Author:
Park Suhyun,Marquard Jenna,Austin Robin R.,Pieczkiewicz David,Jantraporn Ratchada,Delaney Connie White
Abstract
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.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Reference35 articles.
1. A time and motion analysis of nursing workload and electronic health record use in the emergency department;Journal of Emergency Nursing,2021
2. Nurses' stress associated with nursing activities and electronic health records: data triangulation from continuous stress monitoring, perceived workload, and a time motion study;American Medical Informatics Association Annual Symposium Proceedings,2020
3. Time spent by intensive care unit nurses on the electronic health record;Critical Care Nurse,2022
4. Neonatal nurses experience unintended consequences and risks to patient safety with electronic health records;CIN: Computers, Informatics, Nursing,2018
5. Electronic health record usability and workload changes over time for provider and nursing staff following transition to new EHR;Applied Ergonomics,2021