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Post-Implementation Study of a Nursing e-Chart: How Nurses Use Their Time

机译:养护理措施的实施后研究:护士如何使用他们的时间

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Nursing documentation is a significant component of electronic health records nevertheless integrating a new chart into nursing activities required multiples strategies to ensure adherence. Current literature demonstrates that nurses spend part of their time performing activities no related with patients' direct care and sometimes even does not fall under their purview. Thus it is important to quantify the effect that a new system could have in the proportion of time dedicated to documentation. The objective of this work was to determine the time dedicated to different activities including those related to electronic documentation after the implementation of a renewed nurse chart in an Electronic Health Record at Hospital Italiano de Buenos Aires. An observational, cross sectional and work sampling study was performed. During the study 2396 observations were made in 3 wards. Nurses' activities included 36.09% of direct care, 28.9% of indirect care, 0.67% support tasks, 22.99% non related to patient tasks, 11.32% personal activities and documenting on EHR 17.43%. The comparison with the previous study shows indirect care activities decreased 12.28% and non-related to patients increased 11.85%. The results demonstrate that the new nurses' e-chart did not increase documentation time.
机译:护理文件是电子健康记录的重要组成部分,但是将新图表集成到护理活动中所需的倍数策略,以确保遵守。目前的文献表明,护士花费部分时间表演与患者的直接护理无关,有时甚至不会落在他们的尺寸下。因此,重要的是要量化新系统可以在专用于文档的时间比例中具有的效果。这项工作的目的是确定致力于不同活动的时间,包括在医院Italiano de Buenos Aires的电子健康记录中实施重新护士图表后与电子文件相关的时间。进行了观察,横截面和工作抽样研究。在研究期间,在3个病房中进行了2396个观察。护士的活动包括36.09%的直接护理,28.9%的间接护理,支持任务0.67%,与患者任务有关的22.99%,个人活动11.32%,ehr记录17.43%。与前一项研究的比较显示间接护理活动减少了12.28%,与患者无关增加11.85%。结果表明,新护士的电子图表没有增加文档时间。

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