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Related Experiment Videos

Research into EPRs: how midwives really feel.

Andrea Jones1, Flis Henwood, Angie Hart

  • 1Centre for Nursing and Midwifery, University of Brighton.

RCM Midwives : the Official Journal of the Royal College of Midwives
|March 2, 2005
PubMed
Summary

Midwives and midwifery managers reported low understanding of electronic patient records (EPRs), leading to confusion about existing systems. The research advocates for greater midwife involvement in EPR development to ensure clinical value and time efficiency.

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Area of Science:

  • Health Informatics
  • Maternal Health Services
  • Information Systems Management

Background:

  • Electronic Patient Records (EPRs) are increasingly being implemented in healthcare settings.
  • Maternity services face unique challenges in adopting and integrating new information systems.
  • Professional and public acceptability are crucial factors for successful technology adoption.

Purpose of the Study:

  • To investigate the professional and public acceptability of Electronic Patient Records (EPRs) in UK maternity services.
  • To understand midwives' and Heads of Midwifery's (HOMs) knowledge and perceptions of EPRs.
  • To explore different EPR development strategies within NHS Trusts.

Main Methods:

  • A two-year research project commissioned by the Department of Health (DH).

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  • Methods included a literature review, national telephone survey of HOMs, and case studies in four NHS Trusts.
  • Analysis of professional understanding, system adoption strategies, and user experiences.

    • Main Results:

    • Midwives and HOMs demonstrated limited knowledge of EPRs, with confusion regarding existing Maternity Information Systems (MIS).
    • EPR development strategies varied across NHS Trusts, with 'best of breed' and 'big bang' approaches debated.
    • Midwives expressed contradictory views: low interest in development but a desire for representation, often through an 'IT midwife' role.
    • Maternity EPR systems were found to consume more midwife time than they saved, though clinical value mitigated this burden.

    Conclusions:

    • There is a significant gap in understanding and preparedness for EPR implementation among maternity care professionals.
    • Midwives should adopt a more proactive role in EPR development, questioning the clinical value and time implications of these systems.
    • Encouraging midwife engagement through education is vital for the successful and effective integration of EPRs in maternity services.