行文档记录以及查找和输入外部药物信息。与不熟悉 EMR 使用的同事相关的回避行为包括等待、代替、教授和协助不熟练的同事。本研究确定了与精神科患者护理相关的 EMR 实施问题、后果和建议。本研究为精神卫生保健实践中 EMR 实施的行政、技术和临床改进提供了有用的信息。
