Abstract
As demonstrated by several studies, nurses are reluctant to use poorly designed computerised patient records (CPR). So far, little is known about the nurses’ interaction with paper-based patient records. However, these practices should guide the design of a CPR system. Hence, we investigated the nurses’ work with the patient records by means of observations and structured interviews on wards in internal medicine, geriatrics and surgery. Depending on the working context and the nursing tasks and activities to be performed, characteristic access preferences and patterns were identified when nurses interacted with patient records. In particular, we found typical interaction patterns when nurses performed tasks that included all assigned patients. Another important finding concerns worksheets. Nurses use them during their whole shift to manage all relevant information in a concise way. Based on our findings, we suggest a CPR design which reflects the identified practices and should improve the acceptance of CPR systems in the demanding hospital environment.
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References
Ammenwerth, E., Buchauer, A., Bludau, B., Haux, R.: Mobile information and communication tools in the hospital, IMIA Yearbook pp.338–357 (2001)
Ragneskog, H., Gerdnert, L.: Competence in nursing informatics among nursing students and staff at a nursing institute in Sweden. Health Inf. Lib. J. 23, 126–132 (2006)
Brender, J., Ammenwerth, E., Nykänen, P., Talmon, J.: Factors Influencing Success and Failure of Health Informatics Systems. Meth. Inf. Med. 45, 125–136 (2006)
Berglund, M., Nilsson, Ch., Revay, P., Petersson, G., Nilsson, G.: Nurses’ and nurse students’ demands of functions and usability in a PDA. Int. J. Med. Inf. 76, 530–537 (2007)
Choi, J., et al.: MobileNurse: hand-held information system for point of nursing care. Computer Methods and Programs in Biomedicine 74, 245–254 (2004)
Wu, J., Wang, S., Lin, L.: Mobile computing acceptance factors in the healthcare industry: A structural equation model. Int. J. Med. Inf. 76(1), 66–77 (2007)
Potter, P., Boxerman, S., Sledge, J.A., Boxerman, S.B., Grayson, D., Evanoff, B.: Mapping the nursing process. J. of Nursing Administration 34, 101–109 (2004)
Wolf, L.D., Potter, P., Sledge, J.A., Boxerman, S.B.: Grayson, Describing nurses’ work: combining quantitative and qualitative analysis. Human Factors 48(1), 5–14 (2006)
Ebright, P.R., Patterson, E.S., Chalko, B.A.: Understanding the complexity of registered nurse work in acute care settings. J. of Nursing Administration 33, 630–638 (2003)
Ammenwerth, E., Kutscha, U., Kutscha, A., Mahler, C., Eichstadter, R., Haux, R.: Nursing process documentation systems in clinical routine - prerequisites and experiences. Int. J. Med. Inf. 64, 187–200 (2001)
Poissant, L., Pereira, J., Tamblyn, R., Kawasumi, Y.: The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. JAMIA 12(5), 505–516 (2005)
Darbyshire, Ph.: Rage against the machine?’: nurses’ and midwives’ experiences of using Computerized Patient Information Systems for clinical information. J. Clin. Nurs. 13, 17–25 (2003)
Oulasvirta, A.: The Fragmentation of Attention in Mobile Interaction and What to Do with It. Interactions 12(6), 16–18 (2005)
Rauterberg, M., Spinas, Ph., Strohm, O., Ulich, E., Waeber, D.: Benutzerorientierte Software-Entwicklung, vdf (1994)
van der Meijden, M.J., Tange, H.J., Boiten, J., Troost, J., Hasman, A.: An experimental electronic patient record for stroke patients. Part 1: Situation analysis. Int. J. Med. Inf. 125, 58–59 (2000)
van der Meijden, M.J., Tange, H.J., Boiten, J., Troost, J., Hasman, A.: An experimental electronic patient record for stroke patients. Part 2: System description. Int. J. Med. Inf. 58-59, 127–140 (2000)
Ammenwerth, E., et al.: PIK-Studie 2000/2001, Evaluation rechnergestützter Pflege-dokumentation auf vier Pilotstationen, Forschungsbericht der Univers. Heidelberg (2001)
Parker, J., Brooker, Ch.: Everyday English for International Nurses. A guide to working in the UK, Churchill Livingstone (2004)
Martin, A., Hinds, C., Felix, M.: Documentation practices of nurses in long-term care. J. Clin. Nurs. 8, 345–352 (1999)
Manias, E., Aitken, R., Dunning, T.: How graduate nurses use protocols to manage patients’ medications. J. Clin. Nurs. 14, 935–944 (2005)
Manias, E., Street, A.: Nurse-doctor interactions during critical care ward rounds. J. Clin. Nurs. 10, 442–450 (2001)
Hardey, M., Payne, S., Coleman, P.: Scraps: Hidden nursing information and its influence on the delivery of care. J. Adv. Nurs. 32, 208–214 (2000)
Kerr, M.P.: A qualitative study of shift handover practice and function from a socio-technical perspective. J. Adv. Nurs. 37(2), 125–134 (2002)
Strople, B., Ottani, P.: Can Technology improve intershift report? What the research reveals. J. of Professional Nursing 22(3), 197–204 (2006)
Allen, D.: Record-keeping and routine nursing practices: the view from the wards. J. Adv. Nurs. 27, 1223–1230 (1998)
Payne, S., Hardey, M., Coleman, P.: Interactions between nurses during handovers in elderly care. J. Adv. Nurs. 32(2), 277–285 (2000)
Tang, P., LaRosa, M., Gorden, S.: Use of Computer-based Records, Completeness of Documentation, and Appropriatness of Documented Clinical Decission. JAMIA 6, 245–251 (1999)
Reuss, E.: Visualisierungs- und Navigationskonzepte für das computerbasierte Patienten-dossier im Spital. Dissertationsschrift, ETH Zürich (2004)
Watters, C., Duffy, J., Duffy, K.: Using large tables on small display devices. Int. J. Human-Computer Studies 58, 21–37 (2003)
Cole, E., Pisano, E.D., Clary, G.J., Zeng, D., Koomen, M., Kuzmiak, C.M., Kyoung, B., Pavic, Y.D.: A comparative study of mobile electronic data entry systems for clinical trials data collection. Int. J. Med. Inf. 75(10-11), 722–729 (2006)
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Reuss, E., Keller, R., Naef, R., Hunziker, S., Furler, L. (2007). Nurses’ Working Practices: What Can We Learn for Designing Computerised Patient Record Systems?. In: Holzinger, A. (eds) HCI and Usability for Medicine and Health Care. USAB 2007. Lecture Notes in Computer Science, vol 4799. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-76805-0_4
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DOI: https://doi.org/10.1007/978-3-540-76805-0_4
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