A comparison of nurse attitudes before implementation and 6 and 18 months after implementation of an electronic health record

Computers, Informatics, Nursing : CIN
Ann S LarameeTerry Powers-Phaneuf

Abstract

The implementation of an electronic health record is a dramatic change in a healthcare organization; however, little is known about how nurse attitudes toward the electronic health record change over time. The purpose of this research project was to compare nurses' attitudes before and at 6 and 18 months after implementation of a comprehensive electronic health record. A presurvey-postsurvey design using a modified Nurses' Attitudes Toward Computerization Questionnaire was implemented with a population of nurses employed at an academic medical center. On average, the nurses' attitude about the electronic health record became less positive between preimplementation (n = 312) and 6 months after implementation (n = 410) (74.2 vs 65.9, P < .0001) and preimplementation and 18 months after implementation (n = 262) groups (74.2 vs 67.7, P < .0001). No significant improvement between 6 and 18 months after implementation groups (P = .16) was noted. Prior to electronic health record implementation, the nurses were uncertain yet hopeful about the benefits. However, 18 months after implementing a comprehensive electronic health record, challenges remain regarding cumbersome documentation processes and promoting interdisciplinary communicat...Continue Reading

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Citations

Apr 9, 2013·Journal of the American Medical Informatics Association : JAMIA·Cindy Parks ThomasGrant M Carrow
Dec 15, 2015·Journal of Interprofessional Care·Sunmoo YoonSuzanne Bakken
May 9, 2014·International Journal of Nursing Practice·Sati Gürdaş Topkaya, Nurten Kaya
Nov 11, 2016·Computers, Informatics, Nursing : CIN·Scott P Kaye
Nov 14, 2014·Health Informatics Journal·Alison CraswellMarc Broadbent
Oct 18, 2016·Computers, Informatics, Nursing : CIN·Alison CraswellMarc Broadbent
Nov 7, 2018·Journal of Innovation in Health Informatics·Ward PriestmanNeil J Sebire
Feb 26, 2016·The Journal of Nursing Administration·Elizabeth C SchenkJean Shreffler-Grant
Jun 28, 2018·JMIR Medical Informatics·Inga M ZadvinskisPo-Yin Yen

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