Identifying and adapting interventions to reduce documentation burden and improve nurses’ efficiency in using electronic health record systems (The IDEA Study): protocol for a mixed methods study
Abstract Background Although EHR systems have become a critical part of clinical care, nurses are experiencing a growing burden due to documentation requirements, taking time away from other important clinical activities. There is a need to address the inefficiencies and challenges that nurses face...
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | BMC Nursing |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12912-022-00989-w |
| _version_ | 1798038026241179648 |
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| author | Gillian Strudwick Lianne Jeffs Jessica Kemp Lydia Sequeira Brian Lo Nelson Shen Petroiya Paterson Noelle Coombe Lily Yang Kara Ronald Wei Wang Sonia Pagliaroli Tania Tajirian Sara Ling Damian Jankowicz |
| author_facet | Gillian Strudwick Lianne Jeffs Jessica Kemp Lydia Sequeira Brian Lo Nelson Shen Petroiya Paterson Noelle Coombe Lily Yang Kara Ronald Wei Wang Sonia Pagliaroli Tania Tajirian Sara Ling Damian Jankowicz |
| author_sort | Gillian Strudwick |
| collection | DOAJ |
| description | Abstract Background Although EHR systems have become a critical part of clinical care, nurses are experiencing a growing burden due to documentation requirements, taking time away from other important clinical activities. There is a need to address the inefficiencies and challenges that nurses face when documenting in and using EHRs. The objective of this study is to engage nurses in generating ideas on how organizations can support and optimize nurses’ experiences with their EHR systems, thereby improving efficiency and reducing EHR-related burden. This work will ensure the identified solutions are grounded in nurses’ perspectives and experiences and will address their specific EHR-related needs. Methods This mixed methods study will consist of three phases. Phase 1 will evaluate the accuracy of the EHR system’s analytics platform in capturing how nurses utilize the system in real-time for tasks such as documentation, chart review, and medication reconciliation. Phase 2 consists of a retrospective analysis of the nursing-specific analytics platform and focus groups with nurses to understand and contextualize their usage patterns. These focus groups will also be used to identify areas for improvement in the utilization of the EHR. Phase 3 will include focus groups with nurses to generate and adapt potential interventions to address the areas for improvement and assess the perceived relevance, feasibility, and impact of the potential interventions. Discussion This work will generate insights on addressing nurses’ EHR-related burden and burnout. By understanding and contextualizing inefficiencies and current practices, opportunities to improve EHR systems for nursing professional practice will be identified. The study findings will inform the co-design and implementation of interventions that will support adoption and impact. Future work will include the evaluation of the developed interventions, and research on scaling and disseminating the interventions for use in different organizations, EHR systems, and jurisdictions in Canada. |
| first_indexed | 2024-04-11T21:34:36Z |
| format | Article |
| id | doaj.art-12d90b19a8c840a9ad83bdea531e983e |
| institution | Directory Open Access Journal |
| issn | 1472-6955 |
| language | English |
| last_indexed | 2024-04-11T21:34:36Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj.art-12d90b19a8c840a9ad83bdea531e983e2022-12-22T04:01:47ZengBMCBMC Nursing1472-69552022-08-012111810.1186/s12912-022-00989-wIdentifying and adapting interventions to reduce documentation burden and improve nurses’ efficiency in using electronic health record systems (The IDEA Study): protocol for a mixed methods studyGillian Strudwick0Lianne Jeffs1Jessica Kemp2Lydia Sequeira3Brian Lo4Nelson Shen5Petroiya Paterson6Noelle Coombe7Lily Yang8Kara Ronald9Wei Wang10Sonia Pagliaroli11Tania Tajirian12Sara Ling13Damian Jankowicz14Institute of Health Policy, Management and Evaluation, University of TorontoInstitute of Health Policy, Management and Evaluation, University of TorontoCentre for Complex Interventions, Centre for Addiction and Mental HealthCentre for Complex Interventions, Centre for Addiction and Mental HealthInstitute of Health Policy, Management and Evaluation, University of TorontoInstitute of Health Policy, Management and Evaluation, University of TorontoClinical Informatics, Sinai HealthInformation Management