Evaluation of Electronic Medical Records on Nurses' Time Allocation During Cesarean Delivery (original) (raw)
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Studies in health technology and informatics, 2015
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Perioperative Nurses' Perceptions Pre-Implementation of an Electronic Medical Record System
Studies in health technology and informatics, 2021
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.
Online Journal of Nursing Informatics
Egyptian Journal of Health Care, 2023
The aim of the study was to investigate the effect of implementing intrapartum digital versus paper Partographs on maternity nurses' performance and birth outcomes. Method: the researchers adopted a quasi-experimental methodology. The study was carried out at the University Hospital and Shebin El-Kom Teaching Hospital's labor wards in the Menoufia Governorate of Egypt. A convenience sample of fifty maternity nurses, and a purposive sample of two hundred pregnant women from the study settings were randomly selected. A structured interview questionnaire filled out by the maternity nurses, an observational checklist of maternity nurses' procedures, and a structured interview questionnaire filled out by the women were all used to collect the data. Results: Following the intervention, maternity nurses scored higher on both measures of knowledge and use of the digital Partograph than they had previously (75% and 90%, up from 5% and 6%, respectively). While the paper partograph was useful, the digital partograph was more accurate in predicting the chance of inferior maternal outcomes (prolonged labor 3 versus 11, cesarean section 3 versus 6, oxytocin augmentation 2 versus 4, and serious maternal morbidity or death 12 versus 22). Furthermore, when compared to the paper Partograph, the digital Partograph outperformed it in predicting the likelihood of poor fetal outcomes (7 versus 13 newborn resuscitations needed and none versus 1). Conclusion: As compared to the paper partograph, the digital version is simple to use, well-accepted, inexpensive, less invasive, and helpful in labor management, all of which contribute to a better chance of a safe birth for the mother and a healthy newborn. Recommendation: It is suggested that the digital Partograph be incorporated into labor management guidelines to aid in prompt decision-making for urgent obstetric interventions.