The Relationship Between Electronic Nursing Care Reminders and Missed Nursing Care.

Nursing;Reminders;Healthcare Information Technology;Missed Nursing Care;Clinical Decision Support;Informatics;Nursing;Health Sciences;Nursing

Piscotty, Ronald J.Brokel, Jane M. ;

University of Michigan

关键词: Nursing;    Reminders;    Healthcare Information Technology;    Missed Nursing Care;    Clinical Decision Support;    Informatics;    Nursing;    Health Sciences;    Nursing;   

Others  :  https://deepblue.lib.umich.edu/bitstream/handle/2027.42/99968/piscotty_1.pdf?sequence=1&isAllowed=y

瑞士|英语

来源: The Illinois Digital Environment for Access to Learning and Scholarship

【 摘 要 】

Purpose: The purpose of this descriptive study was to: (1) determine the relationship between nurses’ level of use of reminders and missed nursing care, (2) examine mediators that may exist among variables, and (3) compare nurses with positive/negative reports on the impact of health care information technology on practice and level of use, to determine if they have lower levels of missed nursing care.Subjects: The sample (N = 165) consisted of staff nurses employed at a local hospital in the Midwestern United States during Fall 2012. The majority of the respondents held a Bachelor’s Degree as their highest level of education (n = 114, 69.1%). The majority of respondents were female (n = 145, 87.9%) and between the ages of 25 and 34 (n = 61, 37.0%). Methods: Surveys were administered online using the Qualtrics survey software. An email was sent to each nurse inviting him or her to participate. A reminder was sent to each nurse twice per week during the study period. Demographic data were analyzed using descriptive statistics and adjusted relationship, mediation, and comparisons were analyzed using hierarchical multiple regression analysis. Results: There was a significant negative relationship (beta = - .28, p < .001) between nursing care reminder usage and missed nursing care. There was a significant negative relationship (beta = - .34, p < .001) between the impact of healthcare information technology on practice and missed nursing care. Mediation was also determined to be occurring between nursing care reminders, impact of healthcare information technology on practice, and missed nursing care. Nurses with higher reports of reminder usage had decreased reports of missed nursing care (beta = -.22, p < .004). Nurses with higher perceptions of impact of healthcare IT (I-HIT) had decreased reports of missed nursing care (beta = -.27, p = .001).Conclusions: The findings from this study are significant and can be used to encourage nurses to use nursing care reminders, helpful for information system designers when designing nursing care reminders, and helpful to healthcare organizations in assessing the impact of technology on nursing practice.