Evidence-based practice part 1

Article summary

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The research problem discussed in the article was the need to determine the role of health information technology in improving quality and safety of care. Also, there has been a need to determine the role played by the working environment in which the nursing professionals work in when dealing with health information systems (Kutney-Lee et al, 2019).

The purpose of the study was to examine the independent and joint impact of work environment and comprehensive EHR system adoption on nurse reports of system usability. Among the elements investigated in relation to usability include effectiveness and satisfaction as well as nurse-reported safety and quality of care.

The initial hypothesis used in the study is that comprehensive adoption of electronic health records and good working environment improves quality of care as determined through nursing reports.

The study design involved secondary analysis of three main databases: the 2015 American Hospital Association (AHA) on annual survey, the 2015 to 2016United States survey on RN4CAST and the 2015 AHA Health Information Technology. A common hospital identifier was linked to the data. The hospitals involved in the study involved those that has a minimum of 10 nurses participating as respondents in the survey.

The hypothesis on joint comprehensive EHR adoption and working environment improving quality of care and patient outcome was accepted. This was based on the results collected from the study.

The overall conclusion made from the study indicated that adoption of a comprehensive EHR has an association with high quality of care and positive usability ratings. Also, the hospital working environment has a significant impact on the nurse’s evaluation of EHR usability (Kutney-Lee et al, 2019).

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