Sjuksköterskors uppfattning av elektronisk dokumentation avseende tidsåtgång, teknik och vårdkvalitet
NursesDocumentationElectronic patient recordsQuality of careSjuksköterskorDokumentationElektronisk journalVårdkvalitet
Documentation in electronic journals is perceived as time consuming and sometimes technically difficult to handle, but also leads to an improved quality of care. Objective: The purpose of this study was to investigate nurses' perceptions of documentation with a focus on timing, technique and quality of care and whether any differences in these perceptions were dependent on age. Method: Quantitative descriptive cross-sectional study in the survey form, 28 nurses at a university hospital in central Sweden participated in the study. Regression analysis was performed with Spearman's rank correlation coefficient. Results: Electronic documentation takes 30 to 60 minutes for most nurses and half of them considered it a reasonable time. Computer skills were good enough for most, but the computers and the electronic patient record system Cosmic were experienced to work less well or badly in half the study group. Two-thirds of the studygroup agreed partly or more to that the quality of care is adversely affected because of the time documentation takes from the patient care. However, about half of the study group agreed that electronic patient records increase health care quality and patient safety. Care plans were used to a great extent. Young nurses rated themselves significantly better than the older ones to handle a computer in their daily work. Conclusion: A variety of problems and perceptions exist in connection with electronic documentation. Continuous development of technology, documentation systems and the use of care plans can contribute to the continuing high quality of care and patient safety.