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Effects of patient accessible electronic health records on nurses’ work environment: a survey study on expectations in Sweden
Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division Vi3. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.ORCID iD: 0000-0001-7472-2215
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Department of ALM.ORCID iD: 0000-0001-9196-2106
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Centre for Gender Research.ORCID iD: 0000-0001-8426-2275
Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.ORCID iD: 0000-0003-2534-4937
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2022 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 12, no 11, article id e059188Article in journal (Refereed) Published
Abstract [en]

ObjectivesThe introduction of information and communication technology influences the work environment of large groups of employees in healthcare. In Sweden, a national healthcare service providing patient accessible electronic health records (PAEHR) has been deployed, and this paper investigates nurses' expected effects of this implementation.SettingNurses associated with the Swedish Association of Health Professionals working in healthcare such as primary care, hospitals and midwives in Sweden. Before a full-scale national implementation of PAEHR, a web survey study was distributed nationally. The respondents represented all 21 Swedish regions. Questions included five-point Likert scale questions and open questions.ParticipantsA survey link was distributed via email to 8460 registered nurses, midwives and union representatives in Sweden. The response rate was 35.4% (2867 respondents: registered nurses 84%; midwives 6%; chief position 5%; in projects 2% and other 3%). Three reminders were sent out, all of them increasing the response rate. A majority of the respondents were female (89.9%), 8.4% male, whereas 1.7% did not indicate their gender. 31.4% were under 40 years old, 53.8% 40-59 and 13.7% over 60.ResultsData were analysed using exploratory factor analysis with principal component analysis as the extraction method. The analysis revealed three distinct factors related to nurses' expectations of PAEHR: (1) PAEHR improves the quality of care, (2) PAEHR improves the quality of the work environment and (3) risk and fears concerning patients' well-being. Some interesting results include that more experienced nurses are more favourable to PAEHR. Our analysis also shows that the view of the nurse-patient relationship is an essential underlying factor related to positive or negative expectations.ConclusionsResults show that the expectations and perceptions of PAEHR vary depending on the nurse's view of who the electronic record belongs to. Younger nurses are somewhat more negative towards PAEHR than older nurses.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2022. Vol. 12, no 11, article id e059188
National Category
Human Computer Interaction Information Studies
Research subject
Computer Science with specialization in Human-Computer Interaction
Identifiers
URN: urn:nbn:se:uu:diva-488294DOI: 10.1136/bmjopen-2021-059188ISI: 000885543100019PubMedID: 36368752Scopus ID: 2-s2.0-85141674464OAI: oai:DiVA.org:uu-488294DiVA, id: diva2:1710401
Funder
NordForsk, 100477Available from: 2022-11-12 Created: 2022-11-12 Last updated: 2023-08-28Bibliographically approved

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Cajander, ÅsaHuvila, IstoSalminen-Karlsson, MinnaLind, Thomas

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