A National Survey of EMR Usability: Comparisons between medical and nursing professions in the hospital and primary care sectors in Australia and Finland
| Autor: | Sheree Lloyd, Karrie Long, Christopher Bain, Josie Di Donato, Jeremy Roach, Yasmine Probst, Abraham Oshni Alvandi |
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| Rok vydání: | 2020 |
| Předmět: |
Primary Health Care
business.industry Learnability media_common.quotation_subject Australia Health Informatics Usability Context (language use) Hospitals InformationSystems_GENERAL User-Computer Interface Workflow Cross-Sectional Studies Nursing User experience design Scale (social sciences) Humans Quality (business) Observational study business Psychology health care economics and organizations Finland media_common |
| Zdroj: | International journal of medical informatics. 154 |
| ISSN: | 1872-8243 |
| Popis: | Background Electronic Medical Record Systems (EMRs) are now part of nursing and medical professionals daily work in the acute and primary care sectors in Australia. Usability is an important factor in their successful adoption and impacts upon clinical workflow, safety and quality, communication, and collaboration. This study replicates a significant body of work conducted by Finnish researchers applying a usability focused survey to understand medical and nursing professionals’ experiences in the Australian context. As we implement EMRs across health systems, their usability and design to support clinicians to effectively deliver and document care, is essential. Methods We conducted an observational study using a cross sectional survey, the National Usability-Focused HIS Scale (NuHISS) developed and validated by Finnish researchers. For this study 13 usability statements collected clinician impressions of EMRs related to technical quality, ease of use, benefits, and collaboration. We report the responses from medical and nursing professionals working in clinical practice settings in Australia, including primary care and hospital sectors in 2020. Results Nursing and medical professionals have different experiences with EMR usability. This depends on the sector they work in and the usability feature measured. In our sample, technical quality features were more positively experienced by doctors in the primary care sector than nurses as well as ease of obtaining patient information and prevention of errors. In the hospital sector nurses experiences with EMRs were more positive with respect to support for routine task completion, learnability, ease of obtaining patient information and entry of patient data. Conclusions The NuHISS is a suitable tool for measuring the usability experiences of Australian clinicians and the EMRs utilised. Differences in usability experiences were noted between professional groups and sectors. A focus on the usability perspectives of clinicians when enhancing or developing EMR solutions is advocated. |
| Databáze: | OpenAIRE |
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