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RN Perceptions of a Newly Adopted Electronic Health Record
Elizabeth C Schenk1, Dorothy M Mayer, Erin Ward-Barney
1Author Affiliations: Nurse Scientist (Dr Schenk), Clinical Nurse (Ms Ward-Barney), Quality Manager (Ms Estill), and IRB Coordinator (Ms Goss), Providence St Patrick Hospital, Missoula, Montana; and Assistant Professor (Dr Mayer) and Professor (Dr Shreffler-Grant), Montana State University College of Nursing, Bozeman.
Objective:
The purpose of this study was to understand nurses' perceptions of a newly adopted electronic health record (EHR).
Background:
As use of EHRs in hospital settings increases, leaders prepare staff members for change. There is limited information about impacts of EHR adoption on RNs using EHRs at the point of care.
Methods:
Clinical RNs were surveyed about 3 domains (ease of use, usefulness, and attitude) before and after implementation of an EHR. A small subset of nurses was interviewed for a deeper understanding of perceptions associated with this change.
Results:
One year after adoption, nurses believed that the EHR did not improve patient care, the learning curve was steep, and they had lower confidence using the EHR than anticipated. Nurses commented on both their frustration and optimism about EHRs.
Conclusions:
This study provides insight into RNs' perceptions of an EHR, providing important information for nursing administrators.
Related Concept Videos
Methods of Documentation VII: EMR
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Methods of Documentation III: PIE
Integrated Healthcare System
Purpose of Health Records II
Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:

