Objective: To assess intensive care unit (ICU) nurses' acceptance of electronic health records (EHR) technology and examine the relationship between EHR design, implementation factors, and nurse acceptance.
Design: The authors analyzed data from two cross-sectional survey questionnaires distributed to nurses working in four ICUs at a northeastern US regional medical center, 3 months and 12 months after EHR implementation.
Measurements: Survey items were drawn from established instruments used to measure EHR acceptance and usability, and the usefulness of three EHR functionalities, specifically computerized provider order entry (CPOE), the electronic medication administration record (eMAR), and a nursing documentation flowsheet.
Results: On average, ICU nurses were more accepting of the EHR at 12 months as compared to 3 months. They also perceived the EHR as being more usable and both CPOE and eMAR as being more useful. Multivariate hierarchical modeling indicated that EHR usability and CPOE usefulness predicted EHR acceptance at both 3 and 12 months. At 3 months postimplementation, eMAR usefulness predicted EHR acceptance, but its effect disappeared at 12 months. Nursing flowsheet usefulness predicted EHR acceptance but only at 12 months.
Conclusion: As the push toward implementation of EHR technology continues, more hospitals will face issues related to acceptance of EHR technology by staff caring for critically ill patients. This research suggests that factors related to technology design have strong effects on acceptance, even 1 year following the EHR implementation.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3197984 | PMC |
| http://dx.doi.org/10.1136/amiajnl-2010-000018 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Understanding Nurses' perspectives on electronic health records in Egypt: Insights from a cross-sectional study.
J Pediatr Nurs
January 2025
Department of Medical Surgical Nursing, College of Nursing, University of Ha'il, Ha'il City, Saudi Arabia; Department of Nursing, Faculty of Medicine and Health Sciences, Hodeida University, Hodeida, Yemen.
Aim: This study aimed to evaluate the knowledge, attitudes, and acceptance of Electronic Health Records (EHRs) among nurses in Egypt.
Methods: A descriptive cross-sectional study was conducted involving 1217 nurses from 33 public and private hospitals. Data were collected using a self-administered online questionnaire, which assessed knowledge, attitudes, and acceptance of EHRs.
Implementation of patient-reported outcome dashboards within the electronic health record to support shared decision-making in serious chronic illness.
BMJ Open Qual
January 2025
Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Background: Attending to patient-reported outcomes (PROs) using data visualisation dashboards could enhance shared decision-making (SDM) and care delivery for serious chronic illnesses. However, few studies have evaluated real-world strategies and resulting implementation outcomes of PRO dashboards.
Method: From June 2020 to January 2022, we implemented an electronic health record (EHR)-integrated PRO dashboard for advanced cancer and chronic kidney disease.
The Trifecta of Industry, Academic, and Health System Partnership to Improve Mental Health Care Through Smartphone-Based Remote Patient Monitoring: Development and Usability Study.
JMIR Form Res
January 2025
Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, PA, United States.
Background: Mental health treatment is hindered by the limited number of mental health care providers and the infrequency of care. Digital mental health technology can help supplement treatment by remotely monitoring patient symptoms and predicting mental health crises in between clinical visits. However, the feasibility of digital mental health technologies has not yet been sufficiently explored.
View Article and Find Full Text PDFAutomating excellence: A breakthrough in emergency general surgery quality benchmarking.
J Trauma Acute Care Surg
January 2025
From the Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, Department of Surgery (L.A.P., Z.M., J.M., B.H., T.W.C., L.N.H., A.B., L.A., J.J.D., J.E.S.), UC San Diego School of Medicine, San Diego, California; and Division of Acute Care Surgery, Department of Surgery (A.E.L.), University of Missouri School of Medicine, Columbia, Missouri.
Article Synopsis
- Developed an automated electronic health record (EHR)-linked registry to assess risks in emergency general surgery (EGS) using modified scoring systems, aiming to improve efficiency and accuracy.
- Analyzed data from 177 patients who underwent emergent surgeries between 2018-2023, finding an 18% mortality rate and 45% complication rate within 30 days post-surgery.
- The new scores (mESS and mPOTTER) showed strong agreement with traditional risk calculators, indicating potential for better quality assessment in EGS.
Rebuilding the clinical and operational acute care pharmacist productivity model: Leveraging electronic health record data and analytics at an academic medical center.
Am J Health Syst Pharm
December 2024
The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Disclaimer: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!