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ItemPerioperative Nurses' Perceptions Pre-Implementation of an Electronic Medical Record System.Njane, A ; Jedwab, R ; Calvo, R ; Dobroff, N ; Glozier, N ; Hutchinson, A ; Leiter, M ; Manias, E ; Nankervis, K ; Rawson, H ; Redley, B (IOS Press, 2021-12-15)The use of electronic medical record (EMR) systems is transforming health care delivery in hospitals. Perioperative nurses work in a unique high-risk health setting, hence require specific considerations for EMR implementation. This research explored perioperative nurses' perceptions of facilitators and barriers to the implementation of an EMR in their workplace to make context-specific recommendations about strategies to optimise EMR adoption. Using a qualitative exploratory descriptive design, focus group data were collected from 27 perioperative nurses across three hospital sites. Thematic analyses revealed three themes: 1) The world is going to change; 2) What does it mean for me? and 3) We can do it, but we have some reservations. Mapping coded data to the Theoretical Domains Framework identified prominent facilitators and barriers, and informed recommended implementation strategies for EMR adoption by perioperative nurses.
ItemFacilitators and Barriers to the Adoption of an Electronic Medical Record System by Intensive Care Nurses.Osajiuba, SA ; Jedwab, R ; Calvo, R ; Dobroff, N ; Glozier, N ; Hutchinson, A ; Leiter, M ; Nankervis, K ; Rawson, H ; Redley, B ; Manias, E (IOS Press, 2021-12-15)Introducing new technology, such as an electronic medical record (EMR) into an Intensive Care Unit (ICU), can contribute to nurses' stress and negative consequences for patient safety. The aim of this study was to explore ICU nurses' perceptions of factors expected to influence their adoption of an EMR in their workplace. The objectives were to: 1) measure psychological factors expected to influence ICU nurses' adoption of EMR, and 2) explore perceptions of facilitators and barriers to the implementation of an EMR in their workplace. Using an explanatory sequential mixed method approach, data were collected using surveys and focus groups. ICU nurses reported high scores for motivation, work engagement and wellbeing. Focus group analyses revealed two themes: Hope the EMR will bring a new world and Fear of unintended consequences. Recommendations relate to strategies for education and training, environmental restructuring and enablement. Overall, ICU nurses were optimistic about EMR implementation.
ItemOlder Nurses' Perceptions of an Electronic Medical Record Implementation.Tissera, S ; Jedwab, R ; Calvo, R ; Dobroff, N ; Glozier, N ; Hutchinson, A ; Leiter, M ; Manias, E ; Nankervis, K ; Rawson, H ; Redley, B (IOS Press, 2021-12-15)In Australia, almost 40% of nurses are aged 50 years and older. These nurses may be vulnerable to leaving the workforce due to challenges experienced during electronic medical record (EMR) implementations. This research explored older nurses' perceptions of factors expected to influence their adoption of an EMR, to inform recommendations to support implementation. The objectives were to: 1) measure psychological factors expected to influence older nurses' adoption of the EMR; and 2) explore older nurses' perceptions of facilitators and barriers to EMR adoption. An explanatory sequential mixed methods design was used to collect survey and focus group data from older nurses, prior to introducing an EMR system. These nurses were highly engaged with their work; 79.3% reported high wellbeing scores. However, their motivation appeared to be predominantly governed by external rather than internal influences. Themes reflecting barriers to EMR and resistance to adoption emerged in the qualitative data.