BMC Med Inform Decis Mak - Staff experiences within the implementation of computer-based nursing records in residential aged care facilities: a systematic review and synthesis of qualitative research.

Tópicos

{ care(1570) inform(1187) nurs(1089) }
{ use(2086) technolog(871) perceiv(783) }
{ record(1888) medic(1808) patient(1693) }
{ process(1125) use(805) approach(778) }
{ ehr(2073) health(1662) electron(1139) }
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Resumo

CKGROUND: Since the introduction of electronic nursing documentation systems, its implementation in recent years has increased rapidly in Germany. The objectives of such systems are to save time, to improve information handling and to improve quality. To integrate IT in the daily working processes, the employee is the pivotal element. Therefore it is important to understand nurses' experience with IT implementation. At present the literature shows a lack of understanding exploring staff experiences within the implementation process.METHODS: A systematic review and meta-ethnographic synthesis of primary studies using qualitative methods was conducted in PubMed, CINAHL, and Cochrane. It adheres to the principles of the PRISMA statement. The studies were original, peer-reviewed articles from 2000 to 2013, focusing on computer-based nursing documentation in Residential Aged Care Facilities.RESULTS: The use of IT requires a different form of information processing. Some experience this new form of information processing as a benefit while others do not. The latter find it more difficult to enter data and this result in poor clinical documentation. Improvement in the quality of residents' records leads to an overall improvement in the quality of care. However, if the quality of those records is poor, some residents do not receive the necessary care. Furthermore, the length of time necessary to complete the documentation is a prominent theme within that process. Those who are more efficient with the electronic documentation demonstrate improved time management. For those who are less efficient with electronic documentation the information processing is perceived as time consuming. Normally, it is possible to experience benefits when using IT, but this depends on either promoting or hindering factors, e.g. ease of use and ability to use it, equipment availability and technical functionality, as well as attitude.CONCLUSIONS: In summary, the findings showed that members of staff experience IT as a benefit when it simplifies their daily working routines and as a burden when it complicates their working processes. Whether IT complicates or simplifies their routines depends on influencing factors. The line between benefit and burden is semipermeable. The experiences differ according to duties and responsibilities.

Resumo Limpo

ckground sinc introduct electron nurs document system implement recent year increas rapid germani object system save time improv inform handl improv qualiti integr daili work process employe pivot element therefor import understand nurs experi implement present literatur show lack understand explor staff experi within implement processmethod systemat review metaethnograph synthesi primari studi use qualit method conduct pubm cinahl cochran adher principl prisma statement studi origin peerreview articl focus computerbas nurs document residenti age care facilitiesresult use requir differ form inform process experi new form inform process benefit other latter find difficult enter data result poor clinic document improv qualiti resid record lead overal improv qualiti care howev qualiti record poor resid receiv necessari care furthermor length time necessari complet document promin theme within process effici electron document demonstr improv time manag less effici electron document inform process perceiv time consum normal possibl experi benefit use depend either promot hinder factor eg eas use abil use equip avail technic function well attitudeconclus summari find show member staff experi benefit simplifi daili work routin burden complic work process whether complic simplifi routin depend influenc factor line benefit burden semiperm experi differ accord duti respons

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