Author, as appears in the article.: Perez-Marti, Montserrat; Casado-Marin, Lina
Department: Infermeria
URV's Author/s: Casadó Marín, Lina Cristina / Pérez Martí, Montserrat
Keywords: Workflow Technologies) Nursing Health-care Equipment and supplies (devices tablets mobile phones, devices and technologies) Equipment and supplies (devices tablets mobile phones Electronic health records Devices Computer handheld workflow technology quality nursing nurse equipment and supplies (devices tablets mobile phones, devices and technologies) documentation computer handheld barriers
Abstract: There are many benefits of nursing professionals being able to consult electronic health records (EHRs) at the point of care. It promotes quality and patient security, communication, continuity of care, and time dedicated to records.The aim of this study was to evaluate whether making EHRs available at the point of care with tablets reduces nurses' time spent on records compared with the current system. The analysis included sociodemographic and qualitative variables, time spent per patient, and work shift. This time difference can be used for direct patient care.A before-after time motion study was carried out in the internal medicine unit. There was a total of 130 observations of 2 hours to 3 hours in duration of complete patient records that were carried out at the beginning of the nurses' work shifts. We calculated the time dedicated to measuring vital signs, patient evaluation, and EHR recording. The main variable was time spent per patient.The average time spent per patient (total time/patients admitted) was lower with the tablet group (mean 4.22, SD 0.14 minutes) than with the control group (mean 4.66, SD 0.12 minutes); there were statistically significant differences (W=3.20, P=.001) and a low effect (d=.44) between groups. The tablet group saved an average of 0.44 (SD 0.13) minutes per patient. Similar results were obtained for the afternoon shift, which saved an average of 0.60 (SD 0.15) minutes per patient (t34=3.82, P=.01) and high effect (d=.77). However, although there was a mean difference of 0.26 (SD 0.22) minutes per patient for the night shift, this was not statistically significant (t29=1.16, P=.25). The "nonparticipating" average age was higher (49.57, SD 2.92 years) compared with the "afternoon shift participants" and "night shift participants" (P=.007). "Nonparticipants" of the night shift had a worse perception of the project.This investigation determined that, with EHRs at the point of care, the time spent for registration by the nursing staff decreases, because of reduced movements and avoiding data transcription. It eliminates unnecessary work that does not add value, and therefore, care is improved. So, we think EHRs at the point of care should be the future or natural method for nursing to undertake. However, variables that could have a negative effect include age, night shift, and nurses' perceptions. Therefore, it is proposed that training in the different work platforms and the participation of nurses are fundamental axes that any institution should consider before their implementation.©Montserrat Pérez-Martí, Lina Casadó-Marín, Abraham Guillén-Villar. Originally published in JMIR Human Factors (https://humanfactors.jmir.org), 10.02.2022.
Thematic Areas: Medical informatics Human factors and ergonomics Health informatics Health care sciences & services
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: montserrat.perez@urv.cat montserrat.perez@urv.cat linacristina.casado@urv.cat
Author identifier: 0000-0002-3048-0303 0000-0002-3048-0303 0000-0002-8078-1673
Record's date: 2024-12-21
Papper version: info:eu-repo/semantics/publishedVersion
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Jmir Hum Factors. 9 (1): e30512-e30512
APA: Perez-Marti, Montserrat; Casado-Marin, Lina (2022). Electronic Records With Tablets at the Point of Care in an Internal Medicine Unit: Before-After Time Motion Study. Jmir Hum Factors, 9(1), e30512-e30512. DOI: 10.2196/30512
Entity: Universitat Rovira i Virgili
Journal publication year: 2022
Publication Type: Journal Publications
Repositori URV