Modeling Workflow for Registered Nurses Working in Emergency Departments: Choosing a Software Application

2.50
Hdl Handle:
http://hdl.handle.net/10755/152966
Type:
Presentation
Title:
Modeling Workflow for Registered Nurses Working in Emergency Departments: Choosing a Software Application
Abstract:
Modeling Workflow for Registered Nurses Working in Emergency Departments: Choosing a Software Application
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Brixey, Juliana J., PhD
P.I. Institution Name:University of Texas Health Science Center at Houston
Title:Assistant Professor
[22nd International Nursing Research Congress - Research Presentation] Purpose: The purpose of this study is to select and test software applications to diagram the documentation process in paper and electronic health records (EHRs) and account for conditions such as interruptions and distractions. There are numerous workflows performed by registered nurses in the care of emergency room patients. Workflow is the steps, decisions, and handoffs performed by the process?s actors between the first event and the finale. In the ED the workflow associated with documentation is of upmost importance to ensure patient safety. Documentation is the act of recording the nursing care provided. Moreover, the ED is punctuated with periods of unexpected upsurges in patient census as well as sudden deterioration in patients? conditions. These factors contribute to interruption and distractions in workflow. Therefore, an understanding of the work environment is necessary to accurately depict workflow.
 Methods:  An internet search was conducted to identify workflow modeling software. Visio, flowcharting tool, and MacShapa were selected from the search. Results: This study selected three software applications to diagram the workflow for documentation in a paper-based or an EHR. Specifically, the study tested Visio, flowcharting, and MacShapa to model workflow. Visio and flowing charting were most useful to diagram workflow for documentation in an EHR or paper-based record. The software applications were most useful at the task level of granularity. Conversely MacShapa was determined as more appropriate to depict environmental conditions such as interruptions and distractions. Therefore, MacShapa was more useful at the environmental factor level of granularity.  Conclusion: A combination of methods improves understanding of workflow. The selection of methods and software is contingent on the overall project and specific granularity. Multiple methods improve comprehension of workflow. It is crucial to study the context of the workflow to determine the influence of interruptions and distractions.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleModeling Workflow for Registered Nurses Working in Emergency Departments: Choosing a Software Applicationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152966-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Modeling Workflow for Registered Nurses Working in Emergency Departments: Choosing a Software Application</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Brixey, Juliana J., PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Texas Health Science Center at Houston</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Juliana.j.Brixey@uth.tmc.edu</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose:&nbsp;The purpose of this study is to select and test software applications to diagram the documentation process in paper and electronic health records (EHRs) and account for conditions such as interruptions and distractions. There are numerous workflows performed by registered nurses in the care of emergency room patients. Workflow is the steps, decisions, and handoffs performed by the process?s actors between the first event and the finale. In the ED the workflow associated with documentation is of upmost importance to ensure patient safety. Documentation is the act of recording the nursing care provided. Moreover, the ED is punctuated with periods of unexpected upsurges in patient census as well as sudden deterioration in patients? conditions. These factors contribute to interruption and distractions in workflow. Therefore, an understanding of the work environment is necessary to accurately depict workflow. <br/>&nbsp;Methods:&nbsp;&nbsp;An internet search was conducted to identify workflow modeling software. Visio, flowcharting tool, and MacShapa were selected from the search.&nbsp;Results:&nbsp;This study selected three software applications to diagram the workflow for documentation in a paper-based or an EHR. Specifically, the study tested Visio, flowcharting, and MacShapa to model workflow. Visio and flowing charting were most useful to diagram workflow for documentation in an EHR or paper-based record. The software applications were most useful at the task level of granularity. Conversely MacShapa was determined as more appropriate to depict environmental conditions such as interruptions and distractions. Therefore, MacShapa was more useful at the environmental factor level of granularity. &nbsp;Conclusion:&nbsp;A combination of methods improves understanding of workflow. The selection of methods and software is contingent on the overall project and specific granularity. Multiple methods improve comprehension of workflow. It is crucial to study the context of the workflow to determine the influence of interruptions and distractions.</td></tr></table>en_GB
dc.date.available2011-10-26T11:57:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:57:00Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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