2.50
Hdl Handle:
http://hdl.handle.net/10755/304043
Category:
Full-text
Type:
Presentation
Title:
Advanced Practice Nurses' Meaningful Use of Electronic Health Records
Author(s):
Kippenbrock, Thomas
Lead Author STTI Affiliation:
pi theta
Author Details:
Thomas Kippenbrock, EdD, RN, tkippen@uark.edu
Abstract:

Session presented on: Monday, July 22, 2013

Purpose: The electronic health record (EHR) is becoming an integral component of the U.S. health care system.' Federal law was enacted with specific provisions that offer incentive payments to eligible professionals and hospitals to use EHRs; however, little is known about APNs' EHR use. The purpose of this study is to investigate differences in advanced practice nurses' (APN) meaningful application of electronic health record (EHR) users from non-users. 'EHR introduction into the health care system can be viewed as an innovation; as such it constitutes a revolutionary change in health care organization and in the practice setting.' Its adoption and diffusion are part of a complex process described by Rogers (2003), whereby getting a new technology adopted, even when it has obvious advantages, is difficult. '

Methods: A quantitative, non-experimental research method was used. 'A random sampling of APNs employed in the U.S. southern region was selected.' An online survey was used to collect data about EHR use; 526 individuals responded to the survey. 'To investigate the differences between APN EHR-users vs. non-users, a chi-square test for categorical variables was used and the nonparametric test of Mann-Whitney U Test for continuous variables.' To determine APNs' socio-demographics and practice characteristics associated with the use of EHRs, a multivariate logistic regression was used. 'An alpha level of 0.05 was used for all statistical tests.'

Results: The results were two thirds of the APNs were EHR-users; however, there were no statistically significant differences in meaningful use of EHRs (e.g. prescription refill, laboratory report, talking to pharmacist, and care transition) between APN users and non-users.

Conclusion: The conclusions are that one third of the APNs are EHR non-users.' Therefore, more information is needed to determine adapting EHR systems to their workflow and choosing systems that facilitate clinical usefulness.

Keywords:
electronic health records; advanced practice nurse
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleAdvanced Practice Nurses' Meaningful Use of Electronic Health Recordsen
dc.contributor.authorKippenbrock, Thomasen
dc.contributor.departmentpi thetaen
dc.author.detailsThomas Kippenbrock, EdD, RN, tkippen@uark.eduen
dc.identifier.urihttp://hdl.handle.net/10755/304043-
dc.description.abstract<p>Session presented on: Monday, July 22, 2013</p><b>Purpose: </b>The electronic health record (EHR) is becoming an integral component of the U.S. health care system.' Federal law was enacted with specific provisions that offer incentive payments to eligible professionals and hospitals to use EHRs; however, little is known about APNs' EHR use. The <b>purpose </b>of this study is to investigate differences in advanced practice nurses' (APN) meaningful application of electronic health record (EHR) users from non-users. 'EHR introduction into the health care system can be viewed as an innovation; as such it constitutes a revolutionary change in health care organization and in the practice setting.' Its adoption and diffusion are part of a complex process described by Rogers (2003), whereby getting a new technology adopted, even when it has obvious advantages, is difficult. ' <p><b>Methods: </b>A quantitative, non-experimental research <b>method</b> was used. 'A random sampling of APNs employed in the U.S. southern region was selected.' An online survey was used to collect data about EHR use; 526 individuals responded to the survey. 'To investigate the differences between APN EHR-users vs. non-users, a chi-square test for categorical variables was used and the nonparametric test of Mann-Whitney U Test for continuous variables.' To determine APNs' socio-demographics and practice characteristics associated with the use of EHRs, a multivariate logistic regression was used. 'An alpha level of 0.05 was used for all statistical tests.' <p><b>Results: </b>The <b>results</b> were two thirds of the APNs were EHR-users; however, there were no statistically significant differences in meaningful use<i> </i>of EHRs<i> </i>(e.g.<i> </i>prescription refill, laboratory report, talking to pharmacist, and care transition) between APN users and non-users. <p><b>Conclusion: </b>The <b>conclusions</b> are that one third of the APNs are EHR non-users.' Therefore, more information is needed to determine adapting EHR systems to their workflow and choosing systems that facilitate clinical usefulness.en
dc.subjectelectronic health recordsen
dc.subjectadvanced practice nurseen
dc.date.available2013-10-22T20:28:08Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:28:08Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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