Research Article Open Access
Cinaroglu, J Health Med Informat 2015, 6:4
DOI: 10.4172/2157-7420.1000201
Volume 6 • Issue 4 • 1000201
J Health Med Inform
ISSN: 2157-7420 JHMI, an open access journal
Keywords: Electronic health records; Medical and surgical nurses;
Adaptation to technology
Introduction
Decision making in healthcare is a complex area [1]. Electronic
health records can be a useful tool for dealing with this complexity,
reducing medical errors and improving patients’ outcomes [2]. An
electronic health record refers to the systematized collection of patient
electronically-stored health information in a digital format [3] this is
a way of health information management. With health information
management technologies, it is possible to improve quality of patient
care and health services [4]. Electronic health records help healthcare
professionals to see uncertainties and risks in health care and make
possible to solve complex problems. Tese records reduce medical
errors, makes improvements in health outcomes, health services
delivery and patient follow up processes [5]. Te development level of
health information systems and electronic health records is diferent
between developing and developed countries. Developing countries
like Turkey continuing on making investments on health information
systems and electronic health records [6].Turkish health care sector
experiencing Health Transformation Program since 2003 [7]. With
Health Transformation Program Turkish citizens living changes in
health policy, planning and health technology management. In Turkey
hospitals improving service quality by using electronic health records
and new technologies in a large spectrum of health information systems
[8]. Electronic health records are a way of adoption of health information
systems and consist of wide range of information technologies. Tese
records have basic and complex informations [2]. A basic system
includes information about socio-demographic characteristics of
patients. A complex system includes information about medication
lists, clinical notes, prescription printing, and laboratory and radiology
results. Complex systems are also an important supporting system for
health care professionals [9]. Adaptation of electronic health records
and health information technologies by health care professionals is still
questioning [10].
Physicians are at the center of clinical decision making process
because of that understanding physicians’ attitudes towards electronic
health records is important [11]. According to Beasley et al. physicians
feel stress and anxiety towards electronic health records. Tese have
a potential to infuence physicians performance and treat patients
safety [12]. Interdisciplinary collaboration is essential for dealing
with this adaptation problem of health information technologies and
electronic health records [13,14]. Nurses are prominent collaborators of
physicians in clinical decision making processes. Efective collaboration
between nurses and physicians can improve health outcomes; reduce
mortality and morbidity rates [15]. Like physicians nurses also
resists to computerization and they see health information systems
dehumanizing [16].
Specialties of nurses also infuence the adaptation of health
information systems by them. Traditionally medical nurses are more
patient focus than surgical nurses because of that patients who have
humanitarian nature have more close relationships with medical
nurses than surgical nurses [17,18]. As a result of the main diferences
between diferent specialties the perception of electronic health records
is diferent between nurses [19].
Both medical and surgical nurses are using information technologies
in care processes and their usage of information technologies infuenced
by their socio-demographic characteristics like gender, nationality,
education level and duration of computer usage. Studies show that
*Corresponding author: Songul Cinaroglu, Hacettepe University, FEAS Department
of Health Care Management, Beytepe Ankara, Turkey, Tel: +903124832902; E-mail:
cinaroglus@hotmail.com
Received May 28, 2015; Accepted August 10, 2015; Published August 17, 2015
Citation: Cinaroglu S, AVCI K (2015) Comparison of Medical and Surgical Nurses
Attitudes toward Usage of Electronic Health Records. J Health Med Informat 6: 201.
doi:10.4172/2157-7420.1000201
Copyright: © 2015 Cinaroglu S. This is an open-access article distributed under
the terms of the Creative Commons Attribution License, which permits unrestricted
use, distribution, and reproduction in any medium, provided the original author and
source are credited.
Abstract
Background: Health care is an organizational feld that information and technology improves quickly. With ensuring
health professionals adaptation to this new information and technology environment, it is possible to achieve quality and
productivity improvement goal in health care. It is known that different clinical expertises bring differences in presentation
of health services.
Aim: In this study it was aimed to compare nurses’ assessments about electronic health records usage.
Materials and methods: Data analyzed by using descriptive statistics, Chi-square test and independent sample
student-t test.
Results: At the end of the analysis it was found that nurses’ assessments about electronic health records usage has
a meaningful difference according to different clinical expertise (t=2.40, p < 0.05).
Conclusion: Results of this study shows that surgical nurses’ who are forefront with “technical abilities” have more
positive assessments about usage of electronic health records when they compared with medical nurses who are
forefront with “patient centered” abilities.
Comparison of Medical and Surgical Nurses Attitudes toward Usage of
Electronic Health Records
Songul Cinaroglu
1
* and Keziban AVCI
2
1
Hacettepe University, FEAS Department of Health Care Management, Beytepe Ankara, Turkey
2
Türkiye Yüksek İhtisas Hospital, Atatürk Bulvarı Kızılay, Sokak No:4 Sıhhiye – Ankara-Turkey
Journal of
Health & Medical Informatics
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ISSN: 2157-7420