Saturday, 16 November 2013
Cheryl L Frutchey, MSN, RN
Kramer School of Nursing, Oklahoma City University, Oklahoma City, OK
Learning Objective 1: discuss factors that may influence the adoption of electronic health records (EHR) by registered nurses.
Learning Objective 2: identify measures that increase overall satisfaction of registered nurses with EHR systems.
Background: The value of information technology (IT) to the healthcare workplace has been well documented. One piece of IT necessary to improve healthcare in the United States is the electronic health record (EHR). However, there is little agreement on specific factors that will predict or influence a successful adoption of an EHR. Numerous qualitative studies have investigated registered nurses (RN) perceptions of factors influencing the adoption of EHR. Specific factors identified in previous research include individual characteristics of registered nurses (demographics, anxiety, attitude, self-efficacy, and computer/technical skills), contextual factors relating to previous computer experience and access to technology, and perceptions of registered nurses regarding the benefit of adoption of an EHR. There is little quantitative data examining how these factors influence the adoption of EHR by nurses. The purpose of this study was to identify and examine relationships between previously identified variables and adoption of EHR by RNs.
Method: A descriptive, quantitative study using the Electronic Health Record Nurse Satisfaction (EHRNS) survey and the New Computer Anxiety and Self-efficacy Scale (NCASS) along with an analysis of personal characteristics and personal experiences related to EHR use was undertaken to fill this research gap.
Results: The study found significant difference in overall satisfaction with EHR and educational level. Associate’s and bachelor’s degree nurses were significantly more satisfied with EHR than their counterparts with more advanced degrees. The Spearman Rho test for correlation identified a significant relationship between computer self-efficacy (beginning and advanced), computer anxiety, and anxiety in computer relationships with respect to subjects’ overall satisfaction with EHR.
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