Nurse Informaticians Report Low Satisfaction and Multi-level Concerns with Electronic Health Records: Results from an International Survey.

Autor:	Topaz M; Harvard Medical School & Brigham and Women's Hospital, Boston, USA., Ronquillo C; University of British Columbia, Vancouver, Canada & University of the West of England., Peltonen LM; Nursing Science, University of Turku and Turku University Hospital, Turku, Finland., Pruinelli L; University of Minnesota, School of Nursing, MN, USA., Sarmiento RF; National Institute for Occupational Safety and Health, U.S. Centers for Disease Control and Prevention, USA., Badger MK; University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA., Ali S; Carlow University, Pittsburgh, USA., Lewis A; Independent Researcher, Canada., Georgsson M; Faculty of Computing, Blekinge Institute of Technology, Karlskrona, Sweden., Jeon E; College of Nursing, Seoul National University, Seoul, Republic of Korea., Tayaben JL; College of Nursing, Benguet State University, La Trinidad, Benguet, Philippines., Kuo CH; Tzu Chi University of Science and Technology, Taiwan., Islam T; Deakin University, Victoria, Australia., Sommer J; Hospital Italiano, Buenos Aires, Argentina., Jung H; Biomedical and Health Informatics, University of Washington, Seattle, USA., Eler GJ; Instituto Federal do Paraná, Londrina, Brazil., Alhuwail D; Department of Information Systems, College of Engineering & Information Technology, University of Maryland, Baltimore County, USA., Lee YL; Institute of Biomedical Informatics, National Yang Ming University, Taipei, Taiwan.
Jazyk:	angličtina
Zdroj:	AMIA ... Annual Symposium proceedings. AMIA Symposium [AMIA Annu Symp Proc] 2017 Feb 10; Vol. 2016, pp. 2016-2025. Date of Electronic Publication: 2017 Feb 10 (Print Publication: 2016).
Abstrakt:	This study presents a qualitative content analysis of nurses' satisfaction and issues with current electronic health record (EHR) systems, as reflected in one of the largest international surveys of nursing informatics. Study participants from 45 countries (n=469) ranked their satisfaction with the current state of nursing functionality in EHRs as relatively low. Two-thirds of the participants (n=283) provided disconcerting comments when explaining their low satisfaction rankings. More than one half of the comments identified issues at the system level (e.g., poor system usability; non-integrated systems and poor interoperability; lack of standards; and limited functionality/missing components), followed by user-task issues (e.g., failure of systems to meet nursing clinical needs; non nursing-specific systems) and environment issues (e.g., low prevalence of EHRs; lack of user training). The study results call for the attention of international stakeholders (educators, managers, policy makers) to improve the current issues with EHRs from a nursing perspective.
Databáze:	MEDLINE
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