Implementation of an electronic nursing care plan in a training and research hospital: qualitative examination of nurses' experiences and opinions

Çiçek Korkmaz, Ayşe; Efe Sayan, Nazlıhan; Çiçek Korkmaz, Ayşe; Efe Sayan, Nazlıhan

Ayşe Çiçek Korkmaz

Nazlıhan Efe Sayan

Abstract

Aims: The aim of this study was to qualitatively examine how the electronic nursing care plan system, which was recently implemented in a training and research hospital, was evaluated by nurses, the difficulties encountered during the integration process of the system and the solution suggestions for these difficulties.
Methods: The study was conducted with a qualitative research design and was conducted with 16 nurses using the electronic nursing care plan in a 350-bed training and research hospital in Bandırma. Data were collected between December 2022 and February 2023 using a semi-structured interview form. Interviews were audio recorded and continued until data saturation was reached. Data were analysed using content analysis.
Results: The findings of the study were categorized under three main themes: the benefits of electronic nursing care plans, problems experienced in their implementation, and suggestions for improvement. Nurses stated that electronic care plans provide safe and effective record management, time saving and efficiency, and improve the quality of patient care. However, they stated that they faced various difficulties such as technological and systemic problems (e.g., lack of nursing diagnoses, insufficient computers and slow system) and work process problems (e.g., lack of training and the need to print out care plans). Suggestions for improvement included increasing the number of nursing diagnoses and interventions in the system, increasing the number of computers, and providing periodic trainings.
Conclusion: The results of this study show that electronic nursing care plans provide significant advantages in nursing practice, but there are some technological and systemic challenges and business process problems. Nurses made various suggestions for improvement in order to use these systems more effectively and efficiently. The study fills an important gap in the literature in this field by addressing the dynamics of electronic nursing care plans in the initial phase and the adaptation process of nurses. As a result, solving the problems experienced in the integration process of electronic nursing care plans will both improve the quality of patient care and reduce the workload of nurses. These findings have important implications for healthcare managers and policy makers in strategic planning and implementation processes.

