A Systematic Review of Nurses' Perceptions of Electronic Health Record Usability Based on the Human Factor Goals of Satisfaction, Performance, and Safety

被引:5
|
作者
Park, Suhyun [1 ]
Marquard, Jenna [1 ]
Austin, Robin R. [1 ]
Pieczkiewicz, David
Jantraporn, Ratchada [1 ]
Delaney, Connie White [1 ]
机构
[1] Univ Minnesota, Sch Nursing, 5-140 Weaver Densford Hall,308 Harvard St SE, Minneapolis, MN 55455 USA
关键词
Electronic health records; Electronic medical records; Nurse; Software design; Systematic review; MEDICAL-RECORD; CARE; DOCUMENTATION; WORKAROUNDS; ACCEPTANCE; TIME;
D O I
10.1097/CIN.0000000000001084
中图分类号
TP39 [计算机的应用];
学科分类号
081203 ; 0835 ;
摘要
The poor usability of electronic health records contributes to increased nurses' workload, workarounds, and potential threats to patient safety. Understanding nurses' perceptions of electronic health record usability and incorporating human factors engineering principles are essential for improving electronic health records and aligning them with nursing workflows. This review aimed to synthesize studies focused on nurses' perceived electronic health record usability and categorize the findings in alignment with three human factor goals: satisfaction, performance, and safety. This systematic review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. Five hundred forty-nine studies were identified from January 2009 to June 2023. Twenty-one studies were included in this review. The majority of the studies utilized reliable and validated questionnaires (n = 15) to capture the viewpoints of hospital-based nurses (n = 20). When categorizing usability-related findings according to the goals of good human factor design, namely, improving satisfaction, performance, and safety, studies used performance-related measures most. Only four studies measured safety-related aspects of electronic health record usability. Electronic health record redesign is necessary to improve nurses' perceptions of electronic health record usability, but future efforts should systematically address all three goals of good human factor design.
引用
收藏
页码:168 / 175
页数:8
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