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Implementation pilot of a novel electronic bedside nursing chart: a mixed-methods case study.

Kasia Bail1, Rachel Davey2, Marian Currie1

  • 1Synergy Nursing and Midwifery Research Centre and Health Research Institute, University of Canberra, Bruce, ACT 2617, Australia. Email: kasia.bail@canberra.edu.au; marian.currie@canberra.edu.au; eamon.merrick@canberra.edu.au.

Australian Health Review : a Publication of the Australian Hospital Association
|September 16, 2020
PubMed
Summary

Implementing electronic nursing charts in hospitals reduced missed care and increased bedside time for nurses. However, challenges like inconsistent expectations and workflow issues require careful planning for successful technology integration.

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Area of Science:

  • Health Informatics
  • Nursing Practice
  • Technology Implementation

Background:

  • Electronic health records are increasingly adopted in acute care settings.
  • Evaluating the real-world impact of new nursing technologies is crucial for optimizing patient care and workflow.

Purpose of the Study:

  • To investigate the implementation of a novel electronic bedside nursing chart in an acute hospital.
  • To assess the effects of this technology on nursing care and workflow.

Main Methods:

  • A case study approach was employed within a clinical ward.
  • Multiple data sources, including quantitative and qualitative data, were utilized.
  • Nurse-reported and patient-reported outcomes were measured, alongside time spent at the bedside and walking distances.

Main Results:

  • Significant reductions in nurse-reported missed care (P<0.05) were observed.
  • Mean time spent by nurses at the bedside significantly increased (from 21 to 28 min/h; P<0.0001).
  • No significant reductions were found in patient-reported missed care or nurses' walking distances.

Conclusions:

  • Successful implementation requires a shared understanding of technology goals and flexible project planning.
  • Challenges such as inconsistent expectations, decisional conflicts, and workflow disruptions must be addressed.
  • The complexity and unpredictability of acute hospital settings pose significant confounders to technology evaluation.