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Nurses' Perspectives on an Electronic Medication Administration Record in Home Health Care: Qualitative Interview
Sara Karnehed1, Lena-Karin Erlandsson1, Margaretha Norell Pejner1
1School of Health and Welfare, Halmstad University, Halmstad, Sweden.
JMIR Nursing
|April 22, 2022
Summary
Home care nurses using electronic medication administration records (eMARs) became monitors, shifting focus from patient care to administration. This technology impacted professional roles and highlighted unintended consequences of eHealth implementation in municipal healthcare.
Area of Science:
- Healthcare Management
- Nursing Informatics
- Digital Health
Background:
- eHealth is crucial for meeting healthcare demands from aging populations.
- Municipal home care faces resource pressures, increasing reliance on eHealth solutions like electronic medication administration records (eMARs).
- Research on home care professionals' experiences with eHealth technology is limited.
Purpose of the Study:
- To explore how home care nurses perceive and experience the use of eMARs in a Swedish municipality.
Main Methods:
- Qualitative interview study with home health care nurses utilizing eMARs.
- Analysis employed constructivist grounded theory, following Charmaz's methodology.
Main Results:
- Nurses using eMARs reported becoming 'monitors,' focusing on quantitative data rather than qualitative aspects of care.
- The technology shifted nurses' roles towards administration and away from direct patient care, reinforcing hierarchical professional relationships.
- eMAR implementation led to increased delegation to healthcare assistants.
Conclusions:
- eHealth implementation is complex, with both intended and unintended consequences for healthcare organizations and professionals.
- The functionalities of eHealth services can influence values and priorities within healthcare settings.
- Further research is needed to assess eHealth impacts on professionals' work and organizational priorities.
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