Nurses’ Views on Electronic Medical Records (EMR) in Turkey: An Analysis According to Use, Quality and User Satisfaction

Abstract

Electronic medical records are generally used by nurses in hospitals. However, studies investigating views on and evaluations of electronic medical records by nurses are limited in Turkey and in other countries around the world. Thus, in this study, nurses' views on electronic medical record systems will be investigated in terms of use, quality and user satisfaction. Our goal was to investigate the views on electronic medical records used by nurses working at hospital clinics (inpatient care units). Moreover, in this study, we will examine whether there are relationships among the use, quality and user satisfaction of electronic medical records. This study is composed of field research conducted using questionnaires. To prepare the data-measuring instrument, the literature on electronic medical records was reviewed. In addition, during the pilot run of the questionnaire, some revisions were made to the measuring instrument to account for the views of nurse managers in the field. The questionnaire consists of 35 items: 12 items for use, 12 items for quality and 11 items for user satisfaction. A Likert scale type was used in this questionnaire. Responses for usage and quality were assigned a value of 1-5 ('never/almost never/not at all' to 'always/almost always') for each item. Responses for user satisfaction were assigned a value of 1-5 ('not at all', to 'very great') for each item. The study was planned and conducted on nurses working at inpatient care units at one public university hospital, one Turkish Ministry of Health hospital and one private hospital in Kocaeli. A sampling technique was not used because we aimed to conduct the questionnaire among all nurses. At the end of this study, the questionnaire had been conducted on 200 nurses. We found that the average score for the nurses' satisfaction with electronic medical records was 3.28, the average score for using electronic medical records was 1.96, and the average score for the quality of electronic medical records was 3.16. We also determined that there are significant relationships among the use, quality and user satisfaction of electronic medical records. This study revealed that there are significant differences among the mean quality scores for the EMR systems in the Ministry of health hospital, the university hospital and the private hospital. Interestingly, 59.0% of all participants in this study felt that EMR systems were not well integrated into their workflow. In addition, half of all respondents had not been trained in using EMR systems.

Peningkatan Kelengkapan Dokumentasi dan Kepuasan Perawat pada Pengawasan Hospital Acquired Infections (HAIs) Berbasis Komputer

“…Penggunaan EHR mempunyai hubungan yang signifikan dengan kualitas dan kepuasan perawat terhadap EHR (Top & Gider, 2012). Upaya yang dapat dilakukan untuk meningkat-kan kepuasan perawat adalah dengan mempersiapkan sarana dan prasarana untuk penerapan sistem dan mengembangkan sistem pengawasan HAIs agar dapat terintegrasi dengan sistem di rumah sakit.…”

Comparison of Medical and Surgical Nurses Attitudes toward Usage of Electronic Health Records

“…The normality of the distribution of attitudes towards electronic health records assessed by using Kolmogorov Smirnov test, it is seen that the distribution of perception of electronic health records is normal if nurses have positive experiences about computer usage, they feel more positive about electronic health records usage. Additionally younger, educated, and less experienced nurses have more positive attitudes towards electronic health records than older, uneducated and more experienced ones [16,20,21]. However no articles were found in the literature making a comparison between surgical and medical nurses' attitudes towards electronic health records according to their specialities.…”

Validity and Reliability Study for the Usability Scale of the Electronic Records System in Terms of Nursing Functions

“…It has been stressed that electronic medical records will increase the quality of health care, decrease costs, improve patients' security and satisfaction, institutional efficacy, provide better management of resources, enable data to be used more consciously in decision making, and increase the scientific quality of nursing and medicine in the future. [1][2][3][4][5][6] Nurses constitute a major health group responsible for providing direct care to patients, determining patients' needs, and deciding where, when, and which medical supplies will be used. 5,7 Various qualitative and quantitative data are entered into the record system by nurses.…”

“…[1][2][3][4][5][6] Nurses constitute a major health group responsible for providing direct care to patients, determining patients' needs, and deciding where, when, and which medical supplies will be used. 5,7 Various qualitative and quantitative data are entered into the record system by nurses. 5,8,9 However, if nursing records are not written in a systematic fashion and include clinical information that contains repetitive laboratory results, and if the link between nursing records and those of other health care professionals is not consistent, nursing records cannot be shared efficiently.…”

“…5,7 Various qualitative and quantitative data are entered into the record system by nurses. 5,8,9 However, if nursing records are not written in a systematic fashion and include clinical information that contains repetitive laboratory results, and if the link between nursing records and those of other health care professionals is not consistent, nursing records cannot be shared efficiently. 9,10 In an electronic records system (ERS), it should be possible to reach all patient information that has been uploaded to the system from every location within the institution.…”