title: Statewide Study to Assess Nurses' Experiences With Meaningful Use-Based Electronic Health Records.
abstract: Nursing professionals are at the frontline of the health information technology revolution. The Texas Nurses Association and Texas Organization of Nurse Executives partnered to evaluate the changing health technology environment in Texas, in particular the nurses' satisfaction with the use of clinical information systems. A descriptive exploratory study using the Clinical Information System Implementation Evaluation Scale and a newly developed Demographic Survey and the Meaningful Use Maturity-Sensitive Index, with a narrative component, was conducted in 2014 and 2015. Nurses across Texas received an electronic invitation to participate in the survey, resulting in 1177 respondents. Exploratory factor analysis revealed that variables of the Meaningful Use Maturity-Sensitive Index and Clinical Information System Implementation Evaluation Scale show strong interrater reliability, with Cronbach's α scores of .889 and .881, respectively, and thereby inform the survey analysis, indicating and explaining variations in regional and institutional trends with respect to satisfaction. For example, the maturity of a clinical information system within an organization and age of the nurse significantly influence the probability of nurse satisfaction (P < .05). Qualitative analysis of nurses' narratives further explained the nurses' experiences. Recommendations for future research and educational were identified.
authors.affiliation: Author Affiliations: Texas Tech University Health Science Center, School of Nursing, Lubbock (Dr McBride), Texas Woman's University, College of Nursing, Dallas (Dr Tietze); Sul Ross State University Rio Grand College, Alpine (Dr. Hanley); and Texas Tech Health University Sciences Center, School of Nursing, Lubbock (Dr Thomas), Texas.
authors.forename: Susan
authors.initials: S
authors.lastname: McBride
authors.forename: Mari
authors.initials: M
authors.lastname: Tietze
authors.forename: Mary Anne
authors.initials: MA
authors.lastname: Hanley
authors.forename: Laura
authors.initials: L
authors.lastname: Thomas
mesh_terms: D000293:Adolescent; D001291:Attitude of Health Personnel; D020000:Decision Support Systems, Clinical / Q000706:statistics & numerical data*; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D062527:Meaningful Use; D008875:Middle Aged; D009718:Nurse Administrators / Q000523:psychology; D048108:Nursing Informatics; D009741:Nursing Staff, Hospital / Q000523:psychology*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D013781:Texas; D057188:Workflow; D055815:Young Adult