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Exploring Nursing Perception of Documentation in the Electronic Health Record
ABSTRACT
Background:
Nurses represent the largest group of users within the electronic health record (EHR) system, relying on its tools to support patient care and nursing workflow. Recent studies suggest that redesigning nursing documentation can reduce time in the EHR system and improve nurse satisfaction.
Objective:
This quality improvement project evaluated nursing documentation perception related to the (EHR), assess the impact of documentation improvement interventions, and identify barriers to develop new strategies to support documentation workflows.
Methods:
This quality improvement project evaluated nursing documentation perception related to the (EHR), assess the impact of documentation improvement interventions, and identify barriers to develop new strategies to support documentation workflows.
Results:
Twenty registered nurses participated in the focus group discussions. 88.27% of participants had >3 years of EHR experience at the AHS, and 94.11% reported being competent or above in the EHR system. Six themes emerged: positive feedback, usability and workflow opportunities, nuisance, training and education, communication, and time in system. EHR vendor time data revealed time in flowsheets averaged 30.28% per 12-hour shift.
Conclusions:
Frontline nursing perspectives in the restructuring of EHR workflows is imperative in identifying interventions to support EHR satisfaction.
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.