A Usability Evaluation of an Electronic Health Record System for Nursing Documentation Used in the Municipality Healthcare Services in Norway

Vatnøy, Torunn Kitty; Vabo, Grete; Fossum, Mariann

doi:10.1007/978-3-319-07293-7_67

Cited by 5 publications

(10 citation statements)

References 23 publications

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“…Nurse Perception of the Usability of the KBC Solution Questionnaire was developed after extensive review of usability literature and IT issues identified in critical care settings [1-7,24-33] and was guided by the Davis Technology Acceptance Model [34], Nielsen usability heuristics [35], and Zhang and Walji usability principles [36]. The questionnaire includes 3 sections: (1) demographic data (eg, age, gender, employment status, and years of experience); (2) 37 rated items of a 5-point Likert-type scale of agreement; (3) and 3 open-ended questions to understand missing CPGs that nurses wish the system included and advantages and negative aspects of the KBC.…”

Section: Methodsmentioning

confidence: 99%

Nurses’ Perceptions of a Care Plan Information Technology Solution With Hundreds of Clinical Practice Guidelines in Adult Intensive Care Units: Survey Study

et al. 2019

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Background The integration of clinical practice guidelines (CPGs) into the nursing care plan and documentation systems aims to translate evidence into practice, improve safety and quality of care, and standardize care processes. Objective This study aimed to evaluate nurses’ perceptions of the usability of a nursing care plan solution that includes 234 CPGs. Methods A total of 100 nurses from 4 adult intensive care units (ICUs) responded to a survey measuring nurses’ perceptions of system usability. The survey included 37 rated items and 3 open-ended questions. Results Nurses’ perceptions were favorable with more than 60.0% (60/100) in agreement on 12 features of the system and negative to moderate with 20.0% (20/100), to 59.0% (59/100) in agreement on 19 features. The majority of the nurses (80/100, 80.0% to 90/100, 90.0%) agreed on 4 missing safety features within the system. More than half of the nurses believed they would benefit from refresher classes on system use. Overall satisfaction with the system was just above average (54/100, 54.0%). Common positive themes from the narrative data were related to the system serving as a reminder for complete documentation and individualizing patient care. Common negative aspects were related to duplicate charting, difficulty locating CPGs, missing unit-specific CPGs, irrelevancy of information, and lack of perceived system value on patient outcomes. No relationship was found between years of system use or ICU experience and satisfaction with the system ( P =.10 to P =.25). Conclusions Care plan systems in ICUs should be easy to navigate; support efficient documentation; present relevant, unit-specific, and easy-to-find information; endorse interdisciplinary communication; and improve safety and quality of care.

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Section: Methodsmentioning

confidence: 99%

Nurses’ Perceptions of a Care Plan Information Technology Solution With Hundreds of Clinical Practice Guidelines in Adult Intensive Care Units: Survey Study

et al. 2019

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“…Complex user-interface and navigation mechanism, slow response, poor content design (Darbyshire, 2004;Kossman, 2006;Lee et al, 2008;Stevenson et al, 2010;Vatnøy et al, 2014;Weinhara et al, 2009;Whittaker et al, 2009). Moderate ease of use (Weinhara et al, 2009;Whittaker et al, 2009).…”

Section: Themes Summary Of Findings Usability Ease Of Use / Efficiencymentioning

confidence: 99%

“…Perceived usefulness: access to important patient care information and reduced written documentation (Hoonakker et al, 2013;Kossman, 2006;Vatnøy et al, 2014;Whittaker et al, 2009), improved information quality (Aktharsha & Anisa, 2011;Darbyshire, 2004;Tilahun & Fritz, 2015), enabled monitoring of patients' health parameters (Miller et al, 2009). Some functions were used less relevant, less frequently or never used (Darbyshire, 2004;Nakamura et al, 2010;Tilahun & Fritz, 2015).…”

