Registered General Nurse, Sirona Care and Health, Bristol, UK.
Centre for Academic Child Health, School of Health and Social Wellbeing, University of the West of England, Bristol, UK.
Br J Community Nurs. 2021 Dec 2;26(12):604-610. doi: 10.12968/bjcn.2021.26.12.604.
Electronic health records (EHRs) are integral to community nursing, and mobile access aids seamless, responsive care, prevents repetition and reduces hospital admissions. This saves time and money, enabling smoother workflows and increased productivity. Common practice among community nurses is to return to workbases to access EHRs. This research was conducted to explore what leads to inconsistency in EHR use. Focus groups were held with community nurses, and reflexive thematic analysis of the data was undertaken. Nurses who used EHRs during consultations described the practice as integrative and informed, promoting collaborative care. Those who did not described EHRs as time-consuming, template-laden and a barrier to nurse-patient communication. One barrier to mobile working is the threat to collegiate teamworking and the social and clinical supports it provides. This study suggests specific strategies could increase mobile EHR engagement: role-specific training for effective EHR use; clear organisational directives; innovative team communication; and peer-to-peer coaching.
电子健康记录 (EHR) 是社区护理的重要组成部分，移动访问有助于实现无缝、响应式的护理，防止重复并减少住院。这可以节省时间和金钱，使工作流程更加顺畅，提高工作效率。社区护士的常见做法是返回工作基地访问 EHR。本研究旨在探讨导致 EHR 使用不一致的原因。对社区护士进行了焦点小组讨论，并对数据进行了反思性主题分析。在咨询期间使用 EHR 的护士将这种做法描述为具有整合性和信息性，促进了协作式护理。那些不使用 EHR 的护士则将其描述为耗时、模板化且阻碍护士与患者的沟通。移动工作的一个障碍是对团队协作以及它所提供的社会和临床支持的威胁。本研究表明，具体的策略可以增加移动 EHR 的使用：针对有效使用 EHR 的特定角色培训；明确的组织指令；创新的团队沟通；以及同行指导。
