Nurses' attitude toward the Electronic Health Record still uncertain after 6 months

Laramee, Ann S.; Bosek, Marcia Sue DeWolf; Shaner-McRae, Hollie; Powers-Phaneuf, Terry

doi:10.1016/j.hrtlng.2010.05.019

Cited by 6 publications

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“…Whereas some nurses have described the EHR as "cumbersome" and said it takes time away from direct patient care, 4 others have had a more positive response, as evidenced by a study in Sweden that assessed nurses' attitudes toward EHRs approximately four years after they'd begun to be implemented. Whereas some nurses have described the EHR as "cumbersome" and said it takes time away from direct patient care, 4 others have had a more positive response, as evidenced by a study in Sweden that assessed nurses' attitudes toward EHRs approximately four years after they'd begun to be implemented.…”

Section: An Opportunity For Nursesmentioning

confidence: 99%

Health Information Technology and Nursing

McBride

Delaney²,

Tietze³

2012

AJN, American Journal of Nursing

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Health information technology (HIT) is a central aspect of current U.S. government efforts to reduce costs and improve the efficiency and safety of the health care system. A federal push to implement and enhance electronic health records (EHRs) has been supported by billions of dollars earmarked in the Health Information Technology for Economic and Clinical Health Act, passed as part of the 2009 American Recovery and Reinvestment Act. The goal has been to lay the groundwork for a HIT system that enables a more reliable exchange of information among practitioners and patients and significant improvements in the way care is delivered.But what does this really mean for nurses? This article is the first in a series on HIT and nursing and will examine the federal policies behind efforts to expand the use of this technology as well as the implications for nurses. Subsequent articles will take a closer look at the use of EHRs to improve patient safety and quality of care, and the important role nurses are playing-and could play-in this system-wide initiative.

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Section: An Opportunity For Nursesmentioning

confidence: 99%

Health Information Technology and Nursing

McBride

Delaney²,

Tietze³

2012

AJN, American Journal of Nursing

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“…Other authors brought to light the negative views held by nurses and reported that many had reservations with being exposed to a computer [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

Attitudes of nursing staff towards computerisation: a case of two hospitals in Nairobi, Kenya

Kipturgo

Kivuti-Bitok

Karani

et al. 2014

BMC Med Inform Decis Mak

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BackgroundThe health sector is faced with constant changes as new approaches to tackle illnesses are unveiled through research. Information, communication and technology have greatly transformed healthcare practice the world over. Nursing is continually exposed to a variety of changes. Variables including age, educational level, years worked in nursing, computer knowledge and experience have been found to influence the attitudes of nurses towards computerisation. The purpose of the study was to determine the attitudes of nurses towards the use of computers and the factors that influence these attitudes.MethodsThis cross sectional descriptive study was conducted among staff nurses working at one public hospital (Kenyatta National Hospital, (KNH) and one private hospital (Aga Khan University Hospital (AKUH). A convenience sample of 200 nurses filled the questionnaires. Data was collected using the modified Nurses’ Attitudes Towards Computerisation (NATC) questionnaire.ResultsNurses had a favorable attitude towards computerisation. Non-users had a significantly higher attitude score compared to the users (p = 0.0274). Statistically significant associations were observed with age (p = 0.039), level of education (p = 0.025), duration of exposure to computers (p = 0.025) and attitudes towards computerisation.ConclusionGenerally, nurses have positive attitudes towards computerisation.This information is important for the planning and implementation of computerisation in the hospital as suggested in other studies.

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“…According to the results, ICU nurses did not regard the registration of medicines and supplies in the HIS because it loses the time and reduces the quality of nursing care. In different studies, a variety of reactions and sometimes contradictory responses from nurses towards electronic registration of health information and consumables have been reported ( Carayon et al, 2011 ; Laramee, Bosek, Shaner-McRae, & Powers-Phaneuf, 2010 ). Yekefallah et al (2015) showed that ICU nurses believed that some activities such as registering drugs into the computer system is a futile activity and reduces productivity and leads to low-quality care ( Yekefallah et al, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

Intensive Care Nurses' Belief Systems Regarding the Health Economics: A Focused Ethnography

Heydari¹,

Najar²,

Bakhshi³

2016

GJHS

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Background:Health care beliefs can have an effect on the efficiency and effectiveness of nursing practices. Nevertheless, how belief systems impact on the economic performance of intensive care unit (ICU) nurses is not known. This study aimed to explore the ICU nurses’ beliefs and their effect on nurse’s: practices and behavior patterns regarding the health economics.Methods:In this study, a focused ethnography method was used. Twenty-four informants from ICU nurses and other professional individuals were purposively selected and interviewed. As well, 400 hours of ethnographic observations were used for data collection. Data analysis was performed using the methods described by Miles and Huberman (1994).Findings:Eight beliefs were found that gave meaning to ICU nurse’s practices regarding the health economics. 1. The registration of medications and supplies disrupt the nursing care; 2. Monitoring and auditing improve consumption; 3. There is a fear of possible shortage in the future; 4. Supply and replacement of equipment is difficult; 5. Higher prices lead to more accurate consumption; 6. The quality of care precedes the costs; 7. Clinical Guidelines are abundant but useful; and 8. Patient economy has priority over hospital economy. Maintaining the quality of patient care with least attention to hospital costs was the main focus of the beliefs formed up in the ICU regarding the health economics.Conclusions:ICU nurses’ belief systems have significantly shaped in relation to providing a high-quality care. Although high quality of care can lead to a rise in the effectiveness of nursing care, cost control perspective should also be considered in planning for improve the quality of care. Therefore, it is necessary to involve the ICU nurses in decision-making about unit cost management. They must become familiar with the principles of heath care economics and productivity by applying an effective cost management program. It may be optimal to implement the reforms in various aspects, such as the hospital’s strategic plan and supply chain management system.

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Nurses' attitude toward the Electronic Health Record still uncertain after 6 months

Cited by 6 publications

References 0 publications

Health Information Technology and Nursing

Health Information Technology and Nursing

Attitudes of nursing staff towards computerisation: a case of two hospitals in Nairobi, Kenya

Intensive Care Nurses' Belief Systems Regarding the Health Economics: A Focused Ethnography

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