ArticleJournal of nursing management2019
Impact of using data from electronic protocols in nursing performance management: A qualitative interview study.
Article in Journal of nursing management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 12 citations in OpenAlex.
- Motif discovery in hospital ward vital signs observation networks.Network modeling and analysis in health informatics and bioinformatics · 2024Article
- Evaluation of NEWS2 response thresholds in a retrospective observational study from a UK acute hospital.BMJ open · 2022Observational
- Participatory co-design and normalisation process theory with staff and patients to implement digital ways of working into routine care: the example of electronic patient-reported outcomes in UK renal services.BMC health services research · 2021Article
- How long do nursing staff take to measure and record patients' vital signs observations in hospital? A time-and-motion study.International journal of nursing studies · 2021Article
- Impact of using data from electronic protocols in nursing performance management: A qualitative interview study.Journal of nursing management · 2019Article
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
aimTo explore the impact of using electronic data in performance management to improve nursing compliance with a protocol.
backgroundElectronic data are increasingly used to monitor protocol compliance but little is known about the impact on nurses' practice in hospital wards.
methodSeventeen acute hospital nursing staff participated in semi-structured interviews about compliance with an early warning score (EWS) protocol delivered by a bedside electronic handheld device.
resultsBefore electronic EWS data was used to monitor compliance, staff combined protocol-led actions with clinical judgement. However, some observations were missed to reduce noise and disruption at night. After compliance monitoring was introduced, observations were sometimes covertly omitted using a loophole. Interviewees described a loss of autonomy but acknowledged the EWS system sometimes flagged unexpected patient deterioration.
conclusionsIntroducing automated electronic systems to support nursing tasks can decrease nursing burden but remove the ability to record legitimate reasons for missing observations. This can result in covert resistance that could reduce patient safety. IMPLICATIONS FOR NURSING MANAGEMENT: Providing the ability to log legitimate reasons for missing observations would allow nurses to balance professional judgement with the use of electronic data in performance management of protocol compliance.
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Registered trials
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