Introduction: Electronic Health Records (EHR) have been implemented by multiple hospitals all around the world. EHR initiatives tend to be driven by the promise of availability of patient data and enhanced system integration by the need to improve efficiency and cost-effectiveness and by a changing doctor-patient relationship towards where care is divided among a multidisciplinary members of health care professionals and/or by the need to deal with a more complex and rapidly changing environment. The aim of this research is to determine the barriers faced by nurses in Qatar in using EHRs in terms of knowledge, skills, and attitude (KSA). Methods: A survey was sent to approximately 12,000 nurses from different hospitals under Hamad Medical Corporation in Qatar through the corporation's official e-mail from January 1, 2021 to May 31, 2021. The questionnaire was developed and validated by the researcher of the study (α=0.877). The Statistical Package for the Social Sciences (SPSS) version 25.0 was used to analyze the data. Results: A total of 262 nurses participated in the study. Majority of the nurses who participated are females (69%) and ages 31-35 years old (50.4%). Among the respondents 98.5% are staff nurses with various educational levels: bachelor’s degree in Nursing (43.5 %), diploma in Nursing (27%), and Master of Arts in nursing (3.8%). Only 23.3% of the respondents have a length of service of less than 4 years; 76.7% have been with their institution more than 4 years. The majority of respondents came from the inpatient areas (37%), followed by the outpatient nurses (15.3%), and operating room nurses (14.1%). Around 91% of the respondents claimed to have a 0-3 number of trainings in the past 3 years. A significant correlation was found between age (r=-0.124, p=0.045), length of service (r=0.193, p=0.002), and area assignment (r=0.129, p=0.037) with the skill on EHR. Conclusion: Results of the study showed that the dimension of knowledge, skills, and attitude towards the use of EHR is a barrier, but only to a moderate extent. The nurses in Qatar are highly educated, well experienced and are mostly millennials. This opens a great opportunity of acceptance and amplification of EHR in Qatar with the proper training and support to nurses.
Background: Simulation in healthcare is a growing teaching modality that allows undergraduate and graduate nurses to improve their clinical practice, communication skills, critical thinking, and team performance in a real-world clinical setting. Aim: The aim of the study was to determine if significant associations exist in the groups (control and experimental), the impact on competency performance during a code blue simulation (cardiac arrests in adults), and the learning experiences of nurses when using the 1st element of Debriefing Assessment for Simulation in Healthcare (DASH) as the pre-briefing guide. Design: This study employed a mixed-methods design for collecting quantitative and qualitative data. The quantitative portion was guided by a quasi-experimental design with a convenient sample of 120 nurses, while to uncover the meaning of the individual’s experience, a qualitative, phenomenological research design was used with a purposeful sample of 15 nurses. We utilized descriptive and inferential statistics for the quantitative data and phenomenological analysis for the qualitative data. Results: A total of N=120 nurses participated in the study, and 15 nurses from the experimental group were interviewed. There were 60 participants randomly selected for each of the control and experimental groups. The majority of participants in both the control group and the experimental group are males (90.83%). Most of the participants (98.33%) have more than 3 years of nursing experience. Regarding the specialty of nurses in the control group, an equal number were drawn from each of the five nursing specialties. Among the specialties of the nurses in the experimental groups are ED, OPD, CCU, MED-SURG, and PERI-OP. There was a statistically significant difference between the control and experimental groups in competency performance during the Code Blue simulation, p=0.00001. Aside from the age, the years of experience also have a significant effect on the CCEI scores, with p-values of 0.0232 and 0.0239, respectively, in the experimental group. No association was found between gender and specialization to competency performance. Five (5) themes were drawn from this study: (1) setting the tone; (2) reducing stress levels and improving confidence; (3) establishing a safe learning environment; (4) a positive impact on overall perceptions of pre-briefing; and (5) Expectation vs Reality. Conclusions: Utilizing the 1st element of DASH improves competency performance and learning experience among experienced nurses in code blue simulation. Regardless of experience and specialization, nurses who participated in pre-briefing have better CCEI scores. Furthermore, the impact on the overall perception about pre-briefing promotes learning and engagement among experienced nurses. Despite establishing fiction contract and a safe learning environment, experienced nurses will still have anxiety, stress, and dissatisfaction in the realism of simulation.
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