Section: Usefulness / Effectivenessmentioning

confidence: 99%

“…As reported in their review, while nurses held positive attitudes toward HIS adoption they experienced dissatisfaction with technology implementations at the workplace. Particularly, nurses reported problems with the system's lack of intuitive userinterface and navigation design, complex content presentation, and slow response (Darbyshire, 2004;Kossman, 2006;Lee et al, 2008;Vatnøy et al, 2014;Weinhara et al, 2009;Whittaker et al, 2009). Contradictory findings were found in two time and motion studies: Banner and Olney (2009) found that nurses spent more time on documentation and direct patient care and less time on administration.…”

Section: Usefulness / Effectivenessmentioning

confidence: 99%

“…Usefulness of HIS was perceived by nurses to include the system's capability to document and access patient care data, improved legibility and reduced data errors (e.g. Aktharsha & Anisa, 2011;Hoonakker et al, 2013;Vatnøy et al, 2014), and enabled monitoring of patients' parameters (Miller et al, 2009 (Darbyshire, 2004;Laerum et al, 2004;Mills et al, 2013;Stevenson et al, 2010;Tilahun & Fritz, 2015). Surveys with nurses 3 months and 12 months after HIS implementation at an US regional medical centre found nurses' satisfaction toward the system increased over time (Carayon et al, 2011).…”

Section: Usefulness / Effectivenessmentioning

confidence: 99%

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An Examination of the Mediating Role for a Nursing Information System

Nguyen

Wickramasinghe

2017

AJIS

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This paper reports on findings from an examination of a nursing information system through the lens of Activity Theory. The information system was designed to support real-time nursing documentation in acute care hospital contexts. The objective was to enable superior nursing care to ensue by providing nurses with the opportunity to document patient care data into a tablet computer located at the patient bedside. The system was evaluated in a not-for-profit acute care hospital's wards during its implementation. Nurses' interactions with the system and their perceptions were collected and analysed through the lens of Activity Theory. The analysis highlighted nurses' positive attitude towards the system and identified potential mediation capabilities as well as areas for improvements. Activity Theory was found to be useful to examine the positive and potentially problematic aspects of this new nursing information system.

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Evolution – removing paper and digitising the hospital

Baniulyte¹,

Rogerson

Bowden³

2023

Health Technol.

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Purpose A transition from paper to Electronic Health Records has numerous benefits, including better communication and information exchange and decreased errors by medical staff. However, if managed poorly, it can result in frustration, causing errors in patient care and reduced patient-clinician interaction. Furthermore, a drop in staff morale and clinician burnout due to familiarising themselves with the technology has been mentioned in previous studies. Therefore, the aim of this project is to monitor the change in morale of staff of the Oral and Maxillofacial Department in a hospital which underwent the change in October 2020. Objectives: To observe staff morale during transition from paper to Electronic Health Records; to encourage feedback. Methods After carrying out a Patient & Public Involvement consultation and receiving local research and development approval, a questionnaire was distributed to all members of the maxillofacial outpatients department on a regular basis. Results On average, around 25 members responded to the questionnaire during each collection. There was a noticeable divergence in responses week on week according to job role and age, but minimal difference is noted from gender point of view after the first week. The study emphasised the position that not all members were happy with the new system but only a small minority would want to return to paper notes. Conclusion Staff members adapt to change at different rates, which are multifactorial in nature. A change of this scale should be monitored closely to allow for a smoother transition and ensure staff burnout is minimised.

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A Usability Evaluation of an Electronic Health Record System for Nursing Documentation Used in the Municipality Healthcare Services in Norway

Cited by 5 publications

References 23 publications

Nurses’ Perceptions of a Care Plan Information Technology Solution With Hundreds of Clinical Practice Guidelines in Adult Intensive Care Units: Survey Study

Nurses’ Perceptions of a Care Plan Information Technology Solution With Hundreds of Clinical Practice Guidelines in Adult Intensive Care Units: Survey Study

An Examination of the Mediating Role for a Nursing Information System

Evolution – removing paper and digitising the hospital

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