Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Monday, March 11, 2019 at 4:00 PM to 4:30 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?

Advertisement

Currently submitted to: JMIR Nursing

Date Submitted: Nov 1, 2019
Open Peer Review Period: Nov 1, 2019 - Dec 27, 2019
(closed for review but you can still tweet)

NOTE: This is an unreviewed Preprint

Warning: This is a unreviewed preprint (What is a preprint?). Readers are warned that the document has not been peer-reviewed by expert/patient reviewers or an academic editor, may contain misleading claims, and is likely to undergo changes before final publication, if accepted, or may have been rejected/withdrawn (a note "no longer under consideration" will appear above).

Peer-review me: Readers with interest and expertise are encouraged to sign up as peer-reviewer, if the paper is within an open peer-review period (in this case, a "Peer-Review Me" button to sign up as reviewer is displayed above). All preprints currently open for review are listed here. Outside of the formal open peer-review period we encourage you to tweet about the preprint.

Citation: Please cite this preprint only for review purposes or for grant applications and CVs (if you are the author).

Final version: If our system detects a final peer-reviewed "version of record" (VoR) published in any journal, a link to that VoR will appear below. Readers are then encourage to cite the VoR instead of this preprint.

Settings: If you are the author, you can login and change the preprint display settings, but the preprint URL/DOI is supposed to be stable and citable, so it should not be removed once posted.

Submit: To post your own preprint, simply submit to any JMIR journal, and choose the appropriate settings to expose your submitted version as preprint.

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Understanding Complex Factors That Influence the Adoption and Use of Electronic Nursing Documentation: A Scoping Review

  • Amy Williams; 
  • Elizabeth Borycki; 
  • Andre Kushniruk; 

ABSTRACT

Background:

While the basic intent of all nursing documentation is to be representative of what the nurse does with and for the patient, each nursing professional association has identified and legislated documentation standards. Despite these standards, several challenges exist leading to documentation burden and ultimately the introduction of electronic nursing documentation to support evidence-based care.

Objective:

The objective of this scoping review was to evaluate the complex factors including enablers, mediating/moderating factors and barriers that influence adoption and use, and its outputs related to electronic clinical documentation by nurses. The analysis of the data will advance an understanding of the factors influence adoption of electronic nursing documentation and the resulting output.

Methods:

A scoping review of literature was conducted on electronic nursing documentation. The reviewers utilized the Arksey and O’Malley methodological framework for all five stages of the scoping review.

Results:

Following the data-charting phase, 13 key themes were identified in articles that discussed factors that influence the adoption of electronic nursing documentation. The dominant and recurring themes were grouped according to the category they aligned with (i.e. structure, process, or outcomes) within the Donabedian Framework.

Conclusions:

Factors that influence the adoption of electronic nursing documentation are multifactorial, interrelated and require careful consideration for implementation and support. A thorough evaluation of structures, processes, and individual user characteristics are required to understand the root causes of adoption levels and potential mitigating factors. Further research is required to understand the impacts that adoption has on clinical outcomes.


 Citation

Please cite as:

Williams A, Borycki E, Kushniruk A

Understanding Complex Factors That Influence the Adoption and Use of Electronic Nursing Documentation: A Scoping Review

JMIR Preprints. 01/11/2019:16881

DOI: 10.2196/preprints.16881

URL: https://preprints.jmir.org/preprint/16881

Download PDF


Request queued. Please wait while the file is being generated. It may take some time.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.