Information Use with Paper and Electronic Nursing Documentation by Nurses Caring for Pediatric Patients

dc.contributor.advisor

Brandon, Debra H.

dc.contributor.author

Kelley, Tiffany Frances

dc.date.accessioned

2012-09-04T13:17:32Z

dc.date.available

2013-08-30T04:30:05Z

dc.date.issued

2012

dc.department

Nursing

dc.description.abstract

This dissertation aimed to investigate the use of electronic nursing documentation as a strategy to improve the quality of care provided to hospitalized patients. The literature to support the use of electronic nursing documentation on the quality of care delivered to patients is limited to date. Additionally, the literature describing the use of information for the delivery of care on paper-based nursing documentation is limited. This dissertation reviews the current literature, investigated the knowledge needed for nurses to know their patients and established categories of nurses' information needs as preliminary work to be able to descriptively compare the use of paper with electronic nursing documentation on inpatient care units within a hospital setting. The main study conducted for this investigation used a mixed-methods multiple case study design, to describe the processes of information use on two inpatient care units, while first using paper and subsequently electronic nursing documentation. Findings revealed the importance of the categories of nurses' information needs for both cases in addition to the use of verbal, paper-based and electronic information sources for the collection, communication and temporary storage of information needs. Additionally, the conversion to electronic nursing documentation introduced new challenges related to three quality metrics: efficiency, timeliness and safety. Recommendations are provided for further evaluation of electronic health records with additional consideration for appropriate hardware devices in the context of the care environment.

dc.identifier.uri

https://hdl.handle.net/10161/5862

dc.subject

Nursing

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Electronic Health Records

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Hospitalized Patients

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Information Needs

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Nursing Documentation

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Quality of Care

dc.title

Information Use with Paper and Electronic Nursing Documentation by Nurses Caring for Pediatric Patients

dc.type

Dissertation

duke.embargo.months

12

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