scholarly journals Older Nurses’ Perceptions of an Electronic Medical Record Implementation

2021 ◽  
Author(s):  
Shaluni Tissera ◽  
Rebecca Jedwab ◽  
Rafael Calvo ◽  
Naomi Dobroff ◽  
Nicholas Glozier ◽  
...  
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Psychological Factors ◽  
Mixed Methods Design ◽  
Sequential Mixed Methods ◽  
Group Data ◽  
Focus Group Data ◽  
Emr Adoption ◽  
Facilitators And Barriers ◽  
Nurses Perceptions

In Australia, almost 40% of nurses are aged 50 years and older. These nurses may be vulnerable to leaving the workforce due to challenges experienced during electronic medical record (EMR) implementations. This research explored older nurses’ perceptions of factors expected to influence their adoption of an EMR, to inform recommendations to support implementation. The objectives were to: 1) measure psychological factors expected to influence older nurses’ adoption of the EMR; and 2) explore older nurses’ perceptions of facilitators and barriers to EMR adoption. An explanatory sequential mixed methods design was used to collect survey and focus group data from older nurses, prior to introducing an EMR system. These nurses were highly engaged with their work; 79.3% reported high wellbeing scores. However, their motivation appeared to be predominantly governed by external rather than internal influences. Themes reflecting barriers to EMR and resistance to adoption emerged in the qualitative data.

Perioperative Nurses’ Perceptions Pre-Implementation of an Electronic Medical Record System

2021 ◽  
Author(s):  
Agnes Njane ◽  
Rebecca Jedwab ◽  
Rafael Calvo ◽  
Naomi Dobroff ◽  
Nicholas Glozier ◽  
...  
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Care Delivery ◽  
Theoretical Domains Framework ◽  
Perioperative Nurses ◽  
Medical Record System ◽  
Focus Group Data ◽  
Emr Adoption ◽  
Facilitators And Barriers ◽  
Nurses Perceptions

The use of electronic medical record (EMR) systems is transforming health care delivery in hospitals. Perioperative nurses work in a unique high-risk health setting, hence require specific considerations for EMR implementation. This research explored perioperative nurses’ perceptions of facilitators and barriers to the implementation of an EMR in their workplace to make context-specific recommendations about strategies to optimise EMR adoption. Using a qualitative exploratory descriptive design, focus group data were collected from 27 perioperative nurses across three hospital sites. Thematic analyses revealed three themes: 1) The world is going to change; 2) What does it mean for me? and 3) We can do it, but we have some reservations. Mapping coded data to the Theoretical Domains Framework identified prominent facilitators and barriers, and informed recommended implementation strategies for EMR adoption by perioperative nurses.

Facilitators and Barriers to the Adoption of an Electronic Medical Record System by Intensive Care Nurses

2021 ◽  
Author(s):  
Somtochukwu Amaka Osajiuba ◽  
Rebecca Jedwab ◽  
Rafael Calvo ◽  
Naomi Dobroff ◽  
Nicholas Glozier ◽  
...  
Keyword(s):  
Intensive Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
New Technology ◽  
Electronic Medical Record System ◽  
Unintended Consequences ◽  
Record System ◽  
Medical Record System ◽  
Facilitators And Barriers ◽  
Nurses Perceptions

Introducing new technology, such as an electronic medical record (EMR) into an Intensive Care Unit (ICU), can contribute to nurses’ stress and negative consequences for patient safety. The aim of this study was to explore ICU nurses’ perceptions of factors expected to influence their adoption of an EMR in their workplace. The objectives were to: 1) measure psychological factors expected to influence ICU nurses’ adoption of EMR, and 2) explore perceptions of facilitators and barriers to the implementation of an EMR in their workplace. Using an explanatory sequential mixed method approach, data were collected using surveys and focus groups. ICU nurses reported high scores for motivation, work engagement and wellbeing. Focus group analyses revealed two themes: Hope the EMR will bring a new world and Fear of unintended consequences. Recommendations relate to strategies for education and training, environmental restructuring and enablement. Overall, ICU nurses were optimistic about EMR implementation.

scholarly journals Nurses’ perceptions about and confidence in using an electronic medical record system

