Participatory Design of an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Study with Nurses and Physicians
Background: Electronic medical records (EMRs) offer a promising approach to mapping and documenting the complex information gathered in paediatric palliative care (PPC). However, if they are not well developed, poorly implemented EMRs have unintended consequences that may cause harm to patients. One...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-08-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/8/8/695 |
| _version_ | 1797524230788612096 |
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| author | Sven Kernebeck Theresa Sophie Busse Chantal Jux Dorothee Meyer Larissa Alice Dreier Daniel Zenz Boris Zernikow Jan Peter Ehlers |
| author_facet | Sven Kernebeck Theresa Sophie Busse Chantal Jux Dorothee Meyer Larissa Alice Dreier Daniel Zenz Boris Zernikow Jan Peter Ehlers |
| author_sort | Sven Kernebeck |
| collection | DOAJ |
| description | Background: Electronic medical records (EMRs) offer a promising approach to mapping and documenting the complex information gathered in paediatric palliative care (PPC). However, if they are not well developed, poorly implemented EMRs have unintended consequences that may cause harm to patients. One approach to preventing such harm is the involvement of users in the participatory design to ensure user acceptance and patient safety. Therefore, the aim of this study is to evaluate the acceptance of a novel patient chart module (PCM) as part of an EMR from the perspective of potential users in PPC and to involve these professionals in the design process. Methods: A qualitative observational study with N = 16 PPC professionals (<i>n</i> = 10 nurses, <i>n</i> = 6 physicians) was conducted, including concurrent think aloud (CTA) and semi-structured interviews. A structured content analysis based on the Unified Theory of Acceptance and Use of Technology was applied. Results: The results can be summarized in terms of general observations, performance expectancy, effort expectancy and facilitating conditions, all of which are likely to have a positive influence on acceptance of the PCM from the user perspective in the context of PPC. Conclusions: The involvement of users in the development of EMRs is important for meeting the requirements in PPC. Further software adaptations are necessary to implement these requirements. |
| first_indexed | 2024-03-10T08:54:27Z |
| format | Article |
| id | doaj.art-46bf4d22706c46eab5881d338a3a55d1 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T08:54:27Z |
| publishDate | 2021-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-46bf4d22706c46eab5881d338a3a55d12023-11-22T07:14:34ZengMDPI AGChildren2227-90672021-08-018869510.3390/children8080695Participatory Design of an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Study with Nurses and PhysiciansSven Kernebeck0Theresa Sophie Busse1Chantal Jux2Dorothee Meyer3Larissa Alice Dreier4Daniel Zenz5Boris Zernikow6Jan Peter Ehlers7Chair of Didactics and Educational Research in Health Science, Faculty of Health, Witten/Herdecke University, 58448 Witten, GermanyChair of Didactics and Educational Research in Health Science, Faculty of Health, Witten/Herdecke University, 58448 Witten, GermanyChair of Didactics and Educational Research in Health Science, Faculty of Health, Witten/Herdecke University, 58448 Witten, GermanyPedScience Research Institute, 45711 Datteln, GermanyPedScience Research Institute, 45711 Datteln, GermanySmart-Q Softwaresysteme GmbH, Lise-Meitner-Allee 4, 44801 Bochum, GermanyPedScience Research Institute, 45711 Datteln, GermanyChair of Didactics and Educational Research in Health Science, Faculty of Health, Witten/Herdecke University, 58448 Witten, GermanyBackground: Electronic medical records (EMRs) offer a promising approach to mapping and documenting the complex information gathered in paediatric palliative care (PPC). However, if they are not well developed, poorly implemented EMRs have unintended consequences that may cause harm to patients. One approach to preventing such harm is the involvement of users in the participatory design to ensure user acceptance and patient safety. Therefore, the aim of this study is to evaluate the acceptance of a novel patient chart module (PCM) as part of an EMR from the perspective of potential users in PPC and to involve these professionals in the design process. Methods: A qualitative observational study with N = 16 PPC professionals (<i>n</i> = 10 nurses, <i>n</i> = 6 physicians) was conducted, including concurrent think aloud (CTA) and semi-structured interviews. A structured content analysis based on the Unified Theory of Acceptance and Use of Technology was applied. Results: The results can be summarized in terms of general observations, performance expectancy, effort expectancy and facilitating conditions, all of which are likely to have a positive influence on acceptance of the PCM from the user perspective in the context of PPC. Conclusions: The involvement of users in the development of EMRs is important for meeting the requirements in PPC. Further software adaptations are necessary to implement these requirements.https://www.mdpi.com/2227-9067/8/8/695palliative carepaediatricsparticipatory designelectronic health recordselectronic medical recordstechnology acceptance |
| spellingShingle | Sven Kernebeck Theresa Sophie Busse Chantal Jux Dorothee Meyer Larissa Alice Dreier Daniel Zenz Boris Zernikow Jan Peter Ehlers Participatory Design of an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Study with Nurses and Physicians Children palliative care paediatrics participatory design electronic health records electronic medical records technology acceptance |
| title | Participatory Design of an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Study with Nurses and Physicians |
| title_full | Participatory Design of an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Study with Nurses and Physicians |
| title_fullStr | Participatory Design of an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Study with Nurses and Physicians |
| title_full_unstemmed | Participatory Design of an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Study with Nurses and Physicians |
| title_short | Participatory Design of an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Study with Nurses and Physicians |
| title_sort | participatory design of an electronic medical record for paediatric palliative care a think aloud study with nurses and physicians |
| topic | palliative care paediatrics participatory design electronic health records electronic medical records technology acceptance |
| url | https://www.mdpi.com/2227-9067/8/8/695 |
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