title: Electronic personal health record use among registered nurses.
abstract: BACKGROUND
  Nurses promote self-care and active participation of individuals in managing their health care, yet little is known about their own use of electronic personal health records (ePHRs). The purpose of this study was to examine factors associated with ePHR use by nurses for their own health management.
  
  
  METHODS
  A total of 664 registered nurses working in 12 hospitals in the Maryland and Washington DC area participated in an online survey from December 2013 to January 2014. Multiple logistic regression models identified factors associated with ePHR use.
  
  
  RESULTS
  More than a third (41%; 95% confidence interval [CI], 0.37-0.44) of the respondents were ePHR users. There was no variation between ePHR users and nonusers by demographic or job-related information. However, ePHR users were more likely to be active health care consumers (i.e., have a chronic medical condition and take prescribed medications; odds ratio [OR] = 1.64; 95% CI, 1.06-2.53) and have health care providers who used electronic health records for care (OR = 3.62; 95% CI, 2.45-5.36).
  
  
  CONCLUSIONS
  Nurses were proactive in managing their chronic medical conditions and prescribed medication use with ePHRs. ePHR use by nurses can be facilitated by increasing use of electronic health records.
authors.affiliation: National Institutes of Health/National Library of Medicine/ Lister Hill National Center for Biomedical Communications, Bethesda, MD. Electronic address: kyungsook.gartrell@nih.gov.
authors.forename: Kyungsook
authors.initials: K
authors.lastname: Gartrell
authors.affiliation: University of Maryland School of Nursing, Baltimore, MD.
authors.forename: Carla L
authors.initials: CL
authors.lastname: Storr
authors.affiliation: University of Maryland School of Nursing, Baltimore, MD.
authors.forename: Alison M
authors.initials: AM
authors.lastname: Trinkoff
authors.affiliation: Johns Hopkins University School of Nursing, Baltimore, MD.
authors.forename: Marisa L
authors.initials: ML
authors.lastname: Wilson
authors.affiliation: Armstrong Institute for Patient Safety and Quality, Department of Anesthesiology, Critical Care Medicine, Johns Hopkins Medicine, Baltimore, MD.
authors.forename: Ayse P
authors.initials: AP
authors.lastname: Gurses
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005260:Female; D015438:Health Behavior; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000523:psychology*; D012648:Self Care; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Chronic condition and medication use; Electronic health record; Health care provider; Nurse; Personal health record