护士使用电子健康记录的经验:定性研究

Moh Heri Kurniawan
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引用次数: 0

摘要

背景:共享有关电子病历上护理认知的信息非常重要。护士是电子健康记录的高使用率使用者,如果电子健康记录中没有准确完整的信息,患者安全风险就会增加。目的:本文旨在探讨护士使用电子健康记录(EHR)的经验。方法:采用半结构式定性访谈:对雅加达医院的 14 名护士进行了半结构化定性访谈。访谈对象均来自住院病房。研究采用科莱兹主题分析法进行分析。研究结果在住院病房使用电子病历的护士通过以下项目进行了分析:1)数据处理;2)使用电子病历的障碍;3)护士沟通。结论护士们意识到检查患者数据的意义和标准,但由于一些考虑因素,包括需求或风险评估、对患者关系的影响以及保护患者隐私的医院氛围政策,护士们的承诺有所减弱。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nurses’ Experience using Electronic Health Record: A qualitative study
Background: Sharing information about nursing perception on the EHR is important. Nursing is a high utilizer of the EHR and without accurate and complete information in the EHR, patient safety risks increase. Aim: The objectives of this article was to explore nurses’ experience using Electronic Health Record (EHR). Method: Qualitative semi-structured interviews were conducted with 14 nurses in Jakarta hospital. Nurses were recruited from the inpatient room. The study was analyzed using Colaizzi's method of thematic analysis. Results: Nurses using EHRs in the inpatient room through the following items: 1) Data Processes; 2) barriers using EHR; and 3) nurse communication. Conclusion: Nurses are aware of the significance and standards of checking patient data, but their commitment is mitigated by some considerations including need or risk evaluation, the effect on their patient relationship, and hospital climate policies that protect the privacy of patients.
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