Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Document Type
Presentation
Publication Date
5-9-2022
Abstract
Abstract
Electronic health records (EHR) and computer-based documentation is a powerful tool which has been adopted extensively in the last twenty years. The effect of EHR integration on staff has not been well studied, especially among nurses.
Purpose
The purpose is to investigate how optimization of nursing documentation effects the burden of documentation on nurses.
Methods
This project evaluated the admission history documentation at a community hospital that used essential data sets (EDS) to optimize the documentation process for nursing. To evaluate the documentation burden, the Burden of Documentation for Nurses and Midwives (BurDoNsaM) survey will be used before implementation and three months post-implementation.
Findings
There were few statistically significant differences felt by nursing staff after admission history optimization. Some responses were found to have slight positive differences indicating that the optimization did positively affect nurse documentation burden.
Originality
EDS are being used to restructure EHR documentation. This project evaluated whether the documentation had any significant change on nursing workflow as perceived by nurses. The findings of this project are crucial to understanding that relieving the nursing documentation burden is more complicated than simply reducing the amount of elements required.
Recommended Citation
Hardin, Chelsea Smith and Johnson, Mary, "Effect of Implementing Admission History Optimization on Perceived Nurse Documentation Burden" (2022). Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP).
https://trace.tennessee.edu/dnp/26