The Patient Perception of the Nurse-Patient Relationship When Nurses Utilize an Electronic Health Record Within a Hospital Setting

Strauss, Beth

doi:10.1097/cin.0000000000000014

Cited by 11 publications

(6 citation statements)

References 22 publications

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Section: Qualitative Results: Clinician and Patient Experience In Dig...mentioning

confidence: 99%

“…A total of 18 studies (n=14, 78% qualitative and n=4, 22% mixed methods) with qualitative components were included in the qualitative evidence synthesis. Only 7% (1/15) of the qualitative studies in our review explored the patient experience in a digital hospital [ 52 ]; however, this study was excluded from the qualitative evidence synthesis and is reported narratively in the following paragraph. A total of 29% (2/7) of the mixed methods studies were also excluded for lacking direct participant quotes as per the exclusion criteria [ 50 , 75 ]; however, the quantitative results are reported in the previous sections.…”

Section: Resultsmentioning

confidence: 99%

“…Strauss [ 52 ] interviewed 11 patients about the dynamics with their nurses and the EMR. Similar to the qualitative evidence synthesis, participants described a positive perception of the EMR when the nurses acknowledged the participants before using the electronic device; however, many “expressed concerns [for] the privacy of their health record information.” Interestingly, participants’ expectations of the “clinical knowledge and competency of the nurse, within the technological arena, have increased with the implementation of the [EMR].”…”

Section: Resultsmentioning

confidence: 99%

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The Impact of Digital Hospitals on Patient and Clinician Experience: Systematic Review and Qualitative Evidence Synthesis

Canfell,

Woods,

Meshkat

et al. 2024

J Med Internet Res

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Background The digital transformation of health care is advancing rapidly. A well-accepted framework for health care improvement is the Quadruple Aim: improved clinician experience, improved patient experience, improved population health, and reduced health care costs. Hospitals are attempting to improve care by using digital technologies, but the effectiveness of these technologies is often only measured against cost and quality indicators, and less is known about the clinician and patient experience. Objective This study aims to conduct a systematic review and qualitative evidence synthesis to assess the clinician and patient experience of digital hospitals. Methods The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and ENTREQ (Enhancing the Transparency in Reporting the Synthesis of Qualitative Research) guidelines were followed. The PubMed, Embase, Scopus, CINAHL, and PsycINFO databases were searched from January 2010 to June 2022. Studies that explored multidisciplinary clinician or adult inpatient experiences of digital hospitals (with a full electronic medical record) were included. Study quality was assessed using the Mixed Methods Appraisal Tool. Data synthesis was performed narratively for quantitative studies. Qualitative evidence synthesis was performed via (1) automated machine learning text analytics using Leximancer (Leximancer Pty Ltd) and (2) researcher-led inductive synthesis to generate themes. Results A total of 61 studies (n=39, 64% quantitative; n=15, 25% qualitative; and n=7, 11% mixed methods) were included. Most studies (55/61, 90%) investigated clinician experiences, whereas few (10/61, 16%) investigated patient experiences. The study populations ranged from 8 to 3610 clinicians, 11 to 34,425 patients, and 5 to 2836 hospitals. Quantitative outcomes indicated that clinicians had a positive overall satisfaction (17/24, 71% of the studies) with digital hospitals, and most studies (11/19, 58%) reported a positive sentiment toward usability. Data accessibility was reported positively, whereas adaptation, clinician-patient interaction, and workload burnout were reported negatively. The effects of digital hospitals on patient safety and clinicians’ ability to deliver patient care were mixed. The qualitative evidence synthesis of clinician experience studies (18/61, 30%) generated 7 themes: inefficient digital documentation, inconsistent data quality, disruptions to conventional health care relationships, acceptance, safety versus risk, reliance on hybrid (digital and paper) workflows, and patient data privacy. There was weak evidence of a positive association between digital hospitals and patient satisfaction scores. Conclusions Clinicians’ experience of digital hospitals appears positive according to high-level indicators (eg, overall satisfaction and data accessibility), but the qualitative evidence synthesis revealed substantive tensions. There is insufficient evidence to draw a definitive conclusion on the patient experience within digital hospitals, but indications appear positive or agnostic. Future research must prioritize equitable investigation and definition of the digital clinician and patient experience to achieve the Quadruple Aim of health care.

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Section: Qualitative Results: Clinician and Patient Experience In Dig...mentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The Impact of Digital Hospitals on Patient and Clinician Experience: Systematic Review and Qualitative Evidence Synthesis

Canfell,

Woods,

Meshkat

et al. 2024

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…In addition, the nurse's back is to the patient while using the keyboard. According to Strauss,20 the computer screen should be located in the room so that the nurse and the patient can view the screen jointly. Patients (N = 11) reported that when they worked with the nurse while reviewing the data on the computer screen, they (the patients) experienced a positive connection with the nurse.…”

Section: Discussionmentioning

confidence: 99%

Electronic Documentation and Nurse-Patient Interaction

Gaudet

2016

Advances in Nursing Science

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This author explored the culture of nurse-patient interactions associated with electronic bedside documentation. Data were collected through passive participant observation, audiotaping of nurse-patient interactions, and interviews with nurses. Nurses acknowledged that they need to share their attention between the patient and the computer. They stated that prioritizing patients' needs while completing the required electronic documentation was demanding. Stationary computers challenged the logistics of the exchange. Understanding the adaptation of caregiving necessitated by bedside electronic documentation will have a positive impact on developing systems that interface seamlessly with nurses' workflow and encourage patients' active participation in their care.

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“…Several of these studies focus on the way digital devices might be affecting the quality of service provided by health staff 5,7 , whereas others focus on the overhead caused by the multi-tasking between computer systems and the patient 8 . Often, these new artifacts have posed serious challenges to work practices, as they continually demand the attention of the health staff.…”

Section: Introductionmentioning

confidence: 99%

Effects of Communication Media Choice on the Quality and Efficacy of Emergency Calls Assisted by a Mobile Nursing Protocol Tool

Castro

Favela

García-Peña

2014

CIN: Computers, Informatics, Nursing

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The transition from paper to electronic-based records in the healthcare industry has posed several challenges to conventional medical practices. The introduction of technology in day-to-day medical and nursing practices deserves careful consideration. In this work, we report the results of a controlled experiment to compare nurses' consultation in emergency calls in six different conditions. We studied the effect that the type of communication media (face-to-face, telephone, videoconference) and type of nursing protocol media (paper-based, electronic-based) can have on consultation time, mistakes made, pauses during consultation, eye contact, and efficacy of the consultation. We found that the type of communication media has an effect on consultation time; on average, fewer mistakes were made during telephone-based consultations; for eye contact, there were significantly fewer eye contacts during face-to-face than during videoconference consultations; finally, the type of communication media or protocol media did not have any effect in the efficacy of the consultation.

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The Patient Perception of the Nurse-Patient Relationship When Nurses Utilize an Electronic Health Record Within a Hospital Setting

Cited by 11 publications

References 22 publications

The Impact of Digital Hospitals on Patient and Clinician Experience: Systematic Review and Qualitative Evidence Synthesis

The Impact of Digital Hospitals on Patient and Clinician Experience: Systematic Review and Qualitative Evidence Synthesis

Electronic Documentation and Nurse-Patient Interaction

Effects of Communication Media Choice on the Quality and Efficacy of Emergency Calls Assisted by a Mobile Nursing Protocol Tool

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