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Evaluation of an Electronic Medical Record Module for Nursing Documentation in Paediatric Palliative Care: Involvement of Nurses with a Think-Aloud Approach

Author

Listed:
  • Sven Kernebeck

    (Department of Didactics and Educational Research in Health Science, Faculty of Health, Witten/Herdecke University, 58448 Witten, Germany)

  • Theresa Sophie Busse

    (Department of Didactics and Educational Research in Health Science, Faculty of Health, Witten/Herdecke University, 58448 Witten, Germany
    PedScience Research Institute, 45711 Datteln, Germany)

  • Chantal Jux

    (Department of Didactics and Educational Research in Health Science, Faculty of Health, Witten/Herdecke University, 58448 Witten, Germany)

  • Larissa Alice Dreier

    (PedScience Research Institute, 45711 Datteln, Germany
    Department of Children’s Pain Therapy and Pediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, 58448 Witten, Germany)

  • Dorothee Meyer

    (PedScience Research Institute, 45711 Datteln, Germany
    Department of Children’s Pain Therapy and Pediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, 58448 Witten, Germany)

  • Daniel Zenz

    (Smart-Q Softwaresystems GmbH, Lise-Meitner-Allee 4, 44801 Bochum, Germany)

  • Boris Zernikow

    (PedScience Research Institute, 45711 Datteln, Germany
    Department of Children’s Pain Therapy and Pediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, 58448 Witten, Germany
    Pediatric Palliative Care Centre, Children’s and Adolescents’ Hospital, 45711 Datteln, Germany)

  • Jan Peter Ehlers

    (Department of Didactics and Educational Research in Health Science, Faculty of Health, Witten/Herdecke University, 58448 Witten, Germany)

Abstract

Background: Paediatric palliative care (PPC) is a noncurative approach to the care of children and adolescents with life-limiting and life-threatening illnesses. Electronic medical records (EMRs) play an important role in documenting such complex processes. Despite their benefits, they can introduce unintended consequences if future users are not involved in their development. Aim: The aim of this study was to evaluate the acceptance of a novel module for nursing documentation by nurses working in the context of PPC. Methods: An observational study employing concurrent think-aloud and semi-structured qualitative interviews were conducted with 11 nurses working in PPC. Based on the main determinants of the unified theory of acceptance and use of technology (UTAUT), data were analysed using qualitative content analysis. Results: The main determinants of UTAUT were found to potentially influence acceptance of the novel module. Participants perceived the module to be self-explanatory and intuitive. Some adaptations, such as the reduction of fragmentation in the display, the optimization of confusing mouseover fields, and the use of familiar nursing terminology, are reasonable ways of increasing software adoption. Conclusions: After adaptation of the modules based on the results, further evaluation with the participation of future users is required.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3637-:d:774547
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    References listed on IDEAS

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    1. Austyn Snowden & Hildegard Kolb, 2017. "Two years of unintended consequences: introducing an electronic health record system in a hospice in Scotland," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(9-10), pages 1414-1427, May.
    2. Atanu Sengupta & Sanjoy De, 2020. "Review of Literature," India Studies in Business and Economics, in: Assessing Performance of Banks in India Fifty Years After Nationalization, chapter 0, pages 15-30, Springer.
    3. 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.
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    1. Adi Alsyouf & Abdalwali Lutfi & Nizar Alsubahi & Fahad Nasser Alhazmi & Khalid Al-Mugheed & Rami J. Anshasi & Nora Ibrahim Alharbi & Moteb Albugami, 2023. "The Use of a Technology Acceptance Model (TAM) to Predict Patients’ Usage of a Personal Health Record System: The Role of Security, Privacy, and Usability," IJERPH, MDPI, vol. 20(2), pages 1-24, January.
    2. Nur Adibah Shaharul & Mohd ‘Ammar Ihsan Ahmad Zamzuri & Ahmad Azuhairi Ariffin & Ahmad Zaid Fattah Azman & Noor Khalili Mohd Ali, 2023. "Digitalisation Medical Records: Improving Efficiency and Reducing Burnout in Healthcare," IJERPH, MDPI, vol. 20(4), pages 1-13, February.
    3. Adi Alsyouf & Awanis Ku Ishak & Abdalwali Lutfi & Fahad Nasser Alhazmi & Manaf Al-Okaily, 2022. "The Role of Personality and Top Management Support in Continuance Intention to Use Electronic Health Record Systems among Nurses," IJERPH, MDPI, vol. 19(17), pages 1-30, September.

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