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Observational Study
. 2022 Mar 18;19(6):3637.
doi: 10.3390/ijerph19063637.

Evaluation of an Electronic Medical Record Module for Nursing Documentation in Paediatric Palliative Care: Involvement of Nurses with a Think-Aloud Approach

Sven Kernebeck  1 , Theresa Sophie Busse  1   2 , Chantal Jux  1 , Larissa Alice Dreier  2   3 , Dorothee Meyer  2   3 , Daniel Zenz  4 , Boris Zernikow  2   3   5 , Jan Peter Ehlers  1
Affiliations
Observational Study

Evaluation of an Electronic Medical Record Module for Nursing Documentation in Paediatric Palliative Care: Involvement of Nurses with a Think-Aloud Approach

Sven Kernebeck et al. Int J Environ Res Public Health. .

Abstract

Background: Paediatric palliative care (PPC) is a noncurative approach to the care of children and adolescents with life-limiting and life-threatening illnesses. Electronic medical records (EMRs) play an important role in documenting such complex processes. Despite their benefits, they can introduce unintended consequences if future users are not involved in their development.

Aim: The aim of this study was to evaluate the acceptance of a novel module for nursing documentation by nurses working in the context of PPC.

Methods: An observational study employing concurrent think-aloud and semi-structured qualitative interviews were conducted with 11 nurses working in PPC. Based on the main determinants of the unified theory of acceptance and use of technology (UTAUT), data were analysed using qualitative content analysis.

Results: The main determinants of UTAUT were found to potentially influence acceptance of the novel module. Participants perceived the module to be self-explanatory and intuitive. Some adaptations, such as the reduction of fragmentation in the display, the optimization of confusing mouseover fields, and the use of familiar nursing terminology, are reasonable ways of increasing software adoption.

Conclusions: After adaptation of the modules based on the results, further evaluation with the participation of future users is required.

Keywords: electronic health records; electronic medical records; paediatric palliative care; participatory design; technology acceptance; usability; user involvement.

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Conflict of interest statement

After completion of the project ELSA-PP, D.Z. (smart-Q Software Systems GmbH) will receive product rights to the software. This fact has not influenced the conduct of this study.

Figures

Figure 1
Figure 1
Overview of the characteristics of components for the nursing documentation module. (Icons made by Freepik from www.flaticon.com, accessed on 28 November 2021).
Figure 2
Figure 2
Overview of the main categories and subcategories based on UTAUT.
Figure 3
Figure 3
Documentation of the component for documenting nursing activities.
Figure 4
Figure 4
Mouseover field for documenting nursing activities in the patient chart view.
See this image and copyright information in PMC

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