You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

Evaluating the Barriers to Point-of-Care Documentation for Nursing Staff

KOHLE-ERSHER, ANGELA RN, BSN; CHATTERJEE, POOJA MS; OSMANBEYOGLU, HATICE ULKU MS; HOCHHEISER, HARRY PhD; BARTOS, CHRISTA PhD, RN

CIN: Computers, Informatics, Nursing:
doi: 10.1097/NCN.0b013e3182343f14
Feature Article
Abstract

Point-of-care documentation has been identified as a patient safety measure for improving accuracy and timeliness of data. To evaluate the barriers that nurses and nurse aide/clinical technicians encounter for electronic point-of-care documentation, we conducted surveys on a telemetry unit at a southwestern Pennsylvania community hospital. Our first survey revealed that the location of the in-room computers, perceived lack of in-room computer reliability, Health Insurance Portability and Accountability Act/privacy concerns, and perceptions of the patients’ response to charting on computers in patient rooms were all barriers to point-of-care documentation. Our second survey revealed that workflow priority issues were also a barrier to point-of-care documentation, as staff members did not rate documentation as a high priority in terms of delivering timely medical care. Changes in both nursing practices and hospital infrastructure may be needed if these barriers to point-of-care documentation are to be overcome.

Author Information

Author Affiliations: School of Nursing (Ms Kohle-Ersher and Dr Bartos); Department of Biomedical Informatics (Mss Chatterjee and Osmanbeyoglu and Drs Hochheiser and Bartos), University of Pittsburgh, PA.

The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Angela Kohle-Ersher, RN, BSN, University of Pittsburgh, 3500 Victoria St, Pittsburgh, PA 15261 (aersher@hvhs.org).

© 2012 Lippincott Williams & Wilkins, Inc.