Unintentional consequences nurses experienced while using the electronic health record; Systematic review

Ali Mohammed Hummedi 1, *, Eman Makki ALmostafa 2, Hala Ali Al Qassab 3, Khaloud Ali Alghannam 3, Mona Abdulrazaq Alharoon 4, Fatimah Mohammed Alzouri 3, Waheeda Khalil Abuqurain 3, Abdulaziz Ahmed Alzahrani 3, Huda Ahmed Alghamdi 3, Alaa Abdullah ALMustafa 3, Hala Michal Alenazi 5, Rawan Fayez Alatigue 6 and Ammar Adnan Alhaji 7

1 Department of Anesthesia, Imam Abdulrahman bin Faisal hospital, NGHA, Dammam, Saudi Arabia.
2 Department of Bed management, Imam Abdulrahman bin Faisal hospital, NGHA, Dammam, Saudi Arabia.
3 Department of Nursing, Imam Abdulrahman bin Faisal hospital, NGHA, Dammam, Saudi Arabia.
4 Department of Physiotherapy, Imam Abdulrahman bin Faisal hospital, NGHA, Dammam, Saudi Arabia.
5 Physical therapist, Physiotherapy department, Imam Abdulrahman Bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
6 Emergency Medicine Consultant Emergency Department Imam Abdulrahman Bin Faisal Hospital, NGHA, Dammam , Saudi Arabia.
7 Physical therapist, Physiotherapy department, Imam Abdulrahman Bin Faisal Hospital National Guard,Dammam, Saudi Arabia.
 
Review Article
World Journal of Advanced Research and Reviews, 2024, 23(03), 1296–1302
Article DOI: 10.30574/wjarr.2024.23.3.2785
 
Publication history: 
Received on 02 August 2024; revised on 08 September 2024; accepted on 11 September 2024
 
Abstract: 
Background: Nurses are important users of EHRs, but little is known about their experiences or if they think that EHRs contribute to high-quality care and patient safety. Examining published articles that address nurses' experiences with unexpected EHR outcomes is the goal of this review.
Method: we searched for papers published between 2009 and 2024 using the keywords "nurse" and "unintended consequences" in the CINAHL and PubMed databases. 98 references were found. Three more were added following a "hand" search. After duplication removal and assessment of full text we included 7 articles in our systematic review.
Result: Seven publications describing nurses' experiences with unintentional results in EHR were included. Six of the investigations used qualitative methods, and one used mixed approaches. Several study teams wrote the seven reports. In six of the studies, the population of interest was nurses who directly care for patients at the bedside in acute care settings. Small-sample qualitative methodology and content analysis techniques were the most widely used approaches.
Conclusion: The findings demonstrated many of the unanticipated outcomes that have been reported in studies focused on the EHR—workflow time, communication, a learning curve during deployment, system problems, patient safety, nurse satisfaction, interruptions in documentation, efficiency, and functionality—were revealed.
 
Keywords: 
Electronic Health records; Unintentional Consequences; Nurses; Barriers
 
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Copyright information: 
Copyright © 2024 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0

 

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