A Survey of Perianesthesia Nursing Electronic Documentation

Byrne, Matthew D.; Fong, Helen; Danks, Jamie

doi:10.1016/j.jopan.2016.02.008

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…In addition, these reviews emphasized that differences in technical systems and templates for documenting perioperative nursing care are an implicit cause of flawed documentation . Although several studies have suggested various methods for changing perioperative nurses’ documentation, we were not able to identify any studies that investigated reasons influencing documentation practices.…”

Section: Literature Reviewmentioning

confidence: 91%

A Realistic Evaluation of Danish Perioperative Nurses’ Documentation Practices

Søndergaard

Frederiksen

Sørensen³

et al. 2019

AORN Journal

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Nursing care documentation is an important aspect of clinical decision-making processes and affects patient safety. Documentation in the perioperative setting has been described as poor and incomplete and varies among nurses. The purpose of this qualitative study was to examine perioperative nurses' documentation practices using a realistic evaluation framework that focuses on relationships between context, mechanisms, and outcomes. Through participant observations using multiple qualitative data-generation methods, the study found that perioperative nurses' documentation practices are driven by a mix of educational, cultural, and organizational factors, including competing demands, local values and traditions, and everyday circumstances. Understanding the cultures of different subgroups in the perioperative setting may help improve nurses' documentation practices.

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Section: Literature Reviewmentioning

confidence: 91%

A Realistic Evaluation of Danish Perioperative Nurses’ Documentation Practices

Søndergaard

Frederiksen

Sørensen³

et al. 2019

AORN Journal

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State of the Science of Dimensions of Nurses' User Experience When Using an Electronic Health Record

Tolentino

Gephart

2020

CIN: Computers, Informatics, Nursing

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This integrative review synthesized relevant studies in the last decade associated to nurses' experience with the electronic health record using Robert and Lesage's dimensions of User Experience: functional, physical, perceptual, cognitive, psychological, and social. A comprehensive search was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidance across four electronic databases. We included articles if they were specific to nurses' electronic health record experience and workflow, published between January 2008 and June 2018, and available in English. The search resulted in 793 records with 26 articles included in the final analysis. Articles ranged from quantitative, qualitative, mixed-methods, and quality improvement studies. Across studies, the suboptimal design of the electronic health record affected the functional experience of nurses, often resulting in interruptions. The navigational design contributed to nurses' perceptual experience leading to many workarounds and workflow mismatches. Most of the studies reported overall satisfaction with the electronic health record that represented the psychological dimension of nurses' experience. Communication barriers due to the use of the electronic health record prevented nurses from having meaningful interaction with other clinicians and patients. Although nurses reported substandard user experience, many stated that reverting to a linear paper-based system was not an option.

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A Survey of Perianesthesia Nursing Electronic Documentation

Cited by 2 publications

References 11 publications

A Realistic Evaluation of Danish Perioperative Nurses’ Documentation Practices

A Realistic Evaluation of Danish Perioperative Nurses’ Documentation Practices

State of the Science of Dimensions of Nurses' User Experience When Using an Electronic Health Record

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