The views of different care professionals on using an electronic health record in the care for older people
摘要
Interprofessional collaboration is proposed as an appropriate strategy to meet the increasingly complex care demands for older adults. The electronic health record (EHR) can support interprofessional teams in their daily work and quality improvement efforts. While various studies have reported on care professionals’ perspectives on the EHR, to date, no study has compared the views of different care professionals on EHR use. This study aimed to investigate how different disciplines of care professionals in nursing homes view the use of EHRs.
MethodsA qualitative design was adopted. Six homogeneous focus groups were organized, with certified nurse assistants, registered nurses, elderly care physicians, and students in these three professions. Conventional content analysis was used to analyze the focus groups.
ResultsForty-three (student) care professionals in the care for older adults participated in the focus groups. Analysis revealed three main themes. First, the EHR is mainly used as a communication tool, and further purposes, such as data-informed care, were pointed out as goals to be realized in the future. Second, better navigation of the EHR system necessitates skill development among EHR users and improvements in the technical functions of the EHR system. Finally, the EHR can support interprofessional collaboration in the care for older people. Yet, care professionals recognized that there is still room for improvement in such a collaboration.
ConclusionsDifferent interpretations of what is considered good EHR reporting hindered effective collaboration. Proper collaboration with the EHR in the care for older adults requires increased digital literacy of care professionals, and EHR systems that are easier to use. Future studies should investigate what interprofessional teams need to better work together towards quality improvement in the care for older adults.