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Nursing documentation time during implementation of an electronic medical record.
- Source :
-
The Journal of nursing administration [J Nurs Adm] 2003 Jan; Vol. 33 (1), pp. 24-30. - Publication Year :
- 2003
-
Abstract
- Objective: To determine, within the context of all nursing duties, the amount of time nurses spend on documentation during the implementation of an electronic medical record (EMR) on an intrapartum unit.<br />Background: Increased documentation needs during EMR implementation may necessitate increased staffing requirements in an already labor-intensive and demanding environment.<br />Methods: A work-sampling study was conducted over a 14-day study period, and 18 of 84 (21%) potential 4-hour observation periods were selected. During each period, a single observer made 120 observations and, on locating a specific nurse, immediately recorded that nurse's activity on a standardized and validated instrument. Categories of nursing activities included documentation, bedside care, bedside supportive care, nonbedside care, and nonpatient care.<br />Results: A total of 2160 observations were made. The total percentage of nursing time spent for documentation was 15.8%, 10.6% on paper and 5.2% on the computer. The percentage of time spent on documentation was independently associated with day versus night shifts (19.2% vs 12.4%, respectively).<br />Conclusions: Despite charting concurrently on both paper and computer, the amount of time spent on documentation was not excessive, and was consistent with previous studies in which neither electronic nor "double charting" occurred.
- Subjects :
- Documentation methods
Efficiency, Organizational
Hospital Bed Capacity statistics & numerical data
Hospital Information Systems statistics & numerical data
Hospitals, Community
Hospitals, University
Humans
Los Angeles
Nurse's Role
Nursing Care organization & administration
Nursing Evaluation Research
Nursing Staff, Hospital statistics & numerical data
Nursing Staff, Hospital supply & distribution
Obstetric Nursing organization & administration
Odds Ratio
Task Performance and Analysis
Time Factors
Documentation statistics & numerical data
Medical Records Systems, Computerized statistics & numerical data
Nursing Records statistics & numerical data
Workload statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 0002-0443
- Volume :
- 33
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- The Journal of nursing administration
- Publication Type :
- Academic Journal
- Accession number :
- 12544622
- Full Text :
- https://doi.org/10.1097/00005110-200301000-00006