Modelling nursing activities: electronic patient records and their discontents.

Abstract:

:A fully integrated and operating EPR in a clinical setting is hard to find: most applications can be found in outpatient or general practice settings or in isolated hospital wards. In clinical work practice problems with the electronic patient record (EPR) are frequent. These problems are at least partially due to the models of health care work embedded in EPRs. In this paper we will argue that these problems are at least partially due to the models of health care work embedded in current EPRs. We suggest that these models often contain projections of nurses' and doctors' work as it should be performed on the ward, rather than depicting how work is actually performed. We draw upon sociological insights to elucidate the fluid and pragmatic nature of healthcare work and give recommendations for the development of an empirically based EPR, which can support the work of nurses and other health care providers. We argue that these issues are of great importance to the nursing profession, since the EPR will help define the worksettings of the future. Since it is a tool that will impact the development of the nursing profession, nurses have and should have a stake in its development.

journal_name

Nurs Inq

journal_title

Nursing inquiry

authors

Goorman E,Berg M

doi

10.1046/j.1440-1800.2000.00053.x

subject

Has Abstract

pub_date

2000-03-01 00:00:00

pages

3-9

issue

1

eissn

1320-7881

issn

1440-1800

journal_volume

7

pub_type

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