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Nurs Open. 2018 May 7;5(4):491-500. doi: 10.1002/nop2.157. eCollection 2018 Oct.

Acute care nurses' perceptions of electronic health record use: A mixed method study.

Author information

1
Centre for Addiction and Mental Health Toronto ON Canada.
2
Lawrence S. Bloomberg Faculty of Nursing University of Toronto Toronto ON Canada.
3
Institute of Health Policy, Management and Evaluation University of Toronto Toronto ON Canada.

Abstract

Aim:

The overall aim of this study is to examine nurses' perceptions of electronic health record use in an acute care hospital setting.

Design:

This study uses a sequential mixed methods design in two phases.

Methods:

Phase one consists of a survey of Registered Nurses to understand nurses' perceptions of electronic health record use. Phase two is comprised of focus groups of a subsample from phase one. Data collection occurred from November 2015 - August 2016 and was done in Toronto, Canada.

Results:

In phase one, navigation was found to be a predictor of nurses' perceptions of electronic health record use. In phase two, participants discussed the following five topics: (1) navigation; (2) functionality; (3) organizational standards; (4) documentation workload and (5) issues of system performance and response time. This study has implications for organizations implementing electronic health records, nursing leaders and electronic health record vendors.

KEYWORDS:

acute care; health services research; information technology; medical nursing; surgical nursing

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