Episode #21: Rapid Rollout of EHRs: Insights into the Nursing Experience from a Statewide Study with Dr. Susan McBride and Dr. Mari Tietze
Rapid Rollout of EHRs: Insights into the Nursing Experience from a Statewide Study with Dr. Susan McBride and Dr. Mari Tietze
Introduction to Episode:
There is no turning back now! We are in the digital age and electronic health records (EHRs) are here to stay!
What is important now is looking at the results or outcomes of the rapid implementation of the EHRs. The lens we use to examine the outcomes can have serious implications for future strategies.
In this episode we talk with Dr. Susan McBride and Dr. Mary Tietze, two nurse informatics scholars from Texas who share our passion for health information technology and interprofessional practice.
The focus of our conversation today is the landmark, statewide study they conducted assessing the experience of nurses with the electronic health record in Texas.
This is powerful work resulted from the Health Information Technology for Economic and Clinical Health (HITECH) ACT and a key question, “What is going to happen to nursing?”
What they learned has informed strategies to improve nurse satisfaction and is influencing policy recommendations nationally. It also revealed the existence of the technology and practice platform polarity.
Join us as we learn about the results from this landmark study and discuss the significance of using a polarity lens.
In This Episode We Discuss:
· Clinical Decision Support (CDS) impacts nursing satisfaction with the EHR
· Rural nurses are very dissatisfied and facing real challenges
· Maturity of the EHR as a factor in satisfaction
· Possibility of replicating the study in other states
· Qualitative findings were positive and negative
· Nurses are facing moral distress with use of the EHR
· Ethical decisions and challenges are faced
· Movement since study to address documentation burden
· Took Kit that is evidence-based to improve nurse satisfaction
· Polarity Thinking™ as the missing link between technology and practice in health informatics
· Interprofessional Health Informatics textbook
· Polarity Model as a powerful tool to optimize technology and improve care delivery
· Case Study calls for polarity thinking approach
References:
McBride, S., Tietze, M., Hanley, M. A., & Thomas, L., (2015). Statewide study assessing the experience of nurses with their electronic health records. Austin, TX: Texas nurses Association. Retrieved from https://c.ymcdn.com/sites/www.texasnurses.org/resource/resmgr/HIT_Files/HIT_Survey_Report-Final.pdf
McBride, S., Tietze, M., Robichaux, C., Stokes, L., Weber, E. (January 31, 2008). Identifying and Addressing Ethical Issues with Use of Electronic Health Records. OJIN: The Online Journal of Issues in Nursing, 23(1), Manuscript 5. doi: 10.3912/OJIN.Vol32No01Man05.
Resources and Links:
Tiger Leadership Imperative Report (HIMSS has a new website – I could not locate the report, but reached out to Tori Shaw. Stay tuned!
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