Evaluating the Effectiveness of the HER With Languages as a Communication System

2.50
Hdl Handle:
http://hdl.handle.net/10755/157934
Type:
Presentation
Title:
Evaluating the Effectiveness of the HER With Languages as a Communication System
Abstract:
Evaluating the Effectiveness of the HER With Languages as a Communication System
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Carrington, Jane M., PhD, RN
P.I. Institution Name:University of Colorado Denver, College of Nursing
Title:Assistant Professor
Contact Address:1265 S Beeler St., Denver, CO, 80247, USA
Contact Telephone:303-724-2996
Purpose: The electronic health record (EHR) has become pervasive in health care, yet little is known about its effectiveness as a communication system. Recently, I examined the effectiveness of the EHR with standardized nursing languages for communication. The purpose of this presentation is to describe the findings of this study and demonstrate its fit within the informatics research organizing model (IROM) (Effken, 2003). Background: The IR OM organizes research into four constructs: client, NI intervention, and outcomes; and the systems development life cycle (SDLC). The elements of the IROM can be applied to research exploring the EHR, demonstrating its usability in informatics research. The EHR has been associated with reduced documentation time, increased legibility, frequent documentation entries, and fewer documentation errors. Standardized nursing languages enhance the function of the EHR through fostering administrative decision making, aggregating patient data for comparisons, and supporting unambiguous documentation. Limitations, however, do exist. EHR documentation systems with languages have been associated with difficulty to negotiate and access information. This research explored the nurses' perspectives as to the strengths, limitations, and potential solutions to improve functionality of the EHR with embedded nursing languages when documenting patient status associated with a clinical event. Methods: Ten documenting and 8 receiving nurses were interviewed after a clinical event. A clinical event was defined as an unexpected event experienced by a hospitalized patient on a med-surg unit that did not require a transfer. The documenting nurse was caring for the patient at the time of the clinical event. The receiving nurse assumed care for the patient and received the documentation. Semi-structured interviews were used to elicit the nurses' perceptions. Qualitative content analysis was used to analyze the data. Results: Five categories emerged: usability, legibility, communication, collaboration, and workaround. Nurses identified usability as a strength of the EHR with languages. Elements of usability and the need for workarounds were identified as limitations. Implications: Documenting and receiving nurses (clients) viewed usability, communication, the need for workarounds, and references as strengths, limitations, and potential solutions (outcomes) of the EHR with languages (NI intervention) when documenting or receiving documentation about a clinical event (context). In addition, this study provides a useful exemplar for evaluating the IROM's utility as an organizing framework.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEvaluating the Effectiveness of the HER With Languages as a Communication Systemen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157934-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Evaluating the Effectiveness of the HER With Languages as a Communication System</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Carrington, Jane M., PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Colorado Denver, College of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1265 S Beeler St., Denver, CO, 80247, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">303-724-2996</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jane.carrington@ucdenver.edu</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The electronic health record (EHR) has become pervasive in health care, yet little is known about its effectiveness as a communication system. Recently, I examined the effectiveness of the EHR with standardized nursing languages for communication. The purpose of this presentation is to describe the findings of this study and demonstrate its fit within the informatics research organizing model (IROM) (Effken, 2003). Background: The IR OM organizes research into four constructs: client, NI intervention, and outcomes; and the systems development life cycle (SDLC). The elements of the IROM can be applied to research exploring the EHR, demonstrating its usability in informatics research. The EHR has been associated with reduced documentation time, increased legibility, frequent documentation entries, and fewer documentation errors. Standardized nursing languages enhance the function of the EHR through fostering administrative decision making, aggregating patient data for comparisons, and supporting unambiguous documentation. Limitations, however, do exist. EHR documentation systems with languages have been associated with difficulty to negotiate and access information. This research explored the nurses' perspectives as to the strengths, limitations, and potential solutions to improve functionality of the EHR with embedded nursing languages when documenting patient status associated with a clinical event. Methods: Ten documenting and 8 receiving nurses were interviewed after a clinical event. A clinical event was defined as an unexpected event experienced by a hospitalized patient on a med-surg unit that did not require a transfer. The documenting nurse was caring for the patient at the time of the clinical event. The receiving nurse assumed care for the patient and received the documentation. Semi-structured interviews were used to elicit the nurses' perceptions. Qualitative content analysis was used to analyze the data. Results: Five categories emerged: usability, legibility, communication, collaboration, and workaround. Nurses identified usability as a strength of the EHR with languages. Elements of usability and the need for workarounds were identified as limitations. Implications: Documenting and receiving nurses (clients) viewed usability, communication, the need for workarounds, and references as strengths, limitations, and potential solutions (outcomes) of the EHR with languages (NI intervention) when documenting or receiving documentation about a clinical event (context). In addition, this study provides a useful exemplar for evaluating the IROM's utility as an organizing framework.</td></tr></table>en_GB
dc.date.available2011-10-26T20:20:46Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:20:46Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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