title: A Qualitative Case Study Exploring Nurse Engagement With Electronic Health Records and E-Prescribing.
abstract: There is a national focus on the adoption and use of electronic health records (EHRs) with electronic prescribing (e-Rx) for the goal of providing safe and quality care. Although there is a large body of literature on the benefits of adoption, there is also increasing evidence of the unintentional consequences resulting from use. As little is known about how use of EHR with e-Rx systems affects the roles and responsibilities of nurses, the purpose of this qualitative case study was to describe how nurses adapt to using an EHR with e-Rx system in a rural ambulatory care practice. Six themes emerged from the data. Findings revealed that nurses adjust their routine in response to providers' preferential behavior about EHR with e-Rx systems yet retained focus on the patient and care coordination. Although perceived as more efficient, EHR with e-Rx adoption increased workload and introduced safety risks.
authors.affiliation: Creighton University Center for Health Services Research and Patient Safety, Omaha, NE, USA Creighton University College of Nursing, Omaha, NE, USA aabbott@creighton.edu.
authors.forename: Amy Ann
authors.initials: AA
authors.lastname: Abbott
authors.affiliation: Creighton University Center for Health Services Research and Patient Safety, Omaha, NE, USA Creighton University School of Pharmacy and Health Professions, Omaha, NE, USA.
authors.forename: Kevin T
authors.initials: KT
authors.lastname: Fuji
authors.affiliation: Creighton University Center for Health Services Research and Patient Safety, Omaha, NE, USA Creighton University School of Pharmacy and Health Professions, Omaha, NE, USA.
authors.forename: Kimberly A
authors.initials: KA
authors.lastname: Galt
mesh_terms: D001291:Attitude of Health Personnel; D057286:Electronic Health Records / Q000639:trends*; D055695:Electronic Prescribing; D006801:Humans; D009726:Nurses / Q000523:psychology*; D036301:Qualitative Research
keywords: community; location of care; methods; nurses; nurses as subjects; patient safety; qualitative; workload