Intensive care nurses' experiences with the new electronic medication administration record

Linda R. Gregory; Rimen Lim; Lois MacCullagh; Therese Riley; Karen Tuqiri; Jan Heiler; Kath Peters

doi:10.1002/nop2.939

Intensive care nurses' experiences with the new electronic medication administration record

Linda R. Gregory, Rimen Lim, Lois MacCullagh, Therese Riley, Karen Tuqiri, Jan Heiler, Kath Peters

Western Sydney University

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Aim: To explore the experiences of Registered Nurses who administered medications to patients using the electronic medication administration record (eMAR) in Electronic Record for Intensive Care (eRIC) at one adult intensive care unit (ICU) in NSW, Australia. Design: The study research design used a qualitative descriptive exploratory approach that took place in two stages. Methods: Five participants attended one focus group followed by the observation of each participant as medications were administered to their assigned patient using the eMAR in eRIC. Results: From the data, three themes and one subtheme were identified. Themes included forcing nurses to work outside legal boundaries; patient safety; with a sub theme titled experiencing computer fatigue; and taking time away from the patient. To practise safely, nurses were required to implement workaround practices when using the new eMAR in ICU. Nurses also were concerned that the eMAR in eRIC took time away from the patient at the bedside and ‘added more screen time’ to their day.

Original language	English
Number of pages	7
Journal	Nursing Open
DOIs	https://doi.org/10.1002/nop2.939
Publication status	E-pub ahead of print (In Press) - 2021

Open Access - Access Right Statement

© 2021 The Authors. Nursing Open published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/3.0/au/), which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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title = "Intensive care nurses' experiences with the new electronic medication administration record",

abstract = "Aim: To explore the experiences of Registered Nurses who administered medications to patients using the electronic medication administration record (eMAR) in Electronic Record for Intensive Care (eRIC) at one adult intensive care unit (ICU) in NSW, Australia. Design: The study research design used a qualitative descriptive exploratory approach that took place in two stages. Methods: Five participants attended one focus group followed by the observation of each participant as medications were administered to their assigned patient using the eMAR in eRIC. Results: From the data, three themes and one subtheme were identified. Themes included forcing nurses to work outside legal boundaries; patient safety; with a sub theme titled experiencing computer fatigue; and taking time away from the patient. To practise safely, nurses were required to implement workaround practices when using the new eMAR in ICU. Nurses also were concerned that the eMAR in eRIC took time away from the patient at the bedside and {\textquoteleft}added more screen time{\textquoteright} to their day.",

author = "Gregory, {Linda R.} and Rimen Lim and Lois MacCullagh and Therese Riley and Karen Tuqiri and Jan Heiler and Kath Peters",

year = "2021",

doi = "10.1002/nop2.939",

language = "English",

journal = "Nursing Open",

issn = "2054-1058",

publisher = "Wiley-Blackwell Publishing",

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TY - JOUR

T1 - Intensive care nurses' experiences with the new electronic medication administration record

AU - Gregory, Linda R.

AU - Lim, Rimen

AU - MacCullagh, Lois

AU - Riley, Therese

AU - Tuqiri, Karen

AU - Heiler, Jan

AU - Peters, Kath

PY - 2021

Y1 - 2021

N2 - Aim: To explore the experiences of Registered Nurses who administered medications to patients using the electronic medication administration record (eMAR) in Electronic Record for Intensive Care (eRIC) at one adult intensive care unit (ICU) in NSW, Australia. Design: The study research design used a qualitative descriptive exploratory approach that took place in two stages. Methods: Five participants attended one focus group followed by the observation of each participant as medications were administered to their assigned patient using the eMAR in eRIC. Results: From the data, three themes and one subtheme were identified. Themes included forcing nurses to work outside legal boundaries; patient safety; with a sub theme titled experiencing computer fatigue; and taking time away from the patient. To practise safely, nurses were required to implement workaround practices when using the new eMAR in ICU. Nurses also were concerned that the eMAR in eRIC took time away from the patient at the bedside and ‘added more screen time’ to their day.

AB - Aim: To explore the experiences of Registered Nurses who administered medications to patients using the electronic medication administration record (eMAR) in Electronic Record for Intensive Care (eRIC) at one adult intensive care unit (ICU) in NSW, Australia. Design: The study research design used a qualitative descriptive exploratory approach that took place in two stages. Methods: Five participants attended one focus group followed by the observation of each participant as medications were administered to their assigned patient using the eMAR in eRIC. Results: From the data, three themes and one subtheme were identified. Themes included forcing nurses to work outside legal boundaries; patient safety; with a sub theme titled experiencing computer fatigue; and taking time away from the patient. To practise safely, nurses were required to implement workaround practices when using the new eMAR in ICU. Nurses also were concerned that the eMAR in eRIC took time away from the patient at the bedside and ‘added more screen time’ to their day.

UR - http://hdl.handle.net/1959.7/uws:59773

U2 - 10.1002/nop2.939

DO - 10.1002/nop2.939

M3 - Article

SN - 2054-1058

JO - Nursing Open

JF - Nursing Open

ER -

Intensive care nurses' experiences with the new electronic medication administration record

Abstract

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