Qualitative Study of Clinic Staff Members' Experiences Using an Immunization Registry

Wells, Kristen J.; Holmes, Adrianne K.; Kohler, Susan A.; Rust, Cynthia T.; Rask, Kimberly J.

doi:10.1001/archpedi.154.11.1118

Cited by 4 publications

(5 citation statements)

References 8 publications

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“…This study also con rms the ndings from other studies showing that the workload increases if the register work is not integrated into the daily routines (15,22,36,37). If the web-based forms have not completely replaced paper forms, the data-entry workload will be dual (22,36,37). When the nurses in this study used paper forms instead of entering data directly into the web-based forms, they did it because the awareness of RevNatus was insu cient among doctors in the department.…”

Section: Revnatus In the Clinicsupporting

confidence: 89%

See 1 more Smart Citation

Working with a medical quality register increases nurses’ clinical and organisational competence – a qualitative study

Bjørngaard

Koksvik

Jakobsen

et al. 2022

Preprint

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Background RevNatus is a consent-based, nationwide medical quality register that collects data on patients with inflammatory rheumatic diseases during pregnancy and one year postpartum. The entering of data takes place in outpatient clinics in rheumatology wards in hospitals. The aim of this study is to explore how rheumatology nurses experience organizing and working with the medical quality register RevNatus in addition to their normal clinical patient-care tasks. Methods Qualitative focus group interviews and individual in-depth interviews were conducted to gain insights into how nurses organize performing quality register work and clinical work simultaneously. Data were analysed using systematic text condensation. Results The informants represented seven different rheumatology outpatient clinics in Norway. The analyses showed that working with RevNatus increased the nurses’ knowledge about pregnancy and rheumatic diseases, improved the content of their nurse consultations and found the ‘register form’ as a useful template to structure the nurse consultations. The nurses took the main responsibility for RevNatus, but lack of routines and uncoordinated collaboration with the rheumatologists and secretaries made the nurses spend too much time verifying the accuracy of data or post-registering missing data. Conclusion The nurses experienced work with RevNatus as time-consuming, but the register work increased both their clinical and organisational competences. Routines and collaboration within the registry team are important to ensure the data quality and reduce the workload.

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Section: Revnatus In the Clinicsupporting

confidence: 89%

Section: Revnatus In the Clinicsupporting

confidence: 86%

Working with a medical quality register increases nurses’ clinical and organisational competence – a qualitative study

Bjørngaard

Koksvik

Jakobsen

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…For example, when patients had an appointment rescheduled without notifying the nurses, the registrations in RevNatus were missing. When this occurred, the nurses often had to enter data in retrospect based on the patient’s record, confirming the findings from other studies that the workload increases if the register work is not integrated into the daily routines [ 15 , 21 , 36 , 37 ]. If the web-based forms have not completely replaced paper forms, the data-entry workload will be dual [ 21 , 36 , 37 ].…”

Section: Discussionsupporting

confidence: 79%

“…When this occurred, the nurses often had to enter data in retrospect based on the patient’s record, confirming the findings from other studies that the workload increases if the register work is not integrated into the daily routines [ 15 , 21 , 36 , 37 ]. If the web-based forms have not completely replaced paper forms, the data-entry workload will be dual [ 21 , 36 , 37 ]. When the nurses in this study used paper forms instead of entering data directly into the web-based forms, they did it because the awareness of RevNatus was insufficient among doctors in the department.…”

Section: Discussionsupporting

confidence: 79%

Nurses experience increased clinical and organisational competence by working with a medical quality register, RevNatus – a qualitative study

Bjørngaard

Koksvik

Jakobsen

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

Background RevNatus is a consent-based, nationwide medical quality register that collects data on patients with inflammatory rheumatic diseases during pregnancy and one year postpartum. The entering of data takes place in outpatient clinics in rheumatology wards in hospitals. The aim of this study is to explore how rheumatology nurses experience organizing and working with the medical quality register RevNatus in addition to their normal clinical patient-care tasks. Methods Qualitative focus group interviews and individual in-depth interviews were conducted in 2018 to gain insights into how nurses organize performing quality register work and clinical work simultaneously. Data were analysed using systematic text condensation. Results The informants represented seven different rheumatology outpatient clinics in Norway. The analyses showed that working with RevNatus increased the nurses’ knowledge about pregnancy and rheumatic diseases, improved the content of their nurse consultations and found the ‘register form’ as a useful template to structure the nurse consultations. The nurses took the main responsibility for RevNatus, but lack of routines and uncoordinated collaboration with the rheumatologists and secretaries made the nurses spend too much time verifying the accuracy of data or post-registering missing data. Conclusion The nurses experienced work with RevNatus as time-consuming, but the register work increased both their clinical and organisational competences. Routines and collaboration within the registry team are important to ensure the data quality and reduce the workload.

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“…In considering strategies to increase private provider participation, it is important to take into account both the barriers perceived by non-participants and the experiences of current registry participants. The assessments of provider perspectives documented in the published literature [ 4 - 7 ] reflect only single states or urban areas; lacking is a perspective on provider participation across a wider sector of registry participants and non-participants, which may provide some valuable "lessons learned" for those seeking to improve provider participation rates. Therefore, this study was designed to give a national overview of the perspectives of childhood immunization providers in private practice regarding participation in immunization registries.…”

Section: Introductionmentioning

confidence: 99%

Private provider participation in statewide immunization registries

2006

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Background: Population-based registries have been promoted as an effective method to improve childhood immunization rates, yet rates of registry participation in the private sector are low. We sought to describe, through a national overview, the perspectives of childhood immunization providers in private practice regarding factors associated with participation or non-participation in immunization registries.

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Qualitative Study of Clinic Staff Members' Experiences Using an Immunization Registry

Cited by 4 publications

References 8 publications

Working with a medical quality register increases nurses’ clinical and organisational competence – a qualitative study

Working with a medical quality register increases nurses’ clinical and organisational competence – a qualitative study

Nurses experience increased clinical and organisational competence by working with a medical quality register, RevNatus – a qualitative study

Private provider participation in statewide immunization registries

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