Nurses' Perception of the Impact of Electronic Documentation on the Nurse-Patient Relationship.


Journal

Journal of nursing care quality
ISSN: 1550-5065
Titre abrégé: J Nurs Care Qual
Pays: United States
ID NLM: 9200672

Informations de publication

Date de publication:
Historique:
pubmed: 6 7 2018
medline: 15 3 2019
entrez: 6 7 2018
Statut: ppublish

Résumé

While there are many benefits of electronic medical record documentation, the presence of a computer may adversely affect provider-patient interaction. The purpose of this project was to examine staff nurses' perception of the impact of electronic documentation in the presence of the patient on the nurse-patient relationship. A survey was administered to 276 staff nurses, and open-ended interviews were conducted with 11 novice and 20 expert nurses. Nurses identified benefits and challenges to electronic medical record documentation as well as strategies used to maintain therapeutic relationships and communication. Numerous nurses commented that documenting with their back to the patient had a negative impact on the nurse-patient relationship and communication. Both novice and expert nurses identified strategies that they used to ensure they were "maintaining the connection" to patients during electronic medical record documentation.

Sections du résumé

BACKGROUND BACKGROUND
While there are many benefits of electronic medical record documentation, the presence of a computer may adversely affect provider-patient interaction.
PURPOSE OBJECTIVE
The purpose of this project was to examine staff nurses' perception of the impact of electronic documentation in the presence of the patient on the nurse-patient relationship.
METHODS METHODS
A survey was administered to 276 staff nurses, and open-ended interviews were conducted with 11 novice and 20 expert nurses.
RESULTS RESULTS
Nurses identified benefits and challenges to electronic medical record documentation as well as strategies used to maintain therapeutic relationships and communication. Numerous nurses commented that documenting with their back to the patient had a negative impact on the nurse-patient relationship and communication.
CONCLUSIONS CONCLUSIONS
Both novice and expert nurses identified strategies that they used to ensure they were "maintaining the connection" to patients during electronic medical record documentation.

Identifiants

pubmed: 29975218
doi: 10.1097/NCQ.0000000000000339
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

163-168

Auteurs

Kara Misto (K)

Rhode Island College, Providence (Drs Misto and Padula); The Miriam Hospital, Providence, Rhode Island (Dr Padula); Newport Hospital, Newport, Rhode Island (Ms Bryand); and Lifespan Oncology Clinical Research, The Miriam Hospital, Providence, Rhode Island (Ms Nadeau). Ms Bryand was formerly with The Miriam Hospital, Providence, Rhode Island.

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Classifications MeSH