One Size Does Not Fit All: EHR Clinical Summary Design Requirements for Nurses
Sharon McLane1, James P Turley
1Lakeland Regional Medical Center, Lakeland, FL; ; The University of Texas School of Biomedical Informatics, Houston, TX.
Summary
This study explores how electronic health record (EHR) patient clinical summaries can better support nurses' thinking. Foundational principles are proposed to enhance these summaries for improved clinical decision-making and reduced cognitive load.
Area of Science:
- Cognitive Science
- Nursing Informatics
- Human-Computer Interaction
Background:
- Cognitive artifacts are crucial for information visualization, memory, and critical thinking.
- Nurses traditionally use personal cognitive artifacts to summarize patient care.
- Electronic health records (EHRs) offer patient clinical summaries, but their cognitive support is under-researched.
Purpose of the Study:
- To investigate the requirements for EHR patient clinical summaries.
- To establish foundational principles for developing EHR summaries that support registered nurse cognition.
- To enhance critical thinking and reduce cognitive load for nurses using EHRs.
Main Methods:
- Initial research conducted to identify key principles.
- Focus on understanding how nurses interact with and utilize clinical summaries.
- Analysis of cognitive support needs in the context of EHRs.
Main Results:
- Identified gaps in current EHR clinical summary functionality.
- Established foundational principles for designing effective cognitive artifacts within EHRs.
- Highlighted the need for summaries that actively support, rather than hinder, clinical reasoning.
Conclusions:
- EHR patient clinical summaries require specific design principles to effectively support nursing cognition.
- Further research is needed to validate and refine these principles for optimal clinical practice.
- Developing better EHR summaries can improve patient care by enhancing nurse critical thinking.
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