scholarly journals Evaluating the Usability and Perceived Impact of an Electronic Medical Record Toolkit for Atrial Fibrillation Management in Primary Care: A Mixed-Methods Study Incorporating Human Factors Design

2016 ◽  
Vol 3 (1) ◽  
pp. e7 ◽  
Author(s):  
Kim Tran ◽  
Kori Leblanc ◽  
Alissia Valentinis ◽  
Doug Kavanagh ◽  
Nina Zahr ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Primary Care ◽  
Mixed Methods ◽  
Human Factors ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Mixed Methods Study ◽  
Perceived Impact

A mixed-methods study of pharmacy instructors' early experiences with a teaching electronic medical record

2021 ◽  
Author(s):  
Omolola A. Adeoye-Olatunde ◽  
Olga O. Vlashyn ◽  
Kimberly S. Illingworth Plake ◽  
Jamie L. Woodyard ◽  
Zachary A. Weber ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Mixed Methods Study ◽  
Early Experiences

scholarly journals Patient Perceptions of Electronic Medical Record Use by Faculty and Resident Physicians: A Mixed Methods Study

2016 ◽  
Vol 31 (11) ◽  
pp. 1315-1322 ◽  
Author(s):  
Wei Wei Lee ◽  
Maria A. Alkureishi ◽  
Obioma Ukabiala ◽  
Laura Ruth Venable ◽  
Samantha S. Ngooi ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Patient Perceptions ◽  
Mixed Methods Study ◽  
Resident Physicians

scholarly journals Understanding the Situated Roles of Electronic Medical Record Systems to Enable Redesign: Mixed Methods Study

10.2196/13812 ◽  
2019 ◽  
Vol 6 (3) ◽  
pp. e13812 ◽  
Author(s):  
Samar Helou ◽  
Victoria Abou-Khalil ◽  
Goshiro Yamamoto ◽  
Eiji Kondoh ◽  
Hiroshi Tamura ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Mixed Methods Study ◽  
Electronic Medical Record Systems

scholarly journals Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation: A Mixed Methods Study

2021 ◽  
Vol 18 (5) ◽  
pp. 2726
Author(s):  
Rebecca M. Jedwab ◽  
Alison M. Hutchinson ◽  
Elizabeth Manias ◽  
Rafael A. Calvo ◽  
Naomi Dobroff ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Well Being ◽  
Electronic Medical Record System ◽  
Mixed Methods Study ◽  
Healthcare Organisation ◽  
Negative Consequences ◽  
Record System ◽  
Medical Record System

Implementation of an electronic medical record (EMR) is a significant workplace event for nurses in hospitals. Understanding nurses’ key concerns can inform EMR implementation and ongoing optimisation strategies to increase the likelihood of nurses remaining in the nursing workforce. This concurrent mixed-methods study included surveys from 540 nurses (response rate 15.5%), and interviews with 63 nurses to examine their perceptions of using a new EMR prior to implementation at a single healthcare organisation. Survey findings revealed 32.2% (n = 174) of nurses reported low well-being scores and 28.7% (n = 155) were experiencing burnout symptoms. In contrast, 40.3% (n = 216) of nurses reported high work satisfaction, 62.3% (n = 334) had high intentions of staying in their role, and 34.3% (n = 185) were engaged in their work. Nearly half (n = 250, 46.3%) reported intrinsic motivation towards EMR use. Thematic analysis of focus group interviews revealed two themes, each with three subthemes: (1) Us and Them, detailed the juxtaposition between nurses’ professional role and anticipated changes imposed on them and their work with the EMR implementation; and (2) Stuck in the middle, revealed nurses’ expectations and anticipations about how the EMR may affect the quality of nurse-patient relationships. In conclusion, anticipation of the EMR implementation emerged as a stressor for nursing staff, with some groups of nurses particularly vulnerable to negative consequences to their well-being.

scholarly journals An Exploratory Mixed Methods Study of Experiences of Interprofessional Teams Who Received Coaching to Simultaneously Redesign Primary Care Education and Clinical Practice

2021 ◽  
Vol 12 ◽  
pp. 215013272110237
Author(s):  
Patricia A. Carney ◽  
W. Perry Dickinson ◽  
Jay Fetter ◽  
Eric J. Warm ◽  
Brenda Zierler ◽  
...  
Keyword(s):  
Primary Care ◽  
Mixed Methods ◽  
Mixed Methods Study ◽  
Local Context ◽  
Primary Care Residency ◽  
Interprofessional Teams ◽  
Coaching Relationship ◽  
Team Coaching ◽  
Primary Care Education ◽  
Health Coaches

Introduction/Objectives: Coaching is emerging as a form of facilitation in health professions education. Most studies focus on one-on-one coaching rather than team coaching. We assessed the experiences of interprofessional teams coached to simultaneously improve primary care residency training and interprofessional practice. Methods: This three-year exploratory mixed methods study included transformational assistance from 9 interprofessional coaches, one assigned to each of 9 interprofessional primary care teams that included family medicine, internal medicine, pediatrics, nursing, pharmacy and behavioral health. Coaches interacted with teams during 2 in-person training sessions, an in-person site visit, and then as requested by their teams. Surveys administered at 1 year and end study assessed the coaching relationship and process. Results: The majority of participants (82% at end of Year 1 and 76.6% at end study) agreed or strongly agreed that their coach developed a positive working relationship with their team. Participants indicated coaches helped them: (1) develop as teams, (2) stay on task, and (3) respond to local context issues, with between 54.3% and 69.2% agreeing or strongly agreeing that their coaches were helpful in these areas. Cronbach’s alpha for the 15 coaching survey items was 0.965. Challenges included aligning the coach’s expertise with the team’s needs. Conclusions: While team coaching was well received by interprofessional teams of primary care professionals undertaking educational and clinical redesign, the 3 primary care disciplines have much to learn from each other regarding how to improve inter- and intra-professional collaborative practice among clinicians and staff as well as with interprofessional learners rotating through their outpatient clinics.

scholarly journals Engaging primary care providers in managing pediatric eating disorders: a mixed methods study

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Jocelyn Lebow ◽  
Cassandra Narr ◽  
Angela Mattke ◽  
Janna R. Gewirtz O’Brien ◽  
Marcie Billings ◽  
...  
Keyword(s):  
Primary Care ◽  
Eating Disorders ◽  
Mixed Methods ◽  
Care Setting ◽  
Primary Care Setting ◽  
Primary Care Providers ◽  
Mixed Methods Study ◽  
Evidence Based ◽  
Care Providers ◽  
Evidence Based Treatment

Abstract Background The primary care setting offers an attractive opportunity for, not only the identification of pediatric eating disorders, but also the delivery of evidence-based treatment. However, constraints of this setting pose barriers for implementing treatment. For interventions to be successful, they need to take into consideration the perspectives of stakeholders. As such, the purpose of this study was to examine in-depth primary care providers’ perspective of challenges to identifying and managing eating disorders in the primary care setting. Methods This mixed methods study surveyed 60 Pediatric and Family Medicine providers across 6 primary care practices. Sixteen of these providers were further interviewed using a qualitative, semi-structured interview. Results Providers (n = 60, response rate of 45%) acknowledged the potential of primary care as a point of contact for early identification and treatment of pediatric eating disorders. They also expressed that this was an area of need in their practices. They identified numerous barriers to successful implementation of evidence-based treatment in this setting including scarcity of time, knowledge, and resources. Conclusions Investigations seeking to build capacities in primary care settings to address eating disorders must address these barriers.

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