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Factors Associated with the Timeliness of Electronic Nursing Documentation
OBJECTIVES: To investigate the factors associated with the timeliness of electronic nursing documentation using the entry time on the Electronic Medical Record (EMR) system. METHODS: As a retrospective study, data were extracted from January 1 to February 28, 2014 from a hospital EMR system and a nu...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Medical Informatics
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5116538/ https://www.ncbi.nlm.nih.gov/pubmed/27895958 http://dx.doi.org/10.4258/hir.2016.22.4.270 |
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author | Ahn, Meejung Choi, Mona Kim, YoungAh |
author_facet | Ahn, Meejung Choi, Mona Kim, YoungAh |
author_sort | Ahn, Meejung |
collection | PubMed |
description | OBJECTIVES: To investigate the factors associated with the timeliness of electronic nursing documentation using the entry time on the Electronic Medical Record (EMR) system. METHODS: As a retrospective study, data were extracted from January 1 to February 28, 2014 from a hospital EMR system and a nurses’ personnel information system. The timeliness of instances of nursing documentation was categorized into ‘timely’ or ‘untimely’ according to whether the entry time was time-stamped within the working hours during each day, evening, or night shift. Factors associated with the timeliness of the electronic nursing documentation were included in the logistic regression models as nurse- and patient-associated factors. RESULTS: Among 1,700,247 instances of electronic nursing documentation, 79.3% (n = 1,347,711) were completed within the working hours. Years of nursing experience, nursing shift, days of the week, patients’ age, and medical department had a statistically significant associated with the timeliness of nursing records. Nurses with experience of more than 1 year entered nursing records over 2 times more during their working hours than did less experienced nurses. During the evening and night shifts, nurses were 1.49 times and 9.19 times more likely to enter nursing documents in a timely manner, respectively, as compared to those in the day shift. CONCLUSIONS: Nursing documentation was typically completed outside of working hours when a nurse had little experience, worked during the day shift or weekdays, and when tasks were unpredictable. This shows that new nurses need support to familiarize them with various tasks and the overall workflow. |
format | Online Article Text |
id | pubmed-5116538 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Korean Society of Medical Informatics |
record_format | MEDLINE/PubMed |
spelling | pubmed-51165382016-11-28 Factors Associated with the Timeliness of Electronic Nursing Documentation Ahn, Meejung Choi, Mona Kim, YoungAh Healthc Inform Res Original Article OBJECTIVES: To investigate the factors associated with the timeliness of electronic nursing documentation using the entry time on the Electronic Medical Record (EMR) system. METHODS: As a retrospective study, data were extracted from January 1 to February 28, 2014 from a hospital EMR system and a nurses’ personnel information system. The timeliness of instances of nursing documentation was categorized into ‘timely’ or ‘untimely’ according to whether the entry time was time-stamped within the working hours during each day, evening, or night shift. Factors associated with the timeliness of the electronic nursing documentation were included in the logistic regression models as nurse- and patient-associated factors. RESULTS: Among 1,700,247 instances of electronic nursing documentation, 79.3% (n = 1,347,711) were completed within the working hours. Years of nursing experience, nursing shift, days of the week, patients’ age, and medical department had a statistically significant associated with the timeliness of nursing records. Nurses with experience of more than 1 year entered nursing records over 2 times more during their working hours than did less experienced nurses. During the evening and night shifts, nurses were 1.49 times and 9.19 times more likely to enter nursing documents in a timely manner, respectively, as compared to those in the day shift. CONCLUSIONS: Nursing documentation was typically completed outside of working hours when a nurse had little experience, worked during the day shift or weekdays, and when tasks were unpredictable. This shows that new nurses need support to familiarize them with various tasks and the overall workflow. Korean Society of Medical Informatics 2016-10 2016-10-31 /pmc/articles/PMC5116538/ /pubmed/27895958 http://dx.doi.org/10.4258/hir.2016.22.4.270 Text en © 2016 The Korean Society of Medical Informatics http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Ahn, Meejung Choi, Mona Kim, YoungAh Factors Associated with the Timeliness of Electronic Nursing Documentation |
title | Factors Associated with the Timeliness of Electronic Nursing Documentation |
title_full | Factors Associated with the Timeliness of Electronic Nursing Documentation |
title_fullStr | Factors Associated with the Timeliness of Electronic Nursing Documentation |
title_full_unstemmed | Factors Associated with the Timeliness of Electronic Nursing Documentation |
title_short | Factors Associated with the Timeliness of Electronic Nursing Documentation |
title_sort | factors associated with the timeliness of electronic nursing documentation |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5116538/ https://www.ncbi.nlm.nih.gov/pubmed/27895958 http://dx.doi.org/10.4258/hir.2016.22.4.270 |
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