Group, Centre for Addiction and Mental HealthQuality and Patient Experience, Sinai HealthProfessional Practice, Nursing and Health Disciplines, Sinai HealthCentre for Complex Interventions, Centre for Addiction and Mental HealthCerner CanadaInformation Management Group, Centre for Addiction and Mental HealthCentre for Complex Interventions, Centre for Addiction and Mental HealthInformation Management Group, Centre for Addiction and Mental HealthAbstract Background Although EHR systems have become a critical part of clinical care, nurses are experiencing a growing burden due to documentation requirements, taking time away from other important clinical activities. There is a need to address the inefficiencies and challenges that nurses face when documenting in and using EHRs. The objective of this study is to engage nurses in generating ideas on how organizations can support and optimize nurses’ experiences with their EHR systems, thereby improving efficiency and reducing EHR-related burden. This work will ensure the identified solutions are grounded in nurses’ perspectives and experiences and will address their specific EHR-related needs. Methods This mixed methods study will consist of three phases. Phase 1 will evaluate the accuracy of the EHR system’s analytics platform in capturing how nurses utilize the system in real-time for tasks such as documentation, chart review, and medication reconciliation. Phase 2 consists of a retrospective analysis of the nursing-specific analytics platform and focus groups with nurses to understand and contextualize their usage patterns. These focus groups will also be used to identify areas for improvement in the utilization of the EHR. Phase 3 will include focus groups with nurses to generate and adapt potential interventions to address the areas for improvement and assess the perceived relevance, feasibility, and impact of the potential interventions. Discussion This work will generate insights on addressing nurses’ EHR-related burden and burnout. By understanding and contextualizing inefficiencies and current practices, opportunities to improve EHR systems for nursing professional practice will be identified. The study findings will inform the co-design and implementation of interventions that will support adoption and impact. Future work will include the evaluation of the developed interventions, and research on scaling and disseminating the interventions for use in different organizations, EHR systems, and jurisdictions in Canada.https://doi.org/10.1186/s12912-022-00989-wNursingElectronic health recordsDocumentationBurnoutEfficiencyNursing informatics |
| spellingShingle | Gillian Strudwick Lianne Jeffs Jessica Kemp Lydia Sequeira Brian Lo Nelson Shen Petroiya Paterson Noelle Coombe Lily Yang Kara Ronald Wei Wang Sonia Pagliaroli Tania Tajirian Sara Ling Damian Jankowicz Identifying and adapting interventions to reduce documentation burden and improve nurses’ efficiency in using electronic health record systems (The IDEA Study): protocol for a mixed methods study BMC Nursing Nursing Electronic health records Documentation Burnout Efficiency Nursing informatics |
| title | Identifying and adapting interventions to reduce documentation burden and improve nurses’ efficiency in using electronic health record systems (The IDEA Study): protocol for a mixed methods study |
| title_full | Identifying and adapting interventions to reduce documentation burden and improve nurses’ efficiency in using electronic health record systems (The IDEA Study): protocol for a mixed methods study |
| title_fullStr | Identifying and adapting interventions to reduce documentation burden and improve nurses’ efficiency in using electronic health record systems (The IDEA Study): protocol for a mixed methods study |
| title_full_unstemmed | Identifying and adapting interventions to reduce documentation burden and improve nurses’ efficiency in using electronic health record systems (The IDEA Study): protocol for a mixed methods study |
| title_short | Identifying and adapting interventions to reduce documentation burden and improve nurses’ efficiency in using electronic health record systems (The IDEA Study): protocol for a mixed methods study |
| title_sort | identifying and adapting interventions to reduce documentation burden and improve nurses efficiency in using electronic health record systems the idea study protocol for a mixed methods study |
| topic | Nursing Electronic health records Documentation Burnout Efficiency Nursing informatics |
| url | https://doi.org/10.1186/s12912-022-00989-w |
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