期刊文章%@ 2562-7600 %I JMIR出版物% v5 %N 卡塔尔世界杯8强波胆分析1 %P实施全组织电子病历后护士的经验:定性描述性研究%A Jedwab,Rebecca M %A Manias,Elizabeth %A Hutchinson,Alison M %A Dobroff,Naomi %A Redley,Bernice %+质量和患者安全研究中心-莫纳什健康伙伴关系，健康转型研究所，迪肯大学护理和助产学院，Burwood高速公路221号，墨尔本，3125,61 3 92517777，jedwabr@deakin.edu.au %K计算机化医疗记录系统%K COVID-19 %K实施科学%K动机%K护士%K定性研究%D 2022 %7 26.7.2022 %9原始论文%J JMIR护理%G英文%X背景:关于电子医疗记录(EMR)系统对临床医生的影响的报告是混合的。目前，护士采用大规模、多站点EMR系统的经验尚未被调查。护士是最大的卫生保健劳动力;因此，必须调查和理解实施EMR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会受到负面影响。目的:本研究旨在探讨澳大利亚护士在全组织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、个人访谈和开放式调查问题，在澳大利亚维多利亚州的一家大型卫生保健机构的6个医院站点实施EMR后的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。分析包括互补性的归纳和演绎方法。 Specifically, reflexive thematic analysis was followed by framework analysis by the coding of data as barriers or facilitators to nurses’ use of the EMR using the Theoretical Domains Framework. 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. %M 35881417 %R 10.2196/39596 %U https://nursing.www.mybigtv.com/2022/1/e39596 %U https://doi.org/10.2196/39596 %U http://www.ncbi.nlm.nih.gov/pubmed/35881417