A Systematic Review of Nurses' Experiences With Unintended Consequences When Using the Electronic Health Record

Nursing Administration Quarterly
Sheila GephartBrooke Finley

Abstract

In response to unprecedented financial government incentives, electronic health record (EHR) adoption has tripled since 2009. While EHR benefits are emphasized, research demonstrates that adoption may result in unintended consequences that nurse administrators can anticipate and mitigate. Unintended consequences are defined as unplanned effects, whether positive or negative. Little is known about nursing perceptions and experience of unintended consequences arising from EHR implementation, and nursing studies are minimal in comparison with research on experience among their interprofessional colleagues. The purpose of this article is to present the state of the science on nurses' experiences with unintended consequences of EHRs derived from a systematic review that includes 4 original studies. Findings demonstrate that nurses experience changes to workflow, must continually adapt to meet patient's needs in the context of imperfect EHR systems, and have difficulty accessing the information they need to make patient care decisions. Even so, most state they would not revert to paper records if given the choice. Implications for nurse administrators include the need for continual engagement with nurses along the continuum of EHR de...Continue Reading

References

Apr 27, 2007·Journal of the American Medical Informatics Association : JAMIA·Joan S AshRichard H Dykstra
Sep 13, 2008·International Journal of Medical Informatics·Joan S AshKenneth Guappone
Mar 6, 2009·Journal of the American Medical Informatics Association : JAMIA·Bonnie Kaplan, Kimberly D Harris-Salamone
Mar 27, 2009·Journal of Clinical Nursing·Dawn DowdingCarl Thompson
Oct 12, 2010·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Tariq Iqbal, Edward C Oldfield
Jul 26, 2011·Journal of Advanced Nursing·Jean E Stevenson, Gunilla Nilsson
Mar 16, 2013·Journal of the American Medical Informatics Association : JAMIA·Adam B LandmanEric G Poon
Oct 1, 2013·Computers, Informatics, Nursing : CIN·Rhonda StatonShannon Roller

❮ Previous
Next ❯

Citations

Feb 1, 2017·Journal of Cognitive Engineering and Decision Making·Emily S PattersonUrmimala Sarkar
Dec 2, 2017·Computers, Informatics, Nursing : CIN·Katherine M DuddingJane M Carrington
Jan 21, 2020·Annals of Internal Medicine·Shari M EricksonUNKNOWN Medical Practice and Quality Committee of the American College of Physicians
Nov 15, 2017·JBI Database of Systematic Reviews and Implementation Reports·Dóris Ribeiro OrtizPaulino Artur Ferreira de Sousa
Nov 8, 2019·Journal of the American Medical Informatics Association : JAMIA·Srijesa KhasnabishPatricia C Dykes
Dec 2, 2017·Nursing Administration Quarterly·Alycia A BristolJane M Carrington
Jun 16, 2018·Journal of the American Medical Informatics Association : JAMIA·Daniel J FellerLena Mamykina
Feb 28, 2017·Computers, Informatics, Nursing : CIN·Mustafa OzkaynakKaren Sousa
Jul 12, 2020·Journal of the American Medical Informatics Association : JAMIA·Dan FraczkowskiKaren Dunn Lopez
Apr 27, 2017·Journal of Medical Internet Research·Geneviève RouleauCarl-Ardy Dubois
Oct 28, 2019·The Journal of Nursing Administration·Gillian StrudwickRani Srivastava
May 20, 2020·Pediatric Quality & Safety·Nathan P DeanEmanuel Ghebremariam
Jul 17, 2020·Journal of Medical Internet Research·Tania TajirianDamian Jankowicz
Oct 20, 2018·Nursing Open·Gillian StrudwickPatricia Trbovich
Mar 30, 2020·Journal of Clinical Monitoring and Computing·Aude de WattevilleClaudia-Paula Heidegger
Oct 18, 2016·Computers, Informatics, Nursing : CIN·Sheila M GephartJane M Carrington
Sep 2, 2020·Journal of Occupational and Environmental Medicine·Liselotte N DyrbyeTait Shanafelt
Aug 1, 2020·Computers, Informatics, Nursing : CIN·Dante Anthony Tolentino, Sheila M Gephart
Dec 6, 2020·The Journal of Nursing Administration·Elizabeth SchenkLola Goss
Feb 26, 2021·Nursing Research·Dante Anthony TolentinoSheila M Gephart
Apr 4, 2021·International Journal of Environmental Research and Public Health·Rebecca M JedwabBernice Redley
Apr 17, 2021·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Regina Célia Dos Santos DiogoHeloísa Helena Ciqueto Peres
Apr 20, 2021·Journal of the American Medical Informatics Association : JAMIA·Edward R MelnickLiselotte N Dyrbye
Jul 21, 2021·Methods of Information in Medicine·John H HolmesJason H Moore
Jun 13, 2021·Computers, Informatics, Nursing : CIN·Seonah Lee, Ji-Soon Kang

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.