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Nurses' perceptions and experiences with the implementation of a medication administration system
Steven D Culler1, James Jose, Susan Kohler
1Department of Health Policy and Management, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA. sculler@sph.emory.edu
Computers, Informatics, Nursing : CIN
|November 19, 2010
Summary
Implementing electronic medication administration record systems in pediatric hospitals faced challenges like login times. However, system modifications and workflow adjustments significantly improved nurse satisfaction, productivity, and patient safety.
Area of Science:
- Health Informatics
- Pediatric Nursing
- Information Technology Implementation
Background:
- Electronic medication administration record (eMAR) systems are increasingly adopted in healthcare settings.
- Understanding implementation facilitators and barriers is crucial for successful technology integration.
- Pediatric hospitals present unique challenges and opportunities for eMAR system adoption.
Purpose of the Study:
- To identify facilitators and barriers to implementing a commercial electronic medication administration record system.
- To assess nurse perceptions and satisfaction at 6 and 18 months post-implementation.
- To evaluate the impact of system modifications and workflow adjustments on user experience and outcomes.
Main Methods:
- Qualitative interviews conducted with nurses at two pediatric hospitals.
- Interviews were performed at 6 and 18 months after eMAR system implementation.
- A convenience sample of nurses from medical-surgical and intensive care units participated.
Main Results:
- 85% of respondents felt the implementation plan met expectations.
- The primary barrier identified was excessive time required for system login (72%).
- Nurse satisfaction increased significantly after 18 months due to system modifications and workflow streamlining, leading to enhanced patient safety and productivity.
Conclusions:
- Nursing staff acceptance of health information technology is positively influenced by improvements in patient safety and data accessibility.
- Factors beyond the core software, such as workflow integration and system usability, significantly impact user satisfaction.
- Iterative improvements and adaptations are key to overcoming initial barriers and maximizing the benefits of eMAR systems in pediatric care.
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