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The Impact of the Electronic Health Record on Moving New Evidence-Based Nursing Practices Forward.
- Source :
-
Worldviews on evidence-based nursing [Worldviews Evid Based Nurs] 2020 Apr; Vol. 17 (2), pp. 136-143. Date of Electronic Publication: 2020 Mar 31. - Publication Year :
- 2020
-
Abstract
- Background: Anecdotal reports from across the country highlight the fact that nurses are facing major challenges in moving new evidence-based practice (EBP) initiatives into the electronic health record (EHR).<br />Purpose: The purpose of this study was to: (a) learn current processes for embedding EBP into EHRs, (b) uncover facilitators and barriers associated with rapid movement of new evidence-based nursing practices into the EHR and (c) identify strategies and processes that have been successfully implemented in healthcare organizations across the nation.<br />Methods: A qualitative study design was utilized. Purposive sampling was used to recruit nurses from across the country (N = 29). Nine focus group sessions were conducted. Semistructured interview questions were developed. Focus groups were conducted by video and audio conferencing. Using an inductive approach, each transcript was read and initial codes were generated resulting in major themes and subthemes.<br />Results: Five major themes were identified: (a) barriers to advancing EBP secondary to the EHR, (b) organizational structure and governing processes of the EHR, (c) current processes for prioritization of EHR changes, (d) impact on ability of clinicians to implement EBP and (e) wait times and delays.<br />Linking Evidence to Action: Delays in moving new EBP practice changes into the EHR are significant. These delays are sources of frustration and job dissatisfaction. Our results underscore the importance of a priori planning for anticipated changes and building expected delays into the timeline for EBP projects. Moreover, nurse executives must advocate for greater representation of nursing within informatics technology governance structures and additional resources to hire nurse informaticians.<br /> (© 2020 Sigma Theta Tau International.)
- Subjects :
- Electronic Health Records trends
Evidence-Based Practice standards
Evidence-Based Practice trends
Focus Groups methods
Humans
Nursing Research methods
Nursing Research trends
Ohio
Qualitative Research
Electronic Health Records standards
Evidence-Based Practice methods
Nursing Research instrumentation
Subjects
Details
- Language :
- English
- ISSN :
- 1741-6787
- Volume :
- 17
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Worldviews on evidence-based nursing
- Publication Type :
- Academic Journal
- Accession number :
- 32233009
- Full Text :
- https://doi.org/10.1111/wvn.12435