Winckler Debra
The University of Texas at Tyler, Tyler, Texas, USA.
Nurs Forum. 2022 May;57(3):412-420. doi: 10.1111/nuf.12686. Epub 2021 Dec 26.
As the integration of electronic health records (EHRs) continues to expand throughout healthcare organizations worldwide, nurses are faced with the challenge to acclimate to a dynamic technology-based environment of patient care. As technology advances, EHR usability may influence nurses' clinical performance and require nurses to adapt to a wide range of situations associated with electronic documentation. While perceived benefits of EHRs include improvements in healthcare delivery and patient outcomes, there are also unintended consequences associated with EHR usability.
The aim of this article is to explore dimensions of EHR usability that may influence nurses' psychological adaptation to the use of EHRs in daily practice.
The unified theory of acceptance and use of technology (UTAUT) consists of four constructs theorized to have a direct influence on end-user behavior and acceptance of technology: performance expectancy, effort expectancy, social influence, and facilitating conditions. The UTAUT provides the framework to explore EHR usability as found in literature and describe the positive and negative psychological responses of nurses related to the use of EHRs in daily practice.
Integration of EHRs into daily nursing practice can result in positive experiences or have a negative impact on nurses ability to perform their role as patient caregivers.
While integration of EHRs into healthcare systems can facilitate improvements in patient outcomes, the delivery of patient care and nurses' daily practices can simultaneously be complicated by EHR usability issues.
Although positive and negative experiences of nurses in relationship to EHR usability can be found in literature, there is limited evidence on nurses' psychological adaptation to use of EHRs. Further research on EHR usability is needed based on nursing perspectives and feedback to determine the psychological impact EHRs exert on nurses, discover effective methods for resolving issues, and promote positive trends associated with EHR usability.
随着电子健康记录（EHR）在全球医疗组织中的整合不断扩大，护士面临着适应基于动态技术的患者护理环境的挑战。随着技术的进步，EHR的可用性可能会影响护士的临床绩效，并要求护士适应与电子文档相关的各种情况。虽然EHR的预期好处包括改善医疗服务和患者预后，但EHR可用性也存在一些意外后果。
本文旨在探讨EHR可用性的维度，这些维度可能会影响护士在日常实践中对使用EHR的心理适应。
技术接受与使用统一理论（UTAUT）由四个构念组成，理论上这些构念会对最终用户的行为和技术接受度产生直接影响：绩效期望、努力期望、社会影响和促进条件。UTAUT提供了一个框架，用于探索文献中发现的EHR可用性，并描述护士在日常实践中使用EHR时的积极和消极心理反应。
将EHR整合到日常护理实践中可能会带来积极的体验，也可能对护士履行患者护理者角色的能力产生负面影响。
虽然将EHR整合到医疗系统中可以促进患者预后的改善，但患者护理的提供和护士的日常实践可能同时因EHR可用性问题而变得复杂。
虽然在文献中可以找到护士与EHR可用性相关的积极和消极体验，但关于护士对使用EHR的心理适应的证据有限。需要基于护理视角和反馈对EHR可用性进行进一步研究，以确定EHR对护士产生的心理影响，发现解决问题的有效方法，并促进与EHR可用性相关的积极趋势。
