Nurses’ views on the use, quality and user satisfaction with electronic medical records: questionnaire development

Abstract

This paper is a report of the development of an instrument to measure nurses' views on the use, quality and user satisfaction with electronic medical records systems. BACKGROUND:Use of electronic medical records systems in hospitals is steadily increasing, yet no validated instruments have assessed the effectiveness of these systems from the viewpoint of nurses. METHOD:Items were designed following a literature review based on three main constructs: use, quality and user satisfaction with electronic medical records. Reliability and validity were examined based on responses from 1,666 nurses from 42 hospitals in Japan in February 2006. Exploratory factor analysis was conducted to determine the degree to which each item within a construct was associated. The reliability of each resultant factor was computed using Cronbach's alpha coefficient. Content validity was addressed by basing the items on previous surveys and review of the instrument by a panel of nurses experienced in nursing informatics. Construct validity was examined through factor analysis and correlational analyses. FINDINGS:Extent of 'use' of electronic medical records resulted into three factors with good factor loadings, but only two had acceptable reliability. 'Quality' of electronic medical records had two factors with good factor loadings and reliability. 'User satisfaction' with electronic medical records had three factors, but only one had acceptable reliability. 'Use' and 'quality' constructs were positively correlated with 'user satisfaction'. CONCLUSION:The final instrument incorporates 34 items from the original 44-item pool. Initial validity results were positive and therefore the instrument can be used in evaluating electronic medical records in hospitals.

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

“…Instrument/questionnaire Self-administered questionnaires can provide great insight into understanding the use, quality and user satisfaction associated with EMR [11]. Based on a thorough review of the literature investigating the use, quality and user satisfaction of EMR, a 35-item questionnaire was developed to measure three constructs (system quality, usage and user satisfaction) grouped into three main sections: extent of usage of EMR, quality of EMR and user satisfaction.…”

“…EMRs have significant potential to improve patient safety, patient satisfaction, organizational efficiency and information security as well as to reduce medical care costs [5,9], thereby potentially improving health outcomes for patients [10]. Although EMRs have been implemented in many hospitals and healthcare providers benefit from their effective and efficient data processing, their evaluation has received little attention from nurse users who provide 24-h patient care [11]. According to an influential report by the US Institute of Medicine, electronic patient records (EPR) are "an essential technology for health care today and in the future" because EPRs will lead to a higher quality of health care, increase the scientific basis of medicine and nursing, and reduce health care costs [7].…”

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

“…C Co on nt te en nt t v va al li id di it ty y: : In order to generate items for The Usability Scale of the Electronic Record System in terms of Nursing Functions, a detailed literature review was carried out and similar studies were examined. 5,8,12,13,[17][18][19][20][21][22][23] In addition, for generating content validity, a composition on experiences (emotions, thoughts, and behaviors) regarding the relevant topic were requested from the 56 respondents, which corresponded to nurses from every unit. The attitude components reported in the written compositions were systematically examined and were used in combination with information obtained from the literature in order to generate attitude statements.…”

“…11 The abundance of studies that examine the use of electronic patient records in the health sector throughout the world indicate that the topic is also important outside of Turkey. [1][2][3][4][6][7][8][11][12][13][14][15][16] In recent years, electronic information systems and electronic medical records have been used extensively in the field of health care in Turkey. 5 The automation system used in hospitals in Turkey is a nonstandard and disconnected system, which is used in medical procedures only, and does not allow the transformation of data.…”

Contribuições dos registros eletrônicos para a segurança do paciente em terapia intensiva: uma revisão integrativa

“…24 Several studies support this perspectives and add new possibilities, such as: improvement of practice environments, direct care, patient results and satisfaction; reduction in the time spent on documentation and clinical record keeping; development and improvement of clinical reasoning skills and judgment; inclusion of nurses in intensive care processes; promotion of clinical discussions among colleagues and the multidisciplinary team; support of the continuous search for information aimed at generating evidence-based care; and guarantee of the continuity of nursing care. 17,19,21,[25][26][27][28][29][30][31][32][33][34] However, in order to provide nurses with the ability to carry out the documentation of rendered care processes, studies point to the need to standardize data entries included in the electronic health record, as well as recover and analyze information by means of a vocabulary that standardizes the clinical terms of the care practice. The standardization of these clinical terms must meet specified criteria such as validity, specificity, data recovery and ease of communication, and must be presented in a way that supports the understanding, knowledge and intuition of the professionals.…”