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Assessing the value of electronic records.
Keith Edwards1, Denise Chiweda, Appiah Oyinka
1Open University.
Summary
Mental health nurses find electronic records impact patient care time, citing training needs and workflow issues. Improving computer access and dedicated spaces can enhance patient involvement in electronic care planning.
Area of Science:
- Nursing Informatics
- Mental Health Services
- Healthcare Technology
Background:
- Introduction of electronic health records (EHRs) has raised concerns among nurses regarding data input time.
- Nurses report potential negative impacts on direct patient care due to increased computer use.
Purpose of the Study:
- To explore mental health nurses' perspectives on computer use during patient care planning.
- To investigate the role of electronic records in enhancing service user involvement and care planning within mental health settings.
Main Methods:
- A mixed-methods approach combining a literature review and a descriptive survey.
- Questionnaires were distributed across 10 mental health wards.
Main Results:
- Nurses expressed concerns about electronic records affecting patient interaction and identified a need for specific training on electronic care plans.
- Issues included duplicated work (paper and electronic), insufficient computer availability, and lack of private spaces for joint care planning.
- A key benefit noted was improved readability of patient information.
Conclusions:
- Addressing staff training, availability of private interview rooms, and staff attitudes is crucial for effective EHR implementation.
- Evaluation of electronic care plans should focus on patient care quality, nurse-patient interaction, and collaborative partnership working.
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