Part 6: Evaluation Plan

Citation

Study

Design Type

Framework/Theory

Setting

Key Concepts/Variables

Findings

Hierarchy of Evidence Level

Narcisse, M. R., Kippenbrock, T. A., Odell, E., & Buron, B. (2013). Advanced Practice Nurses' Meaningful use of electronic health records. Applied Nursing Research, 26(3), 127-132.

Type of Study:

Quantitative,

Design Type:

Non-experimental research

Framework/Theory:

Exploratory Study using survey

Convenience sampling was used to select subjects for the survey and these were selected from the Arkansas, Louisiana, Mississippi and Tennessee state nursing boards

Concepts:

The study was done using 6986 postcards, to which 526 individuals responded

Independent Variable:

The survey consisted of self-administered multi choice questions aimed at getting different views

Dependent Variable:

Chi-Square Test

Controlled Variable:

Mann-Whitney U Test

Two thirds of the APNs were EHR-user. Statistically significant differences between EHR-users and

non-users were found in age categories, practice setting, practice size, and in tasks related to imagery report

review and care coordination. EHR

Level III

Kirkendall, E. S., Goldenhar, L. M., Simon, J. L., Wheeler, D. S., & Spooner, S. A. (2013). Transitioning from a computerized provider order entry and paper documentation system to an electronic health record: Expectations and experiences of hospital staff. International journal of medical informatics, 82(11), 1037-1045.

Type of Study:

. Qualitative

Design Type:

I-SEE Survey

Framework/Theory

Examining perceptions of healthcare workers towards the use of systematic Electronic Health Records

The study was conducted in Cincinatti Children’s Hospital Medical Centre

Concepts:

The study was done using 731 sets of response data that was attained from the inpatient staff.

Hospital Training, Electronic records.

Independent Variable:

The survey was conducted online via survey monkey application and the data gathered from all participating respondents

Dependent Variable:

Cronbach coefficient was used in the survey

Controlled Variable:

Wakefields Support and Resources Scale

Most respondents agreed that the use of EHR had improved their performance in the field.

Survey results demonstrated that the organizational expectations for transitioning from a hybrid

paper/electronic HIT system to a fully functional EHR were positive and that the organization met and even staff exceeded expectations (for the items surveyed) 1 year post-implementation.

Level IV

Citation

Study

Design Type

Framework/Theory

Setting

Key Concepts/Variables

Findings

Hierarchy of Evidence Level

Penoyer, D. A., Cortelyou-Ward, K. H., Noblin, A. M., Bullard, T., Talbert, S., Wilson, J., ... & Briscoe, J. G. (2014). Use of electronic health record documentation by healthcare workers in an acute care hospital system. Journal of healthcare management, 59(2), 130-146.

Type of Study:

Qualitative

Design Type:

Methodical research and survey

Framework/Theory:

Reviewing the effectiveness of EHR systems in the healthcare setting

A study was carried out in a large six facility healthcare center in the southeastern part of the USA.

Concepts:

Vaccines, caregivers, patient assessment.

A survey was done on 839 healthcare professionals in various centers

Independent Variable:

The survey was an online survey aimed at gathering information on ETR usage

Dependent Variable:

The use of systematic survey methods for the assessment of the efficiency of EHR

Controlled Variable:

The evaluation of clinical summary tabs

Many participants preferred the usage of EHR compared to traditional methods of storing patient information

Level III

McAlearney, A. S., Hefner, J. L., Sieck, C., Rizer, M., & Huerta, T. R. (2014). Evidence-based management of ambulatory electronic health record system implementation: an assessment of conceptual support and qualitative evidence. International journal of medical informatics, 83(7), 484-494.

Type of Study:

Qualitative study

Design Type:

Research survey

Framework/Theory

:

Studying the success of EHR system implementation in health

Interviews and focus groups were designed to explore perspectives of organizations and healthcare givers on the use of ambulatory EHR in the line of duty

Concepts:

Interviews were done in 6 healthcare facilities to determine the effectiveness of ambulatory EHR in hospitals

Independent Variable:

45 interviews were conducted on the participants to determine the effectiveness of these processes

Dependent Variable:

PDSA model

Controlled Variable:

Preliminary coding

The participants agreed that it was necessary to introduce sufficient structures for the use of EHR in the medical perspective

Level III

Level V

Hessels, A., Flynn, L., Cimiotti, J. P., Bakken, S., & Gershon, R. (2015). Impact of Heath Information Technology on the Quality of Patient Care. On-line journal of nursing informatics, 19.

Type of Study:

Quantitative

Design Type:

Research study and survey

Framework/Theory:

Examining the relationship between successful EHR adoption and patient satisfaction

New Jersey nurse survey data was analyzed to explore the use of EHR in health facilities in the region

Ranging from schools, home, mail, college, summer camps

Concepts:

Analysis of cross sectional data from 4 main sources

Independent Variable:

Data from the New Jersey State Inpatient Database was analyzed

Dependent Variable:

Practical Environment Scale of the Nursing Work Index

Controlled Variable:

Cronbach Alphas

The findings revealed that there was a connection between high patient satisfaction in hospitals and the use of Electronic Health Records

Level V

Level IV

Citation

Study

Design Type

Framework/Theory

Setting

Key Concepts/Variables

Findings

Hierarchy of Evidence Level

Dolezel, D., & Moczygemba, J. (2015). Implementing EHRs: An exploratory study to examine current practices in migrating physician practice. Perspectives in Health Information Management, 12(Winter).

Type of Study:

Mixed methods of quantitative analysis Design Type:

Descriptive co- relative research study analysis was used which included the use of open ended questionnaires

Framework/Theory:

the study aims at assessing the effectiveness of EHR practices in the modern healthcare settings

Interviews took place in several locations, including participants’ homes, and public places.

Concepts:

A web based survey was conducted on physicians, office managers and a nurse to gain a response

Independent Variable:

A survey was conducted on data from the Healthcare Information and Management Systems Society

Dependent Variable:

Descriptive Statistics were used

Controlled Variable:

Use of research methodologies to assess the targets

The finding revealed that most healthcare practitioners chose to migrate patient records to the EHR systems

Level IV

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Setting

Key Concepts/Variables

Findings

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