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Identifying and adapting interventions to reduce documentation burden and improve nurses' efficiency in using
Gillian Strudwick1,2,3, Lianne Jeffs4,5,6, Jessica Kemp7
1Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada. Gillian.Strudwick@camh.ca.
Nurses face significant burdens from electronic health record (EHR) documentation. This study engages nurses to identify solutions for optimizing EHR systems and reducing nurse burnout, improving clinical efficiency.
Area of Science:
- Nursing Informatics
- Health Services Research
- Human-Computer Interaction
Background:
- Electronic health record (EHR) systems increase nursing documentation burden, detracting from patient care.
- Inefficiencies in EHR systems contribute to nurse dissatisfaction and burnout.
- Addressing nurses' specific needs is crucial for optimizing EHR usability.
Purpose of the Study:
- To engage nurses in identifying strategies for improving EHR experiences.
- To reduce the documentation burden and enhance efficiency for nurses.
- To ensure EHR solutions are grounded in nurses' real-world perspectives.
Main Methods:
- Mixed-methods study across three phases.
- Phase 1: Evaluate EHR analytics accuracy for nurse utilization.
- Phase 2: Analyze nursing analytics platform and conduct focus groups to understand usage patterns and identify improvements.
- Phase 3: Use focus groups to generate, adapt, and assess interventions for EHR optimization.
Main Results:
- Insights into nurses' EHR-related burden and burnout will be generated.
- Opportunities for improving EHR systems in nursing practice will be identified.
- Findings will inform the co-design and implementation of targeted interventions.
Conclusions:
- This research will provide actionable insights to alleviate EHR-related burdens on nurses.
- Co-designed interventions will aim to improve EHR adoption and impact nursing practice.
- Future work includes intervention evaluation and dissemination strategies across diverse healthcare settings.
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Maintain Confidentiality and Security:
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Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Methods of Documentation III: PIE

