Measuring nursing benefits of an electronic medical record system: A scoping review |
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| Affiliation: | 1. Monash Medical Centre Clayton, Monash Health, 246 Clayton Road, Clayton, Victoria, 3168, Australia;2. Centre for Quality and Patient Safety Research – Monash Health Partnership, Level 2 I Block, 246 Clayton Road, Clayton, Victoria, 3168, Australia;3. Deakin University, School of Nursing and Midwifery, Geelong, 221 Burwood Highway, Burwood, Victoria, 3125, Australia;1. Oregon Health & Science University, Portland, OR, United States;2. Edinburgh Napier University, Edinburgh, UK;1. School of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia;2. Discipline of Nursing, College of Science, Health, Engineering and Education, Murdoch University, Murdoch, Western Australia, Australia;3. Neurological Council of Western Australia, Nedlands, Western Australia, Australia;4. Centre for Nursing Research, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia;5. Discipline of Psychology, Exercise Science, Chiropractic and Counselling, College of Science, Health, Engineering and Education, Murdoch University, Murdoch, Western Australia, Australia;6. WA Neuroscience Research Institute, Nedlands, Western Australia, Australia;7. School of Nursing and Midwifery, The University of Notre Dame Australia and St. John of God Murdoch Hospital, Western Australia, Australia;8. Ngangk Yira Research Centre for Aboriginal Health and Social Equity, Murdoch University, Murdoch, Western Australia, Australia;1. School of Nursing and Midwifery, Healthcare Practice and Survivorship Program, Menzies Health Institute, Griffith University, 68 Meadowbrook Rd, Meadowbrook, Qld, 4131, Australia;2. QuIHN Ltd. | Better Access Medical Clinic, Head Office, Brisbane Region, Australia;3. Queensland University of Technology, Institute of Health and Biomedical Innovation (IHBI) Victoria Park Rd, Kelvin Grove, Qld, 4059, Australia;4. Southern Cross University, School of Health and Human Sciences, Military Rd, East Lismore, NSW, 2480, Australia;1. School of Nursing and Midwifery, Griffith University & Division of Surgery, Princess Alexandra Hospital, Metro South Health, Brisbane, Australia;2. Nursing Practice Development Unit, Princess Alexandra Hospital and the University of Queensland, Brisbane, Australia;3. Nursing Practice Development Unit, Princess Alexandra Hospital, Brisbane, Australia;4. Division of Surgery, Princess Alexandra Hospital, Brisbane, Australia;5. Division of Medicine, Princess Alexandra Hospital, Brisbane, Australia;6. School of Health Sciences, City, University of London, United Kingdom;7. Menzies Health Institute Queensland, Griffith University, Brisbane, Australia |
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| Abstract: | BackgroundNurses are expected to be the largest users of electronic medical records in hospitals. Literature specific to measuring the impacts of an electronic medical record implementation on the quality of nursing work has not been examined.AimReport a scoping review to identify measures useful to evaluate the nursing benefits of electronic medical records implementation in the Australian hospital context.MethodsSearch terms included combinations of synonyms for: nursing, electronic medical record, and healthcare quality. Data were extracted from eligible papers using an established five-step scoping review process. Eligible papers and extracted data were independently checked by two reviewers.Findings120 papers were located by systematic searching of five databases and grey literature from peak bodies. A framework integrating three domains of nursing work with Donabedian’s quality model resulted in a matrix of 168 measures relevant to evaluating technology impact on the quality of nursing work.DiscussionMeasures addressed structures, processes and outcomes of nursing work for fundamental nursing care and harm prevention; however a gap emerged in relation to measuring individualised nursing care. Variability in measures and mixed reports of impacts of electronic medical records on nursing work and patient care delivery were identified.ConclusionThe scoping review identified measures useful to inform a quality assessment framework to examine nursing benefits of electronic medical records in Australian hospitals. Next steps include testing the validity, reliability and sensitivity of indicators to evaluate the impact of an implementation strategy. Future research should identify measures to examine quality of individualised care. |
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| Keywords: | Electronic medical record Evidence-based practice Nursing research Patient safety Quality Scoping review |
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