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The Patient Perception of the Nurse-Patient Relationship When Nurses Utilize an Electronic Health Record Within a Hospital Setting


CIN: Computers, Informatics, Nursing: December 2013 - Volume 31 - Issue 12 - p 596–604
doi: 10.1097/CIN.0000000000000014
Feature Article

Research has focused on electronic health record use during patient interactions primarily from a physician or advanced practice nurse perspective. Few if any empirical data exclusively explored the patient’s hospital experience of the nurse-patient relationship when nurses use an electronic health record to communicate with them during patient interactions. The study was conducted to determine how use of a computer for documentation and care delivery influences communication dynamics between a nurse and patient within an inpatient setting. Hermeneutic phenomenology was the methodology used. A purposeful sample of 11 adults from a medical unit of a community hospital comprised the sample. After institutional review board approval was obtained, a questionnaire, addressing demographic data and information about previous computer and electronic health record use, was administered. In-depth interviews were conducted to uncover patient’s experiences and reactions to their interactions with nurses as electronic health records were being utilized. Four themes were derived from the data analysis: (1) presence, (2) respect, (3) knowledge, and (4) trust and safety. Recommendations, including logistical modifications and innovative educational approaches, were derived from the themes and related findings.

Author Affiliation: Edgewood College, Madison, WI.

This work is part of a doctoral thesis completed through Case Western Reserve University in Cleveland, OH.

The author has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Beth Strauss, RN, DNP, ACNS, BC, 429 South Burr Oak Ave, Oregon, WI ( bstrauss@edgewood,edu).

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins.