Customization of Electronic Medical Record Templates to Improve End-User Satisfaction

Gardner, Carrie Lee; Pearce, Patricia F.

doi:10.1097/nxn.0b013e3182771814

Cited by 15 publications

(13 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4,35 There is a need to further explore the relationship of the user with the system to obtain information on the continuous improvement of information systems. In addition, we sought to analyze the type of information recorded in SAPE by nurses and the rate of health education given to patients during hospitalization.…”

Section: Discussionmentioning

confidence: 99%

“…1 An information health system is a source of electronic records including the creation, collection, and management of information of patients within one healthcare organization. 4,5 These information systems can be an excellent means of data repositories (rather than the old paper records) 6 to be used in research, developing health policy, managing the quality of care and services, and facilitating communication between professionals. 3 In the nursing process, the records in information systems make the provision of care continuous and progressive and facilitate nursing activities by exchanging information, saving time, increasing productivity, and promoting the communication process.…”

mentioning

confidence: 99%

“…3 In the nursing process, the records in information systems make the provision of care continuous and progressive and facilitate nursing activities by exchanging information, saving time, increasing productivity, and promoting the communication process. 4,5 These information systems can be an excellent means of data repositories (rather than the old paper records) 6 to be used in research, developing health policy, managing the quality of care and services, and facilitating communication between professionals. Recording of information in standardized language facilitates the provision of care and decision making of nurses and tends to reduce errors, thus providing better access to complete and accurate information and reducing the risk of ambiguity.…”

mentioning

confidence: 99%

See 2 more Smart Citations

The Experience of an Information System for Nursing Practice

Nunes

Rêgo

Nunes

2014

CIN: Computers, Informatics, Nursing

View full text Add to dashboard Cite

Health information systems are becoming common because they are important tools to support decision making and assist nurses in their daily interventions. The Information System for Nursing Practice promotes consistent nursing records, as it is directed to the nursing practice and process. The aims of this study were to identify and describe the most frequent type of nursing actions in the care plan for a patient after acute myocardial infarction, considering the seven-axis model of the International Classification of Nursing Practice and the rate of health education given to patients during hospitalization. A cross-sectional analysis was performed retrospectively by searching the computerized database of the Information System for Nursing Practice. We verified some gaps in information with regard to unidentified records of diagnoses and interventions. During hospitalization, the most used interventions were in the fields of observing (40%) and managing (23%). Interventions associated with management of signs and symptoms were more frequent and were performed in 84.9% of the patients. In the field of informing, health education in relation to diet was performed in 21.7% of the patients; exercise, in 16%; and tobacco, in 11.3%. The use of nursing records and information systems can improve nursing care coordination and care plan management.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

The Experience of an Information System for Nursing Practice

Nunes

Rêgo

Nunes

2014

CIN: Computers, Informatics, Nursing

View full text Add to dashboard Cite

show abstract

“…Involving clinicians in PDA development and evaluation may help create trust and ownership in the PDA and make it more likely that these clinicians will use the PDA in their practice. If the PDA is to be implemented in several clinics or geographical areas, ownership could be created by providing customization options (28), such as the possibility for other clinics to add their own logo or informational videos made with their own clinicians to the PDA.…”

Section: Recommendation 2: Create Ownershipmentioning

confidence: 99%

Nine Recommendations for Decision Aid Implementation from the Clinician Perspective

Ankolekar

Vanneste

Gurp

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Shared decision-making (SDM) aims to empower patients to take an active role in their treatment choices, supported by clinicians and patient decision aids (PDAs). The purpose of this study is to explore barriers and possible facilitators to SDM and a PDA in the prostate cancer trajectory. In the process we identify possible actions that organizations and individuals can take to support implementation in practice. Methods We use the Ottawa Model of Research Use as a framework to determine the barriers and facilitators to SDM and PDAs from the perspective of clinicians. Semi-structured interviews were conducted with urologists (n = 4), radiation oncologists (n = 3), and oncology nurses (n = 2), focusing on the current decision-making process experienced by these stakeholders. Questions included their attitudes towards SDM and PDAs, barriers to implementation and possible strategies to overcome them. Results Time pressure and patient characteristics were cited as major barriers by 55% of the clinicians we interviewed. Structural factors such as external quotas for certain treatment procedures were also considered as barriers by 44% of the clinicians. Facilitating factors involved organizational changes to embed PDAs in the treatment trajectory, training in using PDAs as a tool for SDM, and clinician motivation by disseminating positive clinical outcomes. Our findings also suggest a role for external stakeholders such as healthcare insurers in creating economic incentives to facilitate implementation. Conclusion Our findings highlight the importance of a multi-faceted implementation strategy to support SDM. While clinician motivation and patient activation are essential, structural/economic barriers may hamper implementation. Action must also be taken at the administrative and policy levels to foster a collaborative environment for SDM and in the process for PDAs.

show abstract

“…1 Accessing these records via keyboard, mouse, touch screen, or pad raises the risk of cross infection. Infectious pathogenic microorganisms such as cytomegalovirus, herpes simplex virus types 1 and 2, hepatitis B virus, human immunodeficiency virus, hepatitis C virus, and bacteria that colonize or infect the oral cavity and respiratory tract such as staphylococci, streptococci, and Mycobacterium tuberculosis are occupational hazards that can be transmitted by contact, direct or indirect, between dental health care personnel and patients.…”

mentioning

confidence: 99%