Assessing the value of electronic records

With the introduction of electronic records, some nurses have expressed concern about the length of time they spend inputting data on computers.

To explore mental health nurses' views about computer use when engaging with patients in care planning, and to investigate how electronic records contribute to improving service user involvement and care planning in mental health services.

A literature review and a descriptive survey based on a questionnaire distributed to 10 wards.

Respondents raised several concerns about electronic records and patient contact. They called for more training specifically on electronic care plans. Concerns were voiced about duplication of work, with nurses continuing to use paper then rewriting on a computer, leaving less time for patient care. A shortage of computers and a lack of space where nurses and patients could meet and develop the electronic care plan together were also issues. A stated benefit was that patient information was easier to read.

Ongoing training, availability of interview rooms, staff attitudes and evaluation of electronic care plans in terms of patient care, interaction between nurses and patients, and partnership working need to be addressed.