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Sjuksköterskors uppfattning av elektronisk dokumentation avseende tidsåtgång, teknik och vårdkvalitet
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2011 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Documentation in electronic journals is perceived as time consuming and sometimes technically difficult to handle, but also leads to an improved quality of care. Objective: The purpose of this study was to investigate nurses' perceptions of documentation with a focus on timing, technique and quality of care and whether any differences in these perceptions were dependent on age. Method: Quantitative descriptive cross-sectional study in the survey form, 28 nurses at a university hospital in central Sweden participated in the study. Regression analysis was performed with Spearman's rank correlation coefficient. Results: Electronic documentation takes 30 to 60 minutes for most nurses and half of them considered it a reasonable time. Computer skills were good enough for most, but the computers and the electronic patient record system Cosmic were experienced to work less well or badly in half the study group. Two-thirds of the studygroup agreed partly or more to that the quality of care is adversely affected because of the time documentation takes from the patient care. However, about half of the study group agreed that electronic patient records increase health care quality and patient safety. Care plans were used to a great extent. Young nurses rated themselves significantly better than the older ones to handle a computer in their daily work. Conclusion: A variety of problems and perceptions exist in connection with electronic documentation. Continuous development of technology, documentation systems and the use of care plans can contribute to the continuing high quality of care and patient safety.

Abstract [sv]

Dokumentation i elektronisk journal uppfattas som tidskrävande och ibland tekniskt svår att hantera, men leder även till en ökad vårdkvalitet. Syfte: Studiens syfte var att undersöka sjuksköterskors uppfattningar av dokumentering med fokus på tidsåtgång, teknik och vårdkvalitet samt om eventuella skillnader i dessa uppfattningar fanns beroende på ålder. Metod: Kvantitativ deskriptiv tvärsnittsstudie i enkätform, 28 sjuksköterskor vid ett universitetssjukhus i Mellansverige deltog i studien. Sambandsanalys utfördes med Spearmans rangkorrelationskoefficient. Resultat: Elektronisk dokumentation tar 30 till 60 minuter för de flesta sjuksköterskorna och hälften ansåg att detta var en rimlig tid. Datorvanan var tillräckligt god hos de flesta, men datorerna och dokumentationssystemet Cosmic upplevdes fungera mindre bra eller dåligt hos hälften av undersökningsgruppen. Två tredjedelar instämde delvis eller mer i att vårdkvalitén påverkas negativt på grund av den tid dokumentation tar från patientvården. Ungefär hälften instämde i att elektronisk dokumentation bidrar till en ökad vårdkvalité samt patientsäkerhet. Vårdplaner används i hög utsträckning. Yngre sjuksköterskor skattade sig signifikant bättre än äldre på att hantera en dator i det dagliga arbetet. Slutsats: Flera olika problem och uppfattningar föreligger i samband med elektronisk dokumentation. Kontinuerlig utveckling av tekniken, dokumentationssystemen och användandet av vårdplaner kan bidra till en fortsatt hög vårdkvalitet samt patientsäkerhet.

Place, publisher, year, edition, pages
2011. , 32 p.
Keyword [en]
nurses, documentation, electronic patient records, quality of care
Keyword [sv]
sjuksköterskor, dokumentation, elektronisk journal, vårdkvalitet
Identifiers
URN: urn:nbn:se:uu:diva-154251OAI: oai:DiVA.org:uu-154251DiVA: diva2:419704
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Uppsok
Medicine
Supervisors
Examiners
Available from: 2011-06-01 Created: 2011-05-27 Last updated: 2011-06-01Bibliographically approved

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