护士在电子健康记录过渡中的经验:一种混合方法分析
Julian Brunner1, Alexis Amano, Jessica Davila
1Author Affiliations: Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Health Care (Dr Brunner and Ms Amano), CA; Michael E. DeBakey VA Medical Center (Dr Davila), Houston, TX; Department of Medicine-Health Services Research, Baylor College of Medicine (Dr Davila), Houston, TX; VA Ann Arbor Healthcare System (Dr Krein), MI; Division of General Medicine, Department of Internal Medicine, University of Michigan Medical School (Dr Krein), Ann Arbor; Office of Nursing Services, Veterans Health Administration (Dr Sullivan and Ms Church), Washington, DC; Center of Innovation for Veteran-Centered and Value-Driven Care, Seattle VA Medical Center (Dr Sayre), WA; University of Washington School of Public Health (Dr Sayre), Seattle; Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System (Dr Rinne), MA; and Division of Pulmonary and Critical Care Medicine, Department of Medicine, Geisel School of Medicine, Dartmouth University (Dr Rinne), MA.
在电子健康记录 (EHR) 过渡期间护士的经验至关重要. 调查结果强调了需要量身定制的培训和实践调整,以提高护士的电子健康记录功能,安全性和效率.
科学领域:
- 医疗信息学 医疗信息学
- 护理信息学 护理信息学
- 医疗保健管理的管理
背景情况:
- 电子健康记录 (EHR) 的转换对患者的护理造成破坏.
- 作为主要的EHR用户,护士在这些过渡期间的经历没有充分记录.
- 了解护士的观点对于成功实施EHR至关重要.
研究的目的:
- 调查美国退伍军人事务部在EHR过渡期间的护士经验.
- 确定与EHR功能,培训和支持相关的挑战和促进者.
- 评估EHR过渡对患者安全,质量,满意度和效率的感知影响.
主要方法:
- 混合方法设计,结合纵向采访 (n=26) 和调查答案 (n=317).
- 对于定性数据,使用了诱导性/演性内容分析.
- 从重复的横截面调查中获得的定性调查结果与定量调查数据相结合.
主要成果:
- 在新的EHR功能中确定了各种挑战.
- 突出了EHR培训和技术支持中的障碍和促进者.
- 记录护士对安全,质量,满意度和效率的影响.
结论:
- 电子健康记录的过渡需要组织的培训和实践调整.
- 解决EHR功能问题和优化过渡过程对于护理人员来说至关重要.
- 护士信息化策略可以在EHR系统更改期间改善结果.
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