Pengalaman Perawat Bekerja dengan Sistem Informasi Kesehatan dan EHR: Scoping Review

Betty Isana; Kumboyono Kumboyono; Heni Dwi Windarwati

doi:10.22146/jkesvo.73874

Pengalaman Perawat Bekerja dengan Sistem Informasi Kesehatan dan EHR: Scoping Review

https://doi.org/10.22146/jkesvo.73874

Betty Isana^(1*), Kumboyono Kumboyono⁽²⁾, Heni Dwi Windarwati⁽³⁾

(1) Departemen Keperawatan Fakultas Kedokteran Universitas Brawijaya
(2) Departemen Keperawatan Fakultas Kedokteran Universitas Brawijaya
(3) Departemen Keperawatan Fakultas Kedokteran Universitas Brawijaya
(*) Corresponding Author

Abstract

Latar Belakang: Penerapan sistem informasi kesehatan dan electronic health record (EHR) meningkat secara signifikan di era digital. Perawat sebagai pengguna terbanyak sistem informasi kesehatan memiliki peran penting dalam penerapan sistem.

Tujuan: Menggambarkan pengalaman perawat ketika bekerja menggunakan sistem informasi kesehatan dan EHR.

Metode: Penelitian menggunakan metode scoping review berdasarkan petunjuk PRISMA dan menelusuri tiga database, yaitu ProQuest, EBSCO, dan ScienceDirect. Pencarian menggunakan kata kunci “nurse”, “experiences”, “health”, “information”, “technology”, “electronic”, dan “record” dikombinasikan dengan kata “AND”, “OR”, dan “NOT”. Artikel dipilih dari publikasi dalam kurun waktu sepuluh tahun terakhir dan menggunakan Bahasa Inggris.

Hasil: Didapatkan 17 artikel yang berhubungan dengan pengalaman perawat selama bekerja menggunakan sistem informasi kesehatan dan EHR. Perawat mengalami peningkatan interaksi dengan sistem dan perangkatnya. Kepuasan, kesejahteraan, dan stres kerja perawat dapat dipengaruhi oleh kualitas sistem. Dukungan organisasi berupa pelatihan dan pendampingan diperlukan selama proses adaptasi perawat terhadap penerapan sistem baru. Sistem informasi juga dapat mempermudah komunikasi antar perawat maupun petugas lain.

Kesimpulan: Perawat menggambarkan berbagai pengalaman berkaitan dengan penerapan sistem informasi kesehatan dan EHR. Implikasi penelitian ini adalah memberikan wawasan dan masukan bagi organisasi kesehatan yang mengembangkan atau menerapkan sistem baru agar berjalan optimal.

Kata kunci: pengalaman, perawat, sistem informasi, EHR.

Keywords

pengalaman; perawat; sistem informasi; EHR

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References

Aghazadeh, S., Aliyev, A., & Pirnejad, H. (2013). Study the effect of hospital information systems (HIS) on communication improvement and service quality among nursing staff. Life Science Journal, 10(SPL.ISSUE10), 307–310.

Bail, K., Merrick, E., Redley, B., Gibson, J., Davey, R., & Currie, M. (2020). “Blind leading the blind”: Qualitative evaluation of unanticipated difficulties during nurse testing of a hospital health information system. Collegian, 27(1), 82–88. https://doi.org/10.1016/j.colegn.2019.03.004

Bakhoum, N., Gerhart, C., Schremp, E., Jeffrey, A. D., Anders, S., France, D., & Ward, M. J. (2021). A Time and Motion Analysis of Nursing Workload and Electronic Health Record Use in the Emergency Department. Journal of Emergency Nursing, 47(5), 733–741. https://doi.org/10.1016/j.jen.2021.03.007

Boyle, D. K., Baernholdt, M., Adams, J. M., McBride, S., Harper, E., Poghosyan, L., & Manges, K. (2019). Improve nurses’ well-being and joy in work: Implement true interprofessional teams and address electronic health record usability issues. Nursing Outlook, 67(6), 791–797. https://doi.org/10.1016/j.outlook.2019.10.002

Cajander, Å., Moll, J., Englund, S., & Hansman, A. (2018). Medical records online for patients and effects on the work environment of nurses. Studies in Health Technology and Informatics, 247, 271–275. https://doi.org/10.3233/978-1-61499-852-5-271

Ceyhan, O., Senturk, A., Karadag, S., & Kilic, Z. (2021). Nurses’ Status of Using Information Systems and Opinions about the Benefits to the Profession: Example of a Country’. International Journal of Caring Sciences, 14(1), 642–654.

