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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...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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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. |
format | Online Article Text |
id | pubmed-9751166 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
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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