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The impact of an electronic nursing documentation system on efficiency of documentation by caregivers in a residential aged care facility

Journal Article


Abstract


  • Aims and objectives. To examine the effect of the introduction of an electronic nursing documentation system on the efficiency

    of documentation in a residential aged care facility.

    Background. Modern technology has the potential to free caregivers in residential aged care facilities from their burden of paper

    documentation and allow them more time to care for residents. To date, there is inadequate evidence to verify this assumption.

    Design. Longitudinal cohort study with work sampling method for data collection.

    Methods. This study was conducted between 2009–2011; two months before and 3, 6, 12 and 23 months after implementation

    of an electronic documentation system. A work classification tool was used by an observer to record documentation activities

    being performed on paper or on a computer by the caregivers.

    Results. When compared with the proportion of time caregivers spent on documentation in the preimplementation period,

    personal carers’ proportion reduced at three months after implementation. The proportion increased from six months and then

    dropped at 23 months. Recreational activity officers’ proportion increased at three months after implementation. It stabilised at

    six months and increased again at 12 months. At 23 months, the proportion returned to the preimplementation level. Less than

    half of the caregivers’ time on documentation after implementation was associated with computer-related tasks.

    Conclusions. Introduction of an electronic documentation system may not necessarily lead to efficiency in documentation for

    the caregivers. Charting some information items on paper and others on a computer may hinder realization of documentation

    efficiency.

    Relevance to clinical practice. To optimise the efficiency benefit of electronic documentation in a residential aged care facility, it

    is not only necessary to automate all nursing forms but also to ensure that the system is aligned with caregivers’ documentation

    practice. Continuous education and mentor support is essential to ensure caregivers’ effective usage of the electronic system.

Publication Date


  • 2012

Citation


  • Munyisia, E., Yu, P. & Hailey, D. (2012). The impact of an electronic nursing documentation system on efficiency of documentation by caregivers in a residential aged care facility. Journal of Clinical Nursing, 21 (19), 2940-2948.

Scopus Eid


  • 2-s2.0-84866483221

Ro Metadata Url


  • http://ro.uow.edu.au/eispapers/156

Number Of Pages


  • 8

Start Page


  • 2940

End Page


  • 2948

Volume


  • 21

Issue


  • 19

Abstract


  • Aims and objectives. To examine the effect of the introduction of an electronic nursing documentation system on the efficiency

    of documentation in a residential aged care facility.

    Background. Modern technology has the potential to free caregivers in residential aged care facilities from their burden of paper

    documentation and allow them more time to care for residents. To date, there is inadequate evidence to verify this assumption.

    Design. Longitudinal cohort study with work sampling method for data collection.

    Methods. This study was conducted between 2009–2011; two months before and 3, 6, 12 and 23 months after implementation

    of an electronic documentation system. A work classification tool was used by an observer to record documentation activities

    being performed on paper or on a computer by the caregivers.

    Results. When compared with the proportion of time caregivers spent on documentation in the preimplementation period,

    personal carers’ proportion reduced at three months after implementation. The proportion increased from six months and then

    dropped at 23 months. Recreational activity officers’ proportion increased at three months after implementation. It stabilised at

    six months and increased again at 12 months. At 23 months, the proportion returned to the preimplementation level. Less than

    half of the caregivers’ time on documentation after implementation was associated with computer-related tasks.

    Conclusions. Introduction of an electronic documentation system may not necessarily lead to efficiency in documentation for

    the caregivers. Charting some information items on paper and others on a computer may hinder realization of documentation

    efficiency.

    Relevance to clinical practice. To optimise the efficiency benefit of electronic documentation in a residential aged care facility, it

    is not only necessary to automate all nursing forms but also to ensure that the system is aligned with caregivers’ documentation

    practice. Continuous education and mentor support is essential to ensure caregivers’ effective usage of the electronic system.

Publication Date


  • 2012

Citation


  • Munyisia, E., Yu, P. & Hailey, D. (2012). The impact of an electronic nursing documentation system on efficiency of documentation by caregivers in a residential aged care facility. Journal of Clinical Nursing, 21 (19), 2940-2948.

Scopus Eid


  • 2-s2.0-84866483221

Ro Metadata Url


  • http://ro.uow.edu.au/eispapers/156

Number Of Pages


  • 8

Start Page


  • 2940

End Page


  • 2948

Volume


  • 21

Issue


  • 19