Cho, I., Kim, E., Choi, W. H., & Staggers, N. (2016). Comparing Usability Testing Outcomes and Functions of Six Electronic Nursing Record Systems. International Journal of Medical Informatics, 88, 78–85. https://doi.org/10.1016/j.ijmedinf.2016.01.007

Cho, Y., Kim, M., & Choi, M. (2021). Factors associated with nurses’ user resistance to change of electronic health record systems. BMC Medical Informatics and Decision Making, 21(1), 1–13. https://doi.org/10.1186/s12911-021-01581-z

Colligan, L., Potts, H. W. W., Finn, C. T., & Sinkin, R. A. (2015). Cognitive workload changes for nurses transitioning from a legacy system with paper documentation to a commercial electronic health record. International Journal of Medical Informatics, 84(7), 469–476. https://doi.org/10.1016/j.ijmedinf.2015.03.003

Heponiemi, T., Kaihlanen, A. M., Gluschkoff, K., Saranto, K., Nissinen, S., Laukka, E., & Vehko, T. (2021). The association between using a mobile version of an electronic health record and the well-being of nurses: Cross-sectional survey study. JMIR Medical Informatics, 9(7), 1–11. https://doi.org/10.2196/28729

Ihlebæk, H. M. (2020). Lost in translation - Silent reporting and electronic patient records in nursing handovers: An ethnographic study. International Journal of Nursing Studies, 109. https://doi.org/10.1016/j.ijnurstu.2020.103636

Khairat, S., Xi, L., Liu, S., Shrestha, S., & Austin, C. (2020). Understanding the Association Between Electronic Health Record Satisfaction and the Well-Being of Nurses: Survey Study. JMIR Nursing, 3(1), e13996. https://doi.org/10.2196/13996

Kruse, C. S., Kristof, C., Jones, B., Mitchell, E., & Martinez, A. (2016). Barriers to Electronic Health Record Adoption: a Systematic Literature Review. Journal of Medical Systems, 40(12). https://doi.org/10.1007/s10916-016-0628-9

Kurki, M., Anttila, M., Koivunen, M., Marttunen, M., & Välimäki, M. (2018). Nurses’ experiences of the use of an Internet-based support system for adolescents with depressive disorders. Informatics for Health and Social Care, 43(3), 234–247. https://doi.org/10.1080/17538157.2016.1269110

Murray, E. (2017). Nursing Leadership and Management for Patient Safety and Quality Care. F.A. Davis Company. https://doi.org/10.1177/0894318413500313

Patel, S., & Patel, A. (2016). A Big Data Revolution in Health Care Sector: Opportunities, Challenges and Technological Advancements. International Journal of Information Sciences and Techniques, 6(1/2), 155–162. https://doi.org/10.5121/ijist.2016.6216

Saba, V. K., & McCormick, K. A. (2021). Essentials of Nursing Informatics (7th ed.). McGraw Hill.

Seibert, K., Domhoff, D., Huter, K., Krick, T., Rothgang, H., & Wolf-Ostermann, K. (2020). Application of digital technologies in nursing practice: Results of a mixed methods study on nurses’ experiences, needs and perspectives[Formula presented]. Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen, 158–159, 94–106. https://doi.org/10.1016/j.zefq.2020.10.010

Sharma, M., & Aggarwal, H. (2016). EHR Adoption in India : Potential and the Challenges. Indian Journal of Science and Technology, 9(34), 1–7. https://doi.org/10.17485/ijst/2016/v9i34/100211

Stokes, C. (2013). The Electronic Health Revolution: How Health Information Technology Is Changing Medicine-And the Obstacles in Its Way. Health Law and Policy Brief, 7(1), 3.

Top, M., & Gider, Ö. (2012). Nurses’ views on electronic medical records (EMR) in turkey: An analysis according to use, quality and user satisfaction. Journal of Medical Systems, 36(3), 1979–1988. https://doi.org/10.1007/s10916-011-9657-6

Tubaishat, A. (2018). Perceived usefulness and perceived ease of use of electronic health records among nurses: Application of Technology Acceptance Model. Informatics for Health and Social Care, 43(4), 379–389. https://doi.org/10.1080/17538157.2017.1363761

Vehko, T., Hyppönen, H., Puttonen, S., Kujala, S., Ketola, E., Tuukkanen, J., Aalto, A. M., & Heponiemi, T. (2019). Experienced time pressure and stress: Electronic health records usability and information technology competence play a role. BMC Medical Informatics and Decision Making, 19(1), 1–10. https://doi.org/10.1186/s12911-019-0891-z

Vollmer, A. M., Prokosch, H. U., & Bürkle, T. (2014). Identifying barriers for implementation of computer based nursing documentation. Studies in Health Technology and Informatics, 201, 94–101. https://doi.org/10.3233/978-1-61499-415-2-94

Vossebeld, D. M., Puik, E. C. N., Jaspers, J. E. N., & Schuurmans, M. J. (2019). Development process of a mobile electronic medical record for nurses: A single case study. BMC Medical Informatics and Decision Making, 19(1), 1–13. https://doi.org/10.1186/s12911-018-0726-3

Zadvinskis, I. M., Chipps, E., & Yen, P. Y. (2014). Exploring nurses’ confirmed expectations regarding health IT: A phenomenological study. International Journal of Medical Informatics, 83(2), 89–98. https://doi.org/10.1016/j.ijmedinf.2013.11.001

Zadvinskis, I. M., Garvey Smith, J., & Yen, P.-Y. (2018). Nurses’ Experience With Health Information Technology: Longitudinal Qualitative Study. JMIR Medical Informatics, 6(2), e38. https://doi.org/10.2196/medinform.8734

DOI: https://doi.org/10.22146/jkesvo.73874