Unintended consequences of the electronic health record and cognitive load in emergency department nurses

被引:2
|
作者
Harmon, Carolyn S. [1 ,5 ]
Adams, Swann Arp [2 ,3 ]
Davis, Jean E. [2 ]
Gephart, Sheila M. [4 ]
Donevant, Sara B. [2 ]
机构
[1] East Tennessee State Univ, Tennessee Ctr Nursing Advancement, Amer Nursing Informat Assoc, Johnson City, TN 37614 USA
[2] Univ South Carolina, Coll Nursing, Columbia, SC USA
[3] Univ South Carolina, Arnold Sch Publ Hlth, Columbia, SC USA
[4] Univ Arizona, Biobehav Hlth Sci Div, Tucson, AZ USA
[5] ENA Chapter Palmetto, 2397 Sweetbriar Ln, Rock Hill, SC 29732 USA
关键词
Electronic health record; Unintended consequences; Cognitive load; Emergency nursing; Patient safety; SAFETY;
D O I
10.1016/j.apnr.2023.151724
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Aim: The study aimed to explore the relationship between the unintended consequences of the electronic health record and cognitive load in emergency department nurses. Methods: The study utilized a correlational quantitative design with a survey method approach. This study had a 30.4 % response rate for a total of 304 ED nurse participants who were members of a national ED nursing organization. Data analysis included descriptive and correlational measurements of two instruments. Results: In this study, there was a statistically significant, weak negative relationship between CL and UC-EHR in ED nurses, rs (264) = -0.154, p 0.002. Although a significant weak relationship was identified in this study, the study variables, subscales, and demographic data groupings presented moderate-to-strong positive, statistically significant correlations. Descriptive frequency data unveiled EHR stimulated patient safety threats occurring once a week to monthly. Conclusions: The novelty of this research study provided profound implications for the future of nursing practice, policy, and nursing science. EHR optimization to minimize patient safety risks is recommended with the inclusion of end-users from this study's identified subgroups. The researchers propose a reduction of EHR burden in nursing practice.
引用
收藏
页数:9
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