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Hemşirelikte Elektronik Sağlık Kayıtlarının Kullanımı

Year 2025, Volume: 4 Issue: 3, 139 - 145, 17.11.2025
https://doi.org/10.59398/ahd.1672862

Abstract

Hemşireler, hastalarla en uzun süre vakit geçiren ve sağlık verilerinin kayıt altına alınmasında etkin rol oynayan sağlık profesyonellerinden biridir. Elektronik sağlık kayıtlarının hemşireler tarafından kullanımı ile zaman tasarrufu ve verimlilik, hata oranının azalması, iletişim ve koordinasyonun gelişmesi, hasta güvenliği, bakım kalitesinin artması ve iş yükünün azalması sağlanmaktadır. Ancak hemşireler elektronik sağlık kayıtlarını kullanırken teknolojik yetersizlikler ve eğitim ihtiyacı, tükenmişlik hissi, veri güvenliği ve gizliliği, yüksek maliyet ve teknolojik bağımlılık gibi zorluklar yaşamaktadır. Bu geleneksel derleme çalışması, hemşirelikte elektronik sağlık kayıtlarının kullanımının önemini vurgulamak ve yaşanan zorluklara dikkat çekmek amacıyla yapılmıştır. Elektronik sağlık kayıt sistemlerinin oluşturulması sürecine hemşirelerin dahil edilmesi ve süreçle ilgili farkındalıklarının artırılması önemlidir

References

  • Rau HH, Wu YS, Chu CM, Wang FC, Hsu MH, Chang CW et al. Importance-performance analysis of personal health records in Taiwan: A web-based survey. Journal of Medical Internet Research 2017; 19(4) :e131.
  • Shuaib M, Samad A, Alam S, Siddiqui ST. Why is adopting clouds still a challenge? A review on issues and challenges for cloud migration in organizations. Ambient Communications and Computer Systems: RACCCS-2018 2019; 387-399.
  • Baird A, Davidson E, Mathiassen L. Reflective technology assimilation: Facilitating electronic health record assimilation in small physician practices. Journal of Management Information Systems 2017; 34(3): 664-694.
  • Tufekci N, Yorulmaz R, Cansever IH. Digital hospital. Journal of Health Sector Current Research 2017; 7(2): 144-156.
  • Eikey EV, Murphy AR, Reddy MC, Xu H. Designing for privacy management in hospitals: Understanding the gap between user activities and IT staff’s understandings. International Journal of Medical Informatics 2015; 84(12): 1065-1075.
  • Peker SV, Van Gıersbergen MY, Bicersoy G. Health informatics and digitalization of hospitals in Turkey. Health Academy Kastamonu 2018; 3(3): 228-267.
  • Jha AK, DesRoches CM, Campbell EG, Donelan K, Rao SR, Ferris TG et al. Use of electronic health records in US hospitals. New England Journal of Medicine 2019; 360(16): 1628-1638.
  • Ileri YY. Information security management in organizations, corporate integration process and a sample application. Anadolu University Journal of Social Sciences 2017; 17(4): 55-72.
  • Ghazvini A, Shukur Z. Security challenges and success factors of electronic healthcare system. Procedia Technology 2013; 11: 212-219.
  • Sethi N, Lane G, Newton S, Egan P, Ghosh S. Disaster easily averted? Data confidentiality and the hospital desktop computer. International Journal of Medical Informatics 2014; 83(5): 385-391.
  • Bani Issa W, Al Akour I, Ibrahim A, Almarzouqi A, Abbas S, Hisham F. Privacy, confidentiality, security and patient safety concerns about electronic health records. International Nursing Review 2020; 67(2): 218-230.
  • Adedeji P, Irinoye O, Ikono R, Komolafe A. Factors influencing the use of electronic health records among nurses in a teaching hospital in Nigeria. Journal of Health Informatics in Developing Countries 2018; 12(2).
  • Moy AJ, Schwartz JM, Chen R, Sadri S, Lucas E, Cato KD et al. Measurement of clinical documentation burden among physicians and nurses using electronic health records: a scoping review. Journal of the American Medical Informatics Association 2021; 28(5): 998-1008.
  • Cakirlar A, Mendi B. Evaluation of nurses’ knowledge and attitudes within the scope of electronic health record and informatics applications. Istanbul Bilim University Florence Nightingale Medical Journal 2016; 2(1): 32-39.
  • Cetinkaya E. Nursing informatics competencies of charge nurse, clinical education nurse and team leaders working in a private hospital, Public Health Nursing Master’s Program 2023. Marmara University, Istanbul.
  • Aksu Kilic P. Evaluation of hospital information management system in terms of information security, Marmara University, Institute of Health Sciences, PhD Thesis, 2014, Istanbul.
  • Kipturgo MK, Kivuti-Bitok LW, Karani AK, Muiva MM. Attitudes of nursing staff towards computerisation: A case of two hospitals in Nairobi, Kenya. BMC Medical Informatics and Decision Making 2014; 14: 1-8.
  • Strudwick G, Eyasu T. Electronic health record use by nurses in mental health settings: A literature review. Archives of Psychiatric Nursing 2015; 29(4): 238-241.
  • Sahin G. Visibility of nursing roles in electronic health records: A mixed method study. Istanbul Medipol University Institute of Health Sciences, Department of Nursing, Master’s Thesis 2024, Istanbul
  • A productivity analysis of electronic medical records in a community hospital ED. The American Journal of Emergency Medicine 2013; 31(11): 1591-1594.
  • Kutney-Lee A, Sloane DM, Bowles KH, Burns LR, Aiken LH. Electronic health record adoption and nurse reports of usability and quality of care: The role of work environment. Applied Clinical Informatics 2019; 10(01): 129-139.
  • Nguyen OT, Shah S, Gartland AJ, Parekh A, Turner K, Feldman SS et al. Factors associated with nurse well-being in relation to electronic health record use: A systematic review. Journal of the American Medical Informatics Association 2021; 28(6): 1288-1297.
  • Upadhyay S, Hu HF. A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: Clinicians’ lived experiences. Health Services Insights 2022; 15: 11786329211070722.
  • Chao CA. The impact of electronic health records on collaborative work routines: A narrative network analysis. International Journal of Medical Informatics 2016; 94: 100-111.
  • Baumann LA, Baker J, Elshaug AG. The impact of electronic health record systems on clinical documentation times: A systematic review. Health Policy 2018; 122(8): 827-836.
  • Walker RM, Burmeister E, Jeffrey C, Birgan S, Garrahy E, Andrews J. et al. The impact of an integrated electronic health record on nurse time at the bedside: A pre-post continuous time and motion study. Collegian 2020; 27(1), 63-74.
  • Akhu‐Zaheya L, Al‐Maaitah R, Bany Hani S. Quality of nursing documentation: Paper‐based health records versus electronic‐based health records. Journal of Clinical Nursing 2018; 27(3- 4): e578-e589.
  • De Groot K, De Veer AJ, Paans W, Francke AL. Use of electronic health records and standardized terminologies: a nationwide survey of nursing staff experiences. International Journal of Nursing Studies 2020; 104: 103523.
  • Bristol AA, Nibbelink CW, Gephart SM, Carrington JM. Nurses’ use of positive deