TY -的盟Jedwab,丽贝卡M盟——狂热,伊丽莎白AU -哈钦森,艾莉森M盟——Dobroff Naomi AU - Redley柏妮丝PY - 2022 DA - 2022/7/26 TI -护士经验后实施组织范围的电子医疗记录:定性的描述性研究乔- JMIR护理SP - e39596六世- 5 - 1 KW -计算机化病历系统KW - COVID-19 KW -实现科学KW -动机KW -护士KW -定性研究AB -背景:关于电子病历(EMR)系统对临床医生的影响的报告有好有坏。目前，护士采用大规模，多点EMR系统的经验还没有被调查。护士是最大的卫生保健劳动力;因此，必须调查和了解EMR实施的影响，以确保患者护理质量、护士工作的变化和护士本身不受负面影响。目的:本研究旨在探讨澳大利亚护士在组织范围内EMR系统实施后的经验。方法:本定性描述性研究采用焦点小组、个别访谈和开放式调查问题，在澳大利亚维多利亚州一家大型医疗保健机构的6家医院实施EMR后12至18个月间收集数据。数据收集于2020年11月至2021年6月期间，恰逢COVID-19大流行。分析包括互补的归纳和演绎方法。具体来说，反思性专题分析之后是框架分析，编码数据作为障碍或促进护士使用EMR使用理论领域框架。 Results: A total of 158 nurses participated in this study. The EMR implementation dramatically changed nurses’ work and how they viewed their profession, and nurses were still adapting to the EMR implementation 18 months after implementation. Reflexive thematic analysis led to the development of 2 themes: An unintentional divide captured nurses’ feelings of division related to how using the EMR affected nurses, patient care, and the broader nursing profession. This time, it’s personal detailed nurses’ beliefs about the EMR implementation leading to bigger changes to nurses as individuals and nursing as a profession than other changes that nurses have experienced within the health care organization. The most frequent barriers to EMR use by nurses were related to the Theoretical Domains Framework domain of environmental context and resources. Facilitators of EMR use were most often related to memory, attention, and decision processes. Most barriers and facilitators were related to motivation. Conclusions: Nurses perceived EMR implementation to have a mixed impact on the provision of quality patient care and on their colleagues. Implementing technology in a health care setting was perceived as a complex endeavor that impacted nurses’ perceptions of their autonomy, ways of working, and professional roles. Potential negative consequences were related to nursing workforce retention and patient care delivery. Motivation was the main behavioral driver for nurses’ adoption of EMR systems and hence a key consideration for implementing interventions or organizational changes directed at nurses. SN - 2562-7600 UR - https://nursing.www.mybigtv.com/2022/1/e39596 UR - https://doi.org/10.2196/39596 UR - http://www.ncbi.nlm.nih.gov/pubmed/35881417 DO - 10.2196/39596 ID - info:doi/10.2196/39596 ER -