Barriers and Facilitators to Electronic Documentation in a Rural Hospital

Abstract

Understanding and management of facilitators and barriers to EHR adoption may impact nurses' ability to provide and document nursing care.

Understanding the use of standardized nursing terminology and classification systems in published research: A case study using the International Classification for Nursing Practice ®

“…Now appears to be an opportune time to utilize these terminology and classification systems to generate knowledge for nursing. In many parts of the world, healthcare organizations have adopted or are in the process of implementing EHR systems (Schoen et al, 2012), and in many cases, these systems incorporate electronic nursing documentation (Kelley, Brandon & Docherty, 2011;Whittaker, Aufdenkamp & Tinley, 2009). Additionally, the context in which nursing care is taking place is one in which the generation and use of evidence to support quality, safety and patient outcomes, is valued (Institute of Medicine, 2006;Porter, 2010).…”

“…Given that these technologies facilitate the ease in which standardized terminology and classification system outputs can be captured, their optimal uptake is important for ensuring maximal data is obtained. Nurse-related, computer/software-related and contextrelated factors have been identified in the literature as important aspects of EHR adoption by nurses (Whittaker, Aufdenkamp & Tinley, 2009). Technologies that have been developed using the principles of human factors, and that fit within the nursing workflow, support nurse acceptance and use of these systems (Nagle & Catford, 2008).…”

An Examination of the Mediating Role for a Nursing Information System

“…Moderate ease of use (Weinhara et al, 2009;Whittaker et al, 2009). Observed increased time spent on direct patient care and nursing documentation, and decreased time spent on administrative tasks (Banner & Olney, 2009) in contrast to no significant change in time spent on patient care (Westbrook et al, 2013).…”

“…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).…”

“…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).…”