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Exploratory Co-Design on Electronic Health Record Nursing Summaries: Case Study
Suhyun Park1, Jenna L Marquard2, Robin R Austin2
1Cizik School of Nursing, The University of Texas Health Science Center at Houston, #557, 6901 Bertner Ave, Houston, TX, 77030, United States, 1 713-500-2246.
Nurses’ input during the co-design of electronic health record nursing summaries can improve usability. Involving clinicians in health information technology design leads to more relevant and accessible patient data summaries.
Area of Science:
- Health Informatics
- Nursing Informatics
- Human-Computer Interaction
Background:
- Electronic health record (EHR) nursing summaries often fail to meet nurses' information needs.
- This underutilization stems from a lack of nurse involvement in health information technology design.
Purpose of the Study:
- To gather nurses' insights on designing effective nursing summaries.
- To identify key information types and preferred layout prototypes.
Main Methods:
- An exploratory co-design case study involving 33 clinical nurses.
- Nurses evaluated and arranged visual cards representing 46 information types from EHR summaries.
- Thematic analysis of interviews explored design rationales.
Main Results:
- Nurses actively participated, including an average of 61% of information types.
- Frequently included information: "unit specimen," "activity," "diet," and "hospital problems."
- Preferred layouts prioritized "activity" with "diet" and "notes to physicians" with "notes to treatment team."
Conclusions:
- Involving nurses in the co-design process can enhance the utility and usability of nursing summaries.
- Future research should focus on refining and evaluating nurse-generated design prototypes.
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