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“I think it's something that we should lean in to”: The use of OpenNotes in Canadian psychiatric care contexts by clinicians

BACKGROUND: OpenNotes is the concept of patients having access to their health records and clinical notes in a digital form. In psychiatric settings, clinicians often feel uncomfortable with this concept, and require support during implementation. OBJECTIVE: This study utilizes an implementation sci...

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Autores principales: Kassam, Iman, Shin, Hwayeon Danielle, Durocher, Keri, Lo, Brian, Shen, Nelson, Mehta, Rohan, Sockalingam, Sanjeev, Wiljer, David, Gratzer, David, Sequeira, Lydia, Strudwick, Gillian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9751166/
https://www.ncbi.nlm.nih.gov/pubmed/36532111
http://dx.doi.org/10.1177/20552076221144106
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author Kassam, Iman
Shin, Hwayeon Danielle
Durocher, Keri
Lo, Brian
Shen, Nelson
Mehta, Rohan
Sockalingam, Sanjeev
Wiljer, David
Gratzer, David
Sequeira, Lydia
Strudwick, Gillian
author_facet Kassam, Iman
Shin, Hwayeon Danielle
Durocher, Keri
Lo, Brian
Shen, Nelson
Mehta, Rohan
Sockalingam, Sanjeev
Wiljer, David
Gratzer, David
Sequeira, Lydia
Strudwick, Gillian
author_sort Kassam, Iman
collection PubMed
description BACKGROUND: OpenNotes is the concept of patients having access to their health records and clinical notes in a digital form. In psychiatric settings, clinicians often feel uncomfortable with this concept, and require support during implementation. OBJECTIVE: This study utilizes an implementation science lens to explore clinicians’ perceptions about using OpenNotes in Canadian psychiatric care contexts. The findings are intended to inform the co-design of implementation strategies to support the implementation of OpenNotes in Canadian contexts. METHOD: This qualitative descriptive study employed semi-structured interviews which were completed among health professionals of varying disciplines working in direct care psychiatric roles. Data analysis consisted of a qualitative directed content analysis using themes outlined from an international Delphi study of mental health clinicians and experts. Ethical approval was obtained from the Centre for Addiction and Mental Health and the University of Toronto. RESULTS: In total, 23 clinicians from psychiatric settings participated in the interviews. Many of the themes outlined within the Delphi study were voiced. Benefits included enhancements to patient recall, and empowerment, improvements to care quality, strengthened relational effects and effects on professional autonomy and efficiencies. Despite the anticipated benefits of OpenNotes, identified challenges pertained to clarity surrounding exemption policies, training on patient facing notes, managing disagreements, and educating patients on reading clinical notes. CONCLUSION: Many benefits and challenges were identified for adopting OpenNotes in Canadian psychiatric settings. Future work should focus on applying implementation frameworks to develop interventions that address the identified challenges.
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spelling pubmed-97511662022-12-16 “I think it's something that we should lean in to”: The use of OpenNotes in Canadian psychiatric care contexts by clinicians Kassam, Iman Shin, Hwayeon Danielle Durocher, Keri Lo, Brian Shen, Nelson Mehta, Rohan Sockalingam, Sanjeev Wiljer, David Gratzer, David Sequeira, Lydia Strudwick, Gillian Digit Health Original Research BACKGROUND: OpenNotes is the concept of patients having access to their health records and clinical notes in a digital form. In psychiatric settings, clinicians often feel uncomfortable with this concept, and require support during implementation. OBJECTIVE: This study utilizes an implementation science lens to explore clinicians’ perceptions about using OpenNotes in Canadian psychiatric care contexts. The findings are intended to inform the co-design of implementation strategies to support the implementation of OpenNotes in Canadian contexts. METHOD: This qualitative descriptive study employed semi-structured interviews which were completed among health professionals of varying disciplines working in direct care psychiatric roles. Data analysis consisted of a qualitative directed content analysis using themes outlined from an international Delphi study of mental health clinicians and experts. Ethical approval was obtained from the Centre for Addiction and Mental Health and the University of Toronto. RESULTS: In total, 23 clinicians from psychiatric settings participated in the interviews. Many of the themes outlined within the Delphi study were voiced. Benefits included enhancements to patient recall, and empowerment, improvements to care quality, strengthened relational effects and effects on professional autonomy and efficiencies. Despite the anticipated benefits of OpenNotes, identified challenges pertained to clarity surrounding exemption policies, training on patient facing notes, managing disagreements, and educating patients on reading clinical notes. CONCLUSION: Many benefits and challenges were identified for adopting OpenNotes in Canadian psychiatric settings. Future work should focus on applying implementation frameworks to develop interventions that address the identified challenges. SAGE Publications 2022-12-12 /pmc/articles/PMC9751166/ /pubmed/36532111 http://dx.doi.org/10.1177/20552076221144106 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Kassam, Iman
Shin, Hwayeon Danielle
Durocher, Keri
Lo, Brian
Shen, Nelson
Mehta, Rohan
Sockalingam, Sanjeev
Wiljer, David
Gratzer, David
Sequeira, Lydia
Strudwick, Gillian
“I think it's something that we should lean in to”: The use of OpenNotes in Canadian psychiatric care contexts by clinicians
title “I think it's something that we should lean in to”: The use of OpenNotes in Canadian psychiatric care contexts by clinicians
title_full “I think it's something that we should lean in to”: The use of OpenNotes in Canadian psychiatric care contexts by clinicians
title_fullStr “I think it's something that we should lean in to”: The use of OpenNotes in Canadian psychiatric care contexts by clinicians
title_full_unstemmed “I think it's something that we should lean in to”: The use of OpenNotes in Canadian psychiatric care contexts by clinicians
title_short “I think it's something that we should lean in to”: The use of OpenNotes in Canadian psychiatric care contexts by clinicians
title_sort “i think it's something that we should lean in to”: the use of opennotes in canadian psychiatric care contexts by clinicians
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9751166/
https://www.ncbi.nlm.nih.gov/pubmed/36532111
http://dx.doi.org/10.1177/20552076221144106
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