Nurse motivation, engagement and well-being before an electronic medical record system implementation: A mixed methods study
View File(s)
Author Information
- Author(s)
- Details
-
Rebecca M. Jedwab, email: rebecca.jedwab@monashhealth.org (1,2); Alison M. Hutchinson (3); Elizabeth Manias (2); Rafael A. Calvo (4); Naomi Dobroff (1,2); Nicholas Glozier (5); and Bernice Redley (3) - (1) Monash Medical Centre Clayton, Monash Health Digital Health Division, Nursing and Midwifery Informatics, Melbourne, VIC 3168, Australia (2) Faculty of Health, School of Nursing and Midwifery, Melbourne Burwood Campus, Deakin University, Melbourne, VIC 3125, Australia; (3) Centre for Quality and Patient Safety Research—Monash Health Partnership, Deakin University, Melbourne, VIC 3168, Australia; (4) Dyson School of Design Engineering, Imperial College London, South Kensington, London SW7 2DB, UK; and (5) Central Clinical School, Faculty of Medicine and Health, Sydney School of Medicine, The University of Sydney, Sydney, NSW 2050, Australia * Author to whom correspondence should be addressed
- Sigma Affiliation
- Psi Zeta at-Large
- Contributor Affiliation(s)
- Monash Medical Centre Clayton, Melbourne, Victoria, Australia
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Jedwab, Rebecca M. by View
Title | Page Views |
---|
Popular Works for Jedwab, Rebecca M. by Download
Title | Downloads |
---|
View Citations
Citations
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Item Information
Item Link - Use this link for citations and online mentions.
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 optimization 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 organization. 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 sub-themes: (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.
Funder(s)
Description
The authors gratefully thank all participants and acknowledge support given by Michael Leiter (M.L.), Helen Rawson and Cheyne Chalmers as members of the project team, and Emilio Pozo and Katrina Nankervis. R.M.J. is a recipient of an Australian Government Research Training Program Scholarship through Deakin University’s Institute for Health Transformation and has received a research grant from the Nurses Board of Victoria Legacy Limited and an Australian Nurses Memorial Centre Australian Legion of Ex-Servicemen and Women Scholarship to support this PhD project.
Repository Posting Date
2021-07-12T19:15:47Z
Notes
This work appears in the Sigma Repository pursuant to a Creative Commons Attribution 4.0 International License attached to the work upon its publication in the journal acknowledged in this record. Please refer to the attached license (the icon at the bottom of this entry) for further information and terms. All terms of the license have been followed. The Sigma Repository is sharing this article for educational purposes only. There are no changes in this article from the original posting.
Type Information
Type | Article |
Acquisition | Indexed from External Source (Per Creative Commons License) |
Review Type | External Review: Previously Published Material |
Format | Text-based Document |
Category Information
Evidence Level | Other |
Research Approach | Mixed/Multi Method Research |
Keywords | Nursing Workforce; Electronic Medical Record; Motivation; Work Engagement; Well-being; Burnout; Health Communication |
Original Publication Info
Publisher | International Journal of Environmental Research and Public Health, 18(5), 2726. |
Date | 2021-03-08 |
Version | Publisher’s Version |
DOI | https://doi.org/10.3390/ijerph18052726 |
ISSN | 1660-4601 |
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
License
The following license files are associated with this item:
Related items
Showing items related by title, author, creator and subjects.
-
Nursing self-care: Current evidence and implementation strategies for improving patient outcomes and nurse well-being
Schweitzer, Steffanie; Martini, Kady L.; Wood, Jessica; Mayer, Christine; Straka, Shana; Bonnano, Olivia; Christy, Corryn (2017-07-28)This project examines the current evidence, and presents strategies to implement throughout nursing to cultivate self-care behaviors, in nursing education, floor units, and hospitals, to achieve the best possible outcomes. -
Nursing Workforce Well-Being and Quality of Life: Predictions and Recommendations
Perry, Lin; Gallagher, Robyn; Duffield, Christine M.; Sibbritt, David W.; Xu, Xiaoyue (2017-07-25)Purpose: A person’s quality of life (QoL) is defined by their goals, standards and concerns, especially in their cultural context. It is a subjective summary measure of wellbeing, reflecting ‘complete physical, mental, ... -
A pilot to improve professional competence and safety through the use of clinical information systems and healthcare technology in nursing and allied health clinically-based courses
Katrancha, Elizabeth D.; George, Nickole M.; Drahnak, Dawn M. (2016-03-17)Session presented on Sunday, July 26, 2015: Purpose: The goal of this project is to develop, implement, and evaluate an innovative teaching strategy designed utilizing a simulated clinical information system (CIS), ... -
Health status and psychological well-being in elderly women: The self-system as mediator
Heidrich, Susan M.The purpose of this research was to explain how elderly women manage to maintain high levels of psychological well-being despite losses associated with aging, especially loss of health, and to examine this process in ... -
Interprofessional faculty teams: Building an effective team to create and implement an interprofessional simulation
Morrell, Briyana L. M.; Carmack, Jennifer Nicole; Cartledge, Rebecca Ann; Hetzler, Kathleen Elizabeth; Kemery, Stephanie R.; Moore, Shannon Marie; Nichols, Alison M.; Toon, Jane; Voll, Craig A. Jr. (2017-09-20)This presentation provides an exemplar of how nursing faculty engaged members of different healthcare professions collaboratively in the creation and implementation of an interprofessional learning activity. Participants ...