Friday, December 20, 2013

Nurses Using An EMR And Also Being Consulted On EHRs Seems To Be A Good Thing For Everyone.

This appeared a little while ago.

Why nurses must be involved in developing new health IT

November 22, 2013 | By Ashley Gold
Nurses are an essential part of the medical system and patient care--so why shouldn't they be more involved in developing new healthcare IT?
This question is explored in an article in Nursing Times, along with discussion on how attitudes toward nurses differ in the U.K. and the U.S., and how nurses can use technology to improve practice. Five key points made in the article include:
1.       In the U.K. and the U.S., nurse leaders must justify their requests for resources.
2.       The value of technology is determined by how it is used and whether it helps or hinders care.
3.       There is a general belief that nurses are "reluctant to accept change and "resent new technology."
4.       The U.S. and U.K. share similar goals for technology innovation, but differ when it comes to economics and delivery.
5.       Frontline staff often is not involved in the planning and implementation of health IT.
One example of how the perception that nurses are slow to adapt to technology is proved wrong is in nurses' work in neonatal or intensive care units, the article argues. Such a belief keeps technology system suppliers from understanding the practicalities of nursing care and how they can support innovation in everyday practice.
More here with references.
I also spotted this summary a while ago,

Study: EHRs improve hospital nursing care

January 11, 2012 — 4:13pm ET | By Marla Durben Hirsch - Contributing Editor
Electronic health records do more than improve care rendered by physicians. They also improve care provided by nurses.
That's the scoop in a study of more than 16,000 nurses published in the Journal of Nursing Administration. According to the study, which covers 316 hospitals in four states, poor patient safety and other quality outcomes occurred less frequently when nurses used an EHR system.  
The study suggests that the implementation of a basic EHR may result in improved and more efficient nursing care, better care coordination and patient safety. 
"EHRs are rapidly becoming part of the daily practice of the bedside nurse," lead researcher Ann Kutney-Lee, a health outcomes researcher with the University of Pennsylvania School of Nursing, said in a statement. "Nursing administrators should be fully engaged in the process of EHR adoption and implementation to ensure effective use and success in creating seamless transitions for patients throughout the healthcare continuum." 
More here:
Here are the detailed links:
To learn more:
- read the study's
abstract
- check out this 
article from the University of Pennsylvania's Nursing School
- read this UPI
piece
- read the
abstract of the nurse EHR training study
- here's the
abstract of the ICU nurse study
The two studies reported here are useful in showing the possible impacts of Health IT when used by clinicians - and especially when used by the most numerous clinicians - the nurses.
So this is an important reminder of the importance of nurses in most aspects of Health IT.
Pity there were so few involved in the PCEHR over the years.
David.

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