Difference between revisions of "Then and Now: Nurses' Perceptions of the Electronic Health Record"

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== First Review ==
 
== First Review ==
  
This is a review of the article by Harmon, et al., ''Then and Now: Nurses' Perceptions of the Electronic Health Record''. <ref name="Harmon 2015”> Harmon, C. S., Fogle, M. & Roussel, L. (2015). Then and now: Nurses' perceptions of the electronic health record. Online Journal of Nursing Informatics (OJNI), 19 (1). ww.himss.org/ResourceLibrary/GenResourceDetail.aspx?ItemNumber=39757</ref>).
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This is a review of the article by Harmon, et al., ''Then and Now: Nurses' Perceptions of the Electronic Health Record''. <ref name="Harmon 2015”> Harmon, C. S., Fogle, M. & Roussel, L. (2015). Then and Now: Nurses' perceptions of the electronic health record. Online Journal of Nursing Informatics (OJNI), 19 (1). www.himss.org/ResourceLibrary/GenResourceDetail.aspx?ItemNumber=39757</ref>
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=== Abstract ===
 
=== Abstract ===
  
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=== Methods ===
 
=== Methods ===
  
A quantitative, non-experimental study design was used and the study was performed at a 165-bed hospital with an accessible population of approximately 230 bedside (staff) nurses.  
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A quantitative methodology utilizing the Assessment of Nurses' Attitudes Toward Computerization (NATC) questionnaire was used to conduct an assessment on the nurses' perceptions of an EHR. This study was performed at a 165-bed hospital with an accessible population of approximately 230 bedside (staff) nurses.  
  
 
=== Results ===
 
=== Results ===
  
The nurses' attitudes at five years post-implementation were favorable towards the use of EHR in practice. Several relationships emerged from the analysis and formulated into the following variables: time, benefits, costs, nurses' workload, efficient, ease, nurses' data, improve patient care, quality nursing care, positive, favorable, convenient, and communication. These variables inform the subsequent recommendations: a) improve communication among care givers, b) EHR optimization via clinical decision support, and c) encourage additional time-motion research.
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The nurses' attitudes at five years post-implementation were favorable towards the use of EHR in practice. Several relationships emerged from the analysis and formulated into the following variables: time, benefits, costs, nurses' workload, efficient, ease, nurses' data, improve patient care, quality nursing care, positive, favorable, convenient, and communication. These variables inform the subsequent recommendations: (a) improve communication among care givers, (b) EHR optimization via clinical decision support, and (c) encourage additional time-motion research.
  
 
=== Conclusion ===
 
=== Conclusion ===
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[[Category:Reviews]]
 
[[Category:Reviews]]
 
[[Category:EHR]]
 
[[Category:EHR]]
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[[Category:CDS]]
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[[Category:HI5313-2015-FALL]]

Latest revision as of 03:12, 4 November 2015

First Review

This is a review of the article by Harmon, et al., Then and Now: Nurses' Perceptions of the Electronic Health Record. [1]

Abstract

Five years post-implementation, a study was conducted to assess nurses' perceptions of an electronic health record (EHR). The purpose was to: (a) assess and analyze nurses' perceptions of the EHR at five years post implementation (primary study); (b) conduct a secondary analysis by comparing this study's results to the results of previous studies conducted in the same facility at pre-implementation and six months post-implementation; and (c) formulate recommendations from these results to generate evidence that can be applied to best practices for future EHR implementations and innovations.

Methods

A quantitative methodology utilizing the Assessment of Nurses' Attitudes Toward Computerization (NATC) questionnaire was used to conduct an assessment on the nurses' perceptions of an EHR. This study was performed at a 165-bed hospital with an accessible population of approximately 230 bedside (staff) nurses.

Results

The nurses' attitudes at five years post-implementation were favorable towards the use of EHR in practice. Several relationships emerged from the analysis and formulated into the following variables: time, benefits, costs, nurses' workload, efficient, ease, nurses' data, improve patient care, quality nursing care, positive, favorable, convenient, and communication. These variables inform the subsequent recommendations: (a) improve communication among care givers, (b) EHR optimization via clinical decision support, and (c) encourage additional time-motion research.

Conclusion

A snapshot of current nurses' perceptions at five years' post-implementation of an EHR informs recommendations for clinical decision support and improved communication within the organization. In addition, a time-motion study was recommended. A time-motion study may provide a better understanding and insight regarding nursing workflow in relationship to EHR use. Overall, the nurses' attitudes at five years post-implementation were favorable towards the use of EHR in practice.

Comments

This article provides support for those involved in seeking information regarding the use of computers in improving nursing care. Clinical decision support, not surprisingly, eases healthcare professionals' jobs by quickly compiling data from the EHR to generate advice at the point of care to improve patient care. It was interesting to discover that nurses also felt the use of computers limited communication among various hospital departments.

Second Review

Add next review here.

References

  1. Harmon, C. S., Fogle, M. & Roussel, L. (2015). Then and Now: Nurses' perceptions of the electronic health record. Online Journal of Nursing Informatics (OJNI), 19 (1). www.himss.org/ResourceLibrary/GenResourceDetail.aspx?ItemNumber=39757