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Nurses’ perceptions of an electronic patient record from a patient safety perspective: A qualitative study.
Linnaeus University, Faculty of Humanities and Social Sciences, School of Language and Literature. (eHälsoinstitutet)
Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
2012 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 68, no 3, 667-676 p.Article in journal (Refereed) Published
Abstract [en]

Aims: The overall aim of this study was to explore nurses’ perceptions of using an electronic patient record in everyday practice, in general ward settings. This paper reports on the patient safety aspects revealed in the study.

Background: Electronic patient records (EPR) are widely used and becoming the main method of nursing documentation. Emerging evidence suggests that they fail to capture the essence of clinical practice and support the most frequent end-users: nurses. The impact of using EPR in general ward settings is under-explored.

Method: In 2008, focus group interviews were conducted with 21 registered nurses (RNs). This was a qualitative study and the data were analysed by content analysis. At the time of data collection, the EPR system had been in use for approximately one year.

Findings: The findings related to patient safety were clustered in one main category: ‘documentation in everyday practise’. There were three sub-categories: vital signs, overview and medication module. Nurses reported that the EPR did not support nursing practice when documenting crucial patient information, such as vital signs.

Conclusions: Efforts should be made to include the views of nurses when designing an EPR to ensure it suits the needs of nursing practice and supports patient safety. Essential patient information needs to be easily accessible and provide support for decision-making. 

Place, publisher, year, edition, pages
2012. Vol. 68, no 3, 667-676 p.
Keyword [en]
acute hospital settings, documentation, focus group interviews, electronic patient records, patient safety, record keeping, supporting nursing practice
National Category
Nursing
Research subject
Health and Caring Sciences, Health Informatics
Identifiers
URN: urn:nbn:se:lnu:diva-13883DOI: 10.1111/j.1365-2648.2011.05786.xOAI: oai:DiVA.org:lnu-13883DiVA: diva2:436557
Note

Article first published online: 22 JUL 2011

Available from: 2011-08-24 Created: 2011-08-24 Last updated: 2017-05-17Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf