title: Nurse Informaticians Report Low Satisfaction and Multi-level Concerns with Electronic Health Records: Results from an International Survey.
abstract: This study presents a qualitative content analysis of nurses' satisfaction and issues with current electronic health record (EHR) systems, as reflected in one of the largest international surveys of nursing informatics. Study participants from 45 countries (n=469) ranked their satisfaction with the current state of nursing functionality in EHRs as relatively low. Two-thirds of the participants (n=283) provided disconcerting comments when explaining their low satisfaction rankings. More than one half of the comments identified issues at the system level (e.g., poor system usability; non-integrated systems and poor interoperability; lack of standards; and limited functionality/missing components), followed by user-task issues (e.g., failure of systems to meet nursing clinical needs; non nursing-specific systems) and environment issues (e.g., low prevalence of EHRs; lack of user training). The study results call for the attention of international stakeholders (educators, managers, policy makers) to improve the current issues with EHRs from a nursing perspective.
authors.affiliation: Harvard Medical School & Brigham and Women's Hospital, Boston, USA.
authors.forename: Maxim
authors.initials: M
authors.lastname: Topaz
authors.affiliation: University of British Columbia, Vancouver, Canada & University of the West of England.
authors.forename: Charlene
authors.initials: C
authors.lastname: Ronquillo
authors.affiliation: Nursing Science, University of Turku and Turku University Hospital, Turku, Finland.
authors.forename: Laura-Maria
authors.initials: LM
authors.lastname: Peltonen
authors.affiliation: University of Minnesota, School of Nursing, MN, USA.
authors.forename: Lisiane
authors.initials: L
authors.lastname: Pruinelli
authors.affiliation: National Institute for Occupational Safety and Health, U.S. Centers for Disease Control and Prevention, USA.
authors.forename: Raymond Francis
authors.initials: RF
authors.lastname: Sarmiento
authors.affiliation: University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA.
authors.forename: Martha K
authors.initials: MK
authors.lastname: Badger
authors.affiliation: Carlow University, Pittsburgh, USA.
authors.forename: Samira
authors.initials: S
authors.lastname: Ali
authors.affiliation: Independent Researcher, Canada.
authors.forename: Adrienne
authors.initials: A
authors.lastname: Lewis
authors.affiliation: Faculty of Computing, Blekinge Institute of Technology, Karlskrona, Sweden.
authors.forename: Mattias
authors.initials: M
authors.lastname: Georgsson
authors.affiliation: College of Nursing, Seoul National University, Seoul, Republic of Korea.
authors.forename: Eunjoo
authors.initials: E
authors.lastname: Jeon
authors.affiliation: College of Nursing, Benguet State University, La Trinidad, Benguet, Philippines.
authors.forename: Jude L
authors.initials: JL
authors.lastname: Tayaben
authors.affiliation: Tzu Chi University of Science and Technology, Taiwan.
authors.forename: Chiu-Hsiang
authors.initials: CH
authors.lastname: Kuo
authors.affiliation: Deakin University, Victoria, Australia.
authors.forename: Tasneem
authors.initials: T
authors.lastname: Islam
authors.affiliation: Hospital Italiano, Buenos Aires, Argentina.
authors.forename: Janine
authors.initials: J
authors.lastname: Sommer
authors.affiliation: Biomedical and Health Informatics, University of Washington, Seattle, USA.
authors.forename: Hyunggu
authors.initials: H
authors.lastname: Jung
authors.affiliation: Instituto Federal do Paraná, Londrina, Brazil.
authors.forename: Gabrielle Jacklin
authors.initials: GJ
authors.lastname: Eler
authors.affiliation: Department of Information Systems, College of Engineering & Information Technology, University of Maryland, Baltimore County, USA.
authors.forename: Dari
authors.initials: D
authors.lastname: Alhuwail
authors.affiliation: Institute of Biomedical Informatics, National Yang Ming University, Taipei, Taiwan.
authors.forename: Ying-Li
authors.initials: YL
authors.lastname: Lee
mesh_terms: D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D057286:Electronic Health Records; D006801:Humans; D007588:Job Satisfaction; D009726:Nurses; D048108:Nursing Informatics; D011795:Surveys and Questionnaires