Keywords : Electronic care plan, nursing, nursing care

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1. Adereti, C. S., & Olaogun, A. (2019). Use of electronic and paper-based standardized nursing care plans to improve nurses’ documentation quality in a Nigerian teaching hospital. Int J Nurs Knowl, 30(4), 219-227.
2. Aleandri, M., Scalorbi, S., & Pirazzini, M. C. (2022). Electronic nursing care plans through the use of NANDA, NOC, and NIC taxonomies in community setting: a descriptive study in northern Italy.Int J Nurs Knowl, 33(1), 72-80.
3. Ausserhofer, D., Favez, L., Simon, M., & Zúñiga, F. (2021). Electronic health record use in Swiss nursing homes and its association with implicit rationing of nursing care documentation: multicenter cross-sectional survey study. JMIR Med Informatics,9(3), e22974.
4. Bilgiç, Ş., & Şendir, M. (2014). Nursing Informatics. Cumhuriyet Nurs J, 3(1), 24-28.
5. Birol, L. (2014). Nursing Process. İzmir; Impact Printing and Publishing, s.97-241.
6. Buçan Kırkbir, İ., & Kurt, T. (2020). The impotance of clinical decision support systems in nursing informatics and decision making. J Nurs Sci, 3 (3), 28-31.
7. Büyükyılmaz, F., & Kaya H. (2016). Structuring electronic nursing documentation: a systematic review of the literature. Florence Nightingale J Nurs, 24(2), 106-117.
8. Çakırlar, A., & Mendi, B. (2016). Evaluation of nurses’ knowledge and attitudes within the scope of electronic health record and informatics applications. Istanbul Bilim Uni Florence Nightingale J Med, 2(1), 32-39.
9. Dahm, M.F., & Wadensten, B. (2008). Nurses’ experiences of and opinions about using standardized care plans in electronic health records, J Clin Nurs, 17(16):2137-2145.
10. Darmer, M. R., Ankersen, L., Nielsen, B. G., Landberger, G., Lippert, E., & Egerod, I. (2004). The effect of a VIPS implementation programme on nurses’ knowledge and attitudes towards documentation.Scandinavian J Caring Sci,18(3), 325-332.
11. De Veer, A. J., & Francke, A. L. (2010). Attitudes of nursing staff towards electronic patient records: a questionnaire survey.Int J Nurs Studies,47(7), 846-854.
12. Demiray, T., & Babaoğlu, E. (2021). Examination of nurses’ views on care plans applied in electronic environment: a qualitative study.J Nurs Sci, 4(1), 11-17.
13. Erdoğan, S. (2003). Nursing’s next advance: standardizing the language for nursing practice. Florence Nightingale J Nurs, 50, 1-13.
14. Eriş, H. (2016). The opinion of the nurses working in the hospitals about the electronic medical records they use: Şanlıurfa example.Health Care Acad J,3(3), 93-99.
15. Escalada-Hernández, P., Muñoz-Hermoso, P., González-Fraile, E., et al. (2015). A retrospective study of nursing diagnoses, out comes, and interventions for patients with mental disorders. Applied Nurs Res, 28(2), 92-98.
16. Häyrinen, K., Lammintakanen, J., & Saranto, K. (2010). Evaluation of electronic nursing documentation-nursing process model and standardized terminologies as keys to visible and transparent nursing. Int J Med Informat. 79(8), 554-564.
17. Holmberg, K., Adgar, A., Arnaiz, A., Jantunen, E., Mascolo, J., & Mekid, S. (Eds.). (2010).E-maintenance. Springer Sci & Business Media.
18. Laukvik, L. B., Lyngstad, M., Rotegård, A. K., & Fossum, M. (2024). Utilizing nursing standards in electronic health records: a descriptive qualitative study.Int J Med Informat,184, 105350.
19. Lee, M., & Lee, S. (2021). Implementation of an electronic nursing record for nursing documentation and communication of patient care information in a tertiary teaching hospital, computers, Informat Nurs, 39(3), 136-144.
20. Mendi, B. (2016). Health Informatics and Current Applications. Nobel Medical Bookstore. 128-139.
21. Müller-Staub, M., Needham, I., Odenbreit, M., Ann Lavin, M., & Van Achterberg, T. (2007). Improved quality of nursing documentation: results of a nursing diagnoses, interventions, and outcomes implementation study.Int J Nurs Terminol Classif,18(1), 5-17. https://doi.org/10.1111/j.1744-618X.2007.00043.x
22. Öngün, E. & Eyi, S. (2020). Nursing care plan standardization and its mobile/web delivery application: an interactive tool developed for nurse practitioners and their supervisors. Soc Sci Res J, 9(3), 66-84.
23. Özen, N., Yazıcıoğlu, İ., & Çınar, İ.F. (2017). Analyzing the correlation between the attitudes of nursing students towards using computers in health care and clinical decision-making skills. J Edu Res Nurs, 14(2), 112-118.
24. Öztürk, İ., Varlı, G., & Aslan, S. K. (2022). Evaluation of the nurses electronic care plan uses in terms of time and patient care practices: a special hospital example. Health Sci Uni J Nurs,4(1), 15-20.
25. Russell, C. K., & McNeill, M. (2023). Implementing a care plan system in a community hospital electronic health record.CIN: Comp Infor Nurs,41(2), 102-109.
26. Şanlı, D., & Platin, N. (2015). The effect of biomedical model on nursing.Int J Human Sci,12(2), 897-908.
27. Toker, A. (2022). A guide for qualitative data analysis in social sciences. Pamukkale Uni J Soc Sci Inst, (51), 319-345.
28. Tsai, C. H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., & Koch, S. (2020). Effects of electronic health record implementation and barriers to adoption and use: a scoping review and qualitative analysis of the content. Life (Basel), 10(12), 327.
29. Yılmaz, A. (2014). Implementation of the clinical decision support system related to caring for cancer patients and opinions of nurses. Accessed (May 17, 2018.): https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp
30. Yurtsever, İ., & Karagözoğlu, Ş. (2020). The views and suggestions of nurses working at a university hospital on improving the nursing care plan used in the hospital: a mixed-model study.J Hacettepe Uni Fac Nurs, 7(3), 215-225.

Article available in :

Volume 1, Issue 3, 2024
Page : 55-62

https://doi.org/10.51271/JNCR-0011

Article Information

Received : 13 Tem 2024
Accepted : 22 Ağu 2024
Published : 20 Eyl 2024

Corresponding Author :

Ayşe Çiçek Korkmaz: Department of Nursing, Faculty of Health Sciences, Bandırma Onyedi Eylül University Balıkesir, Turkiye

[email protected]

Citation : Çiçek Korkmaz, A., & Efe Sayan, N. (2024). Implementation of an electronic nursing care plan in a training and research hospital: qualitative examination of nurses’ experiences and opinions. J Nurs Care Res. 1(3),55-62.

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Journal of Nursing Care Research

eISSN: 3023-7270

Creative Commons CC BY-NC-ND 4.0 International License.

Abstract

Journal of Nursing Care Research

eISSN: 3023-7270

Creative Commons CC BY-NC-ND 4.0 International License.

Abstract

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