An exploration of patients’ experience of nurses’ use of point-of-care information technology in acute care

Abstract

The rapid introduction of technology into acute healthcare settings, specifically the presence of point-of-care health information technology at patients' bedsides, is expected to impact patients' healthcare experience by altering nursepatient interactions. This research was a multi-method naturalistic pilot study designed to explore patients' perception of their interactions with nurses using bedside point-of-care health information technology in acute care. Data were collected using observation, interviews and surveys. Twenty-four participants were purposefully recruited from medical and surgical wards, to capture variability in their self-reported confidence with information technology; 29% were not confident, 38% were somewhat confident and 33% were completely confident with information technology. Participants' mean age was 68.6 years (SD 11.1) and 63% were male. Qualitative observation, interview and survey data showed some nurses directly involved patients and explained or demonstrated how the point-of-care health information technology was being used to complement and enhance their care; while others used the point-of-care health information technology as an electronic documentation tool without engaging their patients. Patients' experiences of point-of-care health information technology differed with their self-reported confidence with information technology; those with complete information technology confidence were better at recognising the potential and opportunities for point-of-care health information technology to support self-directed care than those with less confidence using information technology. Some participants reported that the use of point-of-care health information technology impeded interpersonal communication with nurses. Participants recognised the benefits of point-of-care health information technology to support clinical practice but generally desired greater engagement with the nurses when they used the system.

Critical Care Nurses' Views and Experiences of Preanalytical Factors Influencing Point-of-Care Testing

“…Whilst findings from our study and those of others emphasize the value of POCT, they also highlight the potential for POCT to detract critical care nurses from performing other care duties (Lamb et al, 1995;Duffy et al, 2010;Gregory & Buckner, 2014;McNicol et al, 2018). Duffy et al (2010) report that point of care (POC) documentation systems also distract nurses and negatively impact the nurse-patient relationship.…”

“…Duffy et al (2010) report that point of care (POC) documentation systems also distract nurses and negatively impact the nurse-patient relationship. The findings of McNicol et al (2018) further support that patients notice this lack of engagement with the nurses when they are using POC information technology (IT) systems. Whilst POC documentation and IT have different purposes, there are obvious overlaps suggesting that these findings might also be true for nurses using POCT.…”

Attitudes of nurses towards clinical information systems: a systematic review and meta‐analysis

“…Over the last three decades, health information technology has slowly penetrated the healthcare sector (McNicol et al, 2018). Accordingly, it has improved the quality and effectiveness of healthcare services (Piscotty et al, 2015).…”

Andra’s Nursing Informatic System Application (Annisa) dalam Upaya Meningkatkan Pengetahuan Perawat tentang Dokumentasi Keperawatan

“…Dr. M. Yunus Bengkulu. Di amerika menunjukkan 71 % sudah mampu melakukan dokumentasi keperawatan menggunakan teknologi informasi dan 71,98% perawat setuju dan sudah memahami menggunakan dokumentasi berbasis elektronik untuk meningkatkan pengetahuan dan kemampuan tentang dokumentasi keperawatan (Chand & Sarin, 2019;McNicol, et al, 2018). Di Indonesia, dokumentasi keperawatan mencapai 71,2% dan 73,2% yang dilaksanakan masing-masing di rumah sakit dan di tingkat pelayanan primer (Pratama et al, 2018;.…”

“…Disamping itu pada kelompok kontrol peneliti juga mengarahkan perawat agar tetap melakukan proses pelaksanaan dokumentasi keperawatan akan tetapi dokumentasi keperawatan yang dilakukan masih berbasis kertas. Penelitian yang dilakukan oleh (McNicol et al, 2018) yang menunjukkan bahwa Analisis data menemukan perbedaan yang signifikan dalam kualitas dokumentasi keperawatan di dua rumah sakit baik sebelum dan sesudah penerapan sistem EHR. Perbedaan antara kelompok intervensi dan kelompok kontrol tidak terlepas dari ketersediaan sarana-prasarana yang dimiliki oleh puskesmas dalam melaksanakan dokumentasi keperawatan.…”