Descriptions of nurses' experiences with electronic health records (EHR): A phenomenological study

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dc.contributor.advisorJudith C. Drewen_US
dc.contributor.committeeMemberPatricia L. Richarden_US
dc.contributor.committeeMemberKimberly Dunnen_US
dc.contributor.committeeMemberEllarene Duis Sandersen_US
dc.contributor.committeeMemberCarole Eldridgeen_US
dc.creatorAnne Sanchez Liongen_US
dc.date.accessioned2011-12-20T16:04:36Z
dc.date.accessioned2014-02-19T22:05:04Z
dc.date.available2008-06-17en_US
dc.date.available2011-12-20T16:04:36Z
dc.date.available2014-02-19T22:05:04Z
dc.date.created2008-04-07en_US
dc.date.issued2008-03-11en_US
dc.description.abstractThe overall goal of this dissertation study was to explore and describe the lived experiences of nurses working with Electronic Health Records (EHR). Since U.S. President Bush’s 2004 mandate to put EHRs in place by 2014, EHR design and implementation have become priorities for all health care organizations. Research studies of EHR implementation and utilization found in the literature reveal a fifty-percent failure rate among organizations and institutions that attempt to adopt and sustain EHR use in their facilities.\r\nWhile nurses are the largest group of health care providers who use health information systems and can influence their adoption and utilization outcomes, few nurses have been included in planning, researching, and implementing the EHR. Several studies report nurses’ uses of computers in the workplace, however few have examined the subjective lived experiences of nurses whose daily work is affected by organizational, technological, educational, and behavioral factors associated with EHR system conversion and implementation. The study reported here fills a gap in knowledge by adding the subjective lived experiences of EHR nurses to the larger body of knowledge that addresses information system changes and their influences upon nursing practice and patient care outcomes.\r\n \r\nUsing a phenomenology of practice research approach, a purposive sample of 14 nurses with EHR experiences was enrolled. Data were collected during interviews with the investigator until saturation and redundancy were achieved. Assigning code letters, interviewing participants in private places, and maintaining all study materials in locked files were methods used to protect identities and confidentiality. Interview data were transcribed, coded, and clustered during thematic analysis procedures guided by Martins (1992).\r\n\r\nFindings revealed three emergent themes that captured the meanings of the participants’ descriptions of Phases of EHR Experiences, Dimensions of EHR Influence, and Future Improvements. Twelve sub-themes supported by instances of data found in the narratives formed the knowledge used to induct the three themes. Truth value and scientific rigor of the study were evaluated using the standards of: (1) descriptive vividness, (2) methodological congruence, (3) analytical preciseness, (4) theoretical correctness, (5) heuristic relevance (Burns & Grove, 2005) and (6) Lincoln & Guba’s (1985) criteria of trustworthiness.\r\n \r\nen_US
dc.format.mediumelectronicen_US
dc.identifier.otheretd-04072008-152508en_US
dc.identifier.urihttp://hdl.handle.net/2152.3/92
dc.language.isoengen_US
dc.rightsCopyright © is held by the author. Presentation of this material on the TDL web site by The University of Texas Medical Branch at Galveston was made possible under a limited license grant from the author who has retained all copyrights in the works.en_US
dc.subjectqualitativeen_US
dc.subjectphenomenologyen_US
dc.subjectnursingen_US
dc.subjectEMR implementationen_US
dc.subjectEHR implementationen_US
dc.titleDescriptions of nurses' experiences with electronic health records (EHR): A phenomenological studyen_US
dc.type.genredissertationen_US
dc.type.materialtexten_US
thesis.degree.departmentNursing Doctoralen_US
thesis.degree.grantorThe University of Texas Medical Branchen_US
thesis.degree.levelDoctoralen_US
thesis.degree.namePhDen_US

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