修改护士培训计划对电子病历表格和评估完成率的影响。

IF 1.9 4区 医学 Q4 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS
Andon M Ware, Donal Murray, Norman W Gill
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引用次数: 0

摘要

在田纳西州、俄亥俄州、佛罗里达州和威斯康辛州的八家专业护理机构中,对电子病历数据库进行了回顾性研究,评估了旨在提高文件完成率的改进培训计划。该计划包括为期一周的课程,旨在提高学生对电子病历系统的熟练程度,重点关注五种关键文件表格:入学评估、莫尔斯坠落风险评估、布雷登风险评估、私奔风险评估和每周皮肤检查。数据收集于2023年2月至2023年7月。3个月的实施前阶段作为基线对照,代表护士接受修改后的培训计划之前的时间。采用实施后3个月的数据进行比较。样本包括47名护士。数据分析包括描述性统计和推断性统计,双尾配对t检验显示,在所有五种形式中,文档完成率的平均改善(P < 0.001)从42%到70%不等。虽然不能推断出因果关系,但在训练计划之后观察到显著的改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of a Modified Nurse Training Program on Completion Rate of Forms and Assessments in the Electronic Medical Record.

This retrospective study of an electronic medical record database evaluated a modified training program aimed at improving documentation completion percentages in eight skilled nursing facilities across Tennessee, Ohio, Florida, and Wisconsin. The program involved a weeklong curriculum tailored to increase proficiency with the electronic medical record system, focusing on five key documentation forms: Admission Assessment, Morse Fall Risk Assessment, Braden Risk Assessment, Elopement Risk Assessment, and Weekly Skin Check. Data were collected between February 2023 and July 2023. A 3-month preimplementation phase served as the baseline control, representing the period prior to the nurses undergoing the modified training program. Data from the 3-month period after implementation was used for comparison. The sample included 47 nurses. Data analysis consisted of descriptive and inferential statistics, with two-tailed paired t tests showing significant mean improvements (P < .001) in documentation completion percentages ranging from 42% to 70% across all five forms. Although causality could not be inferred, significant improvements were observed following the training program.

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来源期刊
Cin-Computers Informatics Nursing
Cin-Computers Informatics Nursing 工程技术-护理
CiteScore
2.00
自引率
15.40%
发文量
248
审稿时长
6-12 weeks
期刊介绍: For over 30 years, CIN: Computers, Informatics, Nursing has been at the interface of the science of information and the art of nursing, publishing articles on the latest developments in nursing informatics, research, education and administrative of health information technology. CIN connects you with colleagues as they share knowledge on implementation of electronic health records systems, design decision-support systems, incorporate evidence-based healthcare in practice, explore point-of-care computing in practice and education, and conceptually integrate nursing languages and standard data sets. Continuing education contact hours are available in every issue.
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