评估护士对电子健康记录中的文档的看法:多方法分析
Deborah Jacques1, John Will1, Denise Dauterman1
1Department of Health Informatics, Medical Center Information Technology, NYU Langone Health, One Park Avenue, 12 Fl., New York, NY, 10016, United States, 1 646-784-1726.
JMIR nursing
|April 28, 2025
概括
重新设计的电子健康记录 (EHR) 在改善护理工作流程和满意度方面表现有前途. 需要进一步优化以减少文档负担并提高可用性,以获得更好的患者护理.
科学领域:
- 护理信息学 护理信息学
- 卫生信息技术 信息技术
- 人与计算机的交互
背景情况:
- 护士广泛使用电子健康记录 (EHR) 系统来照顾患者和工作流程.
- 在EHR中重新设计护理文档可能会减少花费的时间,并增加护士的满意度.
研究的目的:
- 评估护士对重新设计的EHR系统的看法.
- 评估文档干预措施对护理实践的影响.
- 确定未来EHR系统改进的领域.
主要方法:
- 一个由美国护理信息学协会的"负担的六个领域"框架指导的多方法项目.
- 有注册护士的定性焦点小组,按主题分析.
- 对电子病历供应商的时间数据进行定量分析,以确定文档的持续时间.
主要成果:
- 六个主题出现了:积极的反,可用性,工作流,培训,沟通和花费的时间.
- 护士们报告了积极的经验,并表示EHR支持患者护理.
- 每个12小时班的平均时间在流量表中花费的时间为31.11%.
结论:
- 有机会减少文档冗余,提高电子健康记录的可用性.
- 建议使用持续学习计划和优化工具,如口腔健康评估.
- 纳入前线护理视角对于EHR工作流程重新设计和护士满意度至关重要.
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