title: Nurses' expectations and perceptions of a redesigned Electronic Health Record.
abstract: When a new Electronic Health Record is implemented or modifications are made, the full acceptance by end users depends on their expectations and perceptions about the possible benefits and the potential impacts on care quality. The redesign of an electronic nurse chart should consider the inherent characteristics of nurses' practice and the variables that may influence the implementation and use of the new chart. In this study, a qualitative method evaluated nurses' expectations and perceptions about the implementation impacts of a redesigned nurse chart in an electronic health record at Hospital Italiano de Buenos Aires. Seventy-four nurses participated in three operative groups. Following ground theory, three analytic dimensions were found: impact at work, communication and chart quality. In addition, time was a recurrent topic. Nurses found it difficult to think positively if reduction in time of documentation was not assured.
authors.affiliation: Department of Health Informatics de Buenos Aires.
authors.forename: Zulma
authors.initials: Z
authors.lastname: Gonzalez
authors.affiliation: Department of Health Informatics de Buenos Aires.
authors.forename: Francisco
authors.initials: F
authors.lastname: Recondo
authors.affiliation: Department of Health Informatics de Buenos Aires.
authors.forename: Janine
authors.initials: J
authors.lastname: Sommer
authors.affiliation: Department of Health Informatics de Buenos Aires.
authors.forename: Bibiana
authors.initials: B
authors.lastname: Schachner
authors.affiliation: Department of Health Informatics de Buenos Aires.
authors.forename: Gabriela
authors.initials: G
authors.lastname: Garcia
authors.affiliation: Department of Health Informatics de Buenos Aires.
authors.forename: Daniel
authors.initials: D
authors.lastname: Luna
authors.affiliation: Department of Health Informatics de Buenos Aires.
authors.forename: Sonia
authors.initials: S
authors.lastname: Benítez
mesh_terms: D000328:Adult; D059031:Anticipation, Psychological; D001118:Argentina; D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D003258:Consumer Behavior / Q000706:statistics & numerical data*; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009726:Nurses / Q000523:psychology / Q000706:statistics & numerical data*; D014584:User-Computer Interface; D014600:Utilization Review; D057188:Workflow; D016526:Workload / Q000706:statistics & numerical data*; D055815:Young Adult