Abstract
Implementation of an electronic medical record (EMR) is a significant workplace event for nurses in hospitals. Understanding nurses' key concerns can inform EMR implementation and ongoing optimization strategies to increase the likelihood of nurses remaining in the nursing workforce. This concurrent mixed-methods study included surveys from 540 nurses (response rate 15.5%), and interviews with 63 nurses to examine their perceptions of using a new EMR prior to implementation at a single healthcare organization. Survey findings revealed 32.2% (n = 174) of nurses reported low well-being scores and 28.7% (n = 155) were experiencing burnout symptoms. In contrast, 40.3% (n = 216) of nurses reported high work satisfaction, 62.3% (n = 334) had high intentions of staying in their role, and 34.3% (n = 185) were engaged in their work. Nearly half (n = 250, 46.3%) reported intrinsic motivation towards EMR use. Thematic analysis of focus group interviews revealed two themes, each with three sub-themes: (1) Us and Them, detailed the juxtaposition between nurses' professional role and anticipated changes imposed on them and their work with the EMR implementation; and (2) Stuck in the middle, revealed nurses' expectations and anticipations about how the EMR may affect the quality of nurse-patient relationships. In conclusion, anticipation of the EMR implementation emerged as a stressor for nursing staff, with some groups of nurses particularly vulnerable to negative consequences to their well-being.
Notes
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Sigma Membership
Psi Zeta at-Large
Lead Author Affiliation
Monash Medical Centre, Melbourne, Victoria, Australia
Type
Article
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Mixed/Multi Method Research
Keywords:
Nursing Workforce, Electronic Medical Record, Motivation, Work Engagement, Well-being, Burnout, Health Communication
Recommended Citation
Jedwab, Rebecca M.; Hutchinson, Alison M.; Manias, Elizabeth; Calvo, Rafael A.; Dobroff, Naomi; Glozier, Nicholas; and Redley, Bernice, "Nurse motivation, engagement and well-being before an electronic medical record system implementation: A mixed methods study" (2021). Individual Articles. 17.
https://www.sigmarepository.org/individual_articles/17
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Identifier Type
0 1
Publisher
International Journal of Environmental Research and Public Health, 18(5), 2726.
Version
Publisher's Version
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
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Review Type
External Review: Previously Published Material
Acquisition
Indexed from External Source (Per Creative Commons License)
Date of Issue
2021-03-08
Full Text of Presentation
wf_yes
Description
The authors gratefully thank all participants and acknowledge support given by Michael Leiter (M.L.), Helen Rawson and Cheyne Chalmers as members of the project team, and Emilio Pozo and Katrina Nankervis. R.M.J. is a recipient of an Australian Government Research Training Program Scholarship through Deakin University's Institute for Health Transformation and has received a research grant from the Nurses Board of Victoria Legacy Limited and an Australian Nurses Memorial Centre Australian Legion of Ex-Servicemen and Women Scholarship to support this PhD project.