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Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation: A Mixed Methods Study

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  • Rebecca M. Jedwab

    (Monash Medical Centre Clayton, Monash Health Digital Health Division, Nursing and Midwifery Informatics, Melbourne, VIC 3168, Australia
    Faculty of Health, School of Nursing and Midwifery, Melbourne Burwood Campus, Deakin University, Melbourne, VIC 3125, Australia)

  • Alison M. Hutchinson

    (Centre for Quality and Patient Safety Research—Monash Health Partnership, Deakin University, Melbourne, VIC 3168, Australia)

  • Elizabeth Manias

    (Faculty of Health, School of Nursing and Midwifery, Melbourne Burwood Campus, Deakin University, Melbourne, VIC 3125, Australia)

  • Rafael A. Calvo

    (Dyson School of Design Engineering, Imperial College London, South Kensington, London SW7 2DB, UK)

  • Naomi Dobroff

    (Monash Medical Centre Clayton, Monash Health Digital Health Division, Nursing and Midwifery Informatics, Melbourne, VIC 3168, Australia
    Faculty of Health, School of Nursing and Midwifery, Melbourne Burwood Campus, Deakin University, Melbourne, VIC 3125, Australia)

  • Nicholas Glozier

    (Central Clinical School, Faculty of Medicine and Health, Sydney School of Medicine, The University of Sydney, Sydney, NSW 2050, Australia)

  • Bernice Redley

    (Centre for Quality and Patient Safety Research—Monash Health Partnership, Deakin University, Melbourne, VIC 3168, Australia)

Abstract

Implementation of an electronic medical record (EMR) is a significant workplace event for nurses in hospitals. Understanding nurses’ key concerns can inform EMR implementation and ongoing optimisation strategies to increase the likelihood of nurses remaining in the nursing workforce. This concurrent mixed-methods study included surveys from 540 nurses (response rate 15.5%), and interviews with 63 nurses to examine their perceptions of using a new EMR prior to implementation at a single healthcare organisation. Survey findings revealed 32.2% ( n = 174) of nurses reported low well-being scores and 28.7% ( n = 155) were experiencing burnout symptoms. In contrast, 40.3% ( n = 216) of nurses reported high work satisfaction, 62.3% ( n = 334) had high intentions of staying in their role, and 34.3% ( n = 185) were engaged in their work. Nearly half ( n = 250, 46.3%) reported intrinsic motivation towards EMR use. Thematic analysis of focus group interviews revealed two themes, each with three subthemes: (1) Us and Them , detailed the juxtaposition between nurses’ professional role and anticipated changes imposed on them and their work with the EMR implementation; and (2) Stuck in the middle , revealed nurses’ expectations and anticipations about how the EMR may affect the quality of nurse-patient relationships. In conclusion, anticipation of the EMR implementation emerged as a stressor for nursing staff, with some groups of nurses particularly vulnerable to negative consequences to their well-being.

Suggested Citation

  • Rebecca M. Jedwab & Alison M. Hutchinson & Elizabeth Manias & Rafael A. Calvo & Naomi Dobroff & Nicholas Glozier & Bernice Redley, 2021. "Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation: A Mixed Methods Study," IJERPH, MDPI, vol. 18(5), pages 1-22, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2726-:d:512785
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    References listed on IDEAS

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    1. Jenni Konttila & Heidi Siira & Helvi Kyngäs & Minna Lahtinen & Satu Elo & Maria Kääriäinen & Pirjo Kaakinen & Anne Oikarinen & Miyae Yamakawa & Sakiko Fukui & Momoe Utsumi & Yoko Higami & Akari Higuch, 2019. "Healthcare professionals’ competence in digitalisation: A systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(5-6), pages 745-761, March.
    2. Ian Blackman & Julie Henderson & Eileen Willis & Patricia Hamilton & Luisa Toffoli & Claire Verrall & Elizabeth Abery & Clare Harvey, 2015. "Factors influencing why nursing care is missed," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(1-2), pages 47-56, January.
    3. Bianka Misiak & Regina Sierżantowicz & Elżbieta Krajewska-Kułak & Karolina Lewko & Joanna Chilińska & Jolanta Lewko, 2020. "Psychosocial Work-Related Hazards and Their Relationship to the Quality of Life of Nurses—A Cross-Sectional Study," IJERPH, MDPI, vol. 17(3), pages 1-11, January.
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    1. Sven Kernebeck & Theresa Sophie Busse & Chantal Jux & Larissa Alice Dreier & Dorothee Meyer & Daniel Zenz & Boris Zernikow & Jan Peter Ehlers, 2022. "Evaluation of an Electronic Medical Record Module for Nursing Documentation in Paediatric Palliative Care: Involvement of Nurses with a Think-Aloud Approach," IJERPH, MDPI, vol. 19(6), pages 1-18, March.

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