2017 ◽  
Vol 27 (2) ◽  
pp. 110-117 ◽  
Author(s):  
Ahmad H Abu Raddaha
Keyword(s):  
Health Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Survey Design ◽  
Electronic Medical Record System ◽  
University Hospital ◽  
Cross Sectional Survey ◽  
Record System ◽  
Cross Sectional ◽  
Nurses Perceptions

Introduction: Nurses are among the largest potential users of electronic medical record (EMR) systems in health care settings. Yet little is known about their perceptions and confidence toward using such systems. This study explored nurses’ perceptions toward and confidence in using the EMR system. Predictors for confidence status in using the system among nurses were postulated. Methods: A cross-sectional survey design was used. A sample of 169 nurses were recruited from a general governmental university hospital in Muscat, Oman. Results: Most of study participants did not have prior experience with EMR systems elsewhere. About half (52.1%) perceived that they were confident in using the system. A logistic regression model showed nurses who (a) had six or more years of experience in using the system, (b) perceived that their suggestions regarding improving the system were taken into consideration by the system managing team, (c) perceived that the changes introduced in the system were important to their work, and (d) perceived that the information retrieved through the system was updated, to be more likely confident in using the system. Discussion: When customizing the EMR system, the informatics team that manages the system is invited to more consider suggestions for improvement that are raised by nurses. More training on the system is suggested to increase confidence among nurses who had little experience in using the system. In order to enhance the preparation of future nurses with contemporary technology-driven health care practices, nursing schools officials are encouraged to include general computer information technology training into nursing curricula.

Novice Researchers' Reflection on Conducting a Focus Group

2009 ◽  
Vol 19 (5) ◽  
pp. 143-147 ◽  
Author(s):  
Caroline O'connor ◽  
Siobhan Murphy
Keyword(s):  
Focus Group ◽  
Data Collection ◽  
Patient Care ◽  
Focus Group Interview ◽  
Group Interview ◽  
Clinical Settings ◽  
Routine Patient Care ◽  
Group Data ◽  
Focus Group Data ◽  
Nurses Perceptions

Focus group data collection can capture what is unknown about nurses' perceptions of routine patient care issues in clinical settings. Using Gibbs Reflective Cycle (1988) novice researchers Caroline O'Connor and Siobhan Murphy critically analysed the practicalities of conducting a focus group interview.

The interaction between high-level electronic medical record adoption and hospitalist staffing levels: A focus on value-based purchasing

2021 ◽  
pp. 095148482110016
Author(s):  
Kate Jiayi Li ◽  
Mona Al-Amin
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Hospital Performance ◽  
Potential Interaction ◽  
Staffing Level ◽  
Value Based Purchasing ◽  
Individual Level ◽  
Staffing Levels ◽  
Emr Adoption ◽  
High Level

Objective This study sought to understand the relationship of hospital performance with high-level electronic medical record (EMR) adoption, hospitalists staffing levels, and their potential interaction. Materials and methods We evaluated 2,699 non-federal, general acute hospitals using 2016 data merged from four data sources. We performed ordinal logistic regression of hospitals’ total performance score (TPS) on their EMR capability and hospitalists staffing level while controlling for other market- and individual-level characteristics. Results Hospitalists staffing level is shown to be positively correlated with TPS. High-level EMR adoption is associated with both short-term and long-term improvement on TPS. Large, urban, non-federal government hospitals, and academic medical centers tend to have lower TPS compared to their respective counterparts. Hospitals belonging to medium- or large-sized healthcare systems have lower TPS. Higher registered nurse (RN) staffing level is associated with higher TPS, while higher percentage of Medicare or Medicaid share of inpatient days is associated with lower TPS. Discussion Although the main effects of hospitalists staffing level and EMR capability are significant, their interaction is not, suggesting that hospitalists and EMR act through separate mechanisms to help hospitals achieve better performance. When hospitals are not able to invest on both simultaneously, given financial constraints, they can still reap the full benefits from each. Conclusion Hospitalists staffing level and EMR capability are both positively correlated with hospitals’ TPS, and they act independently to bolster hospital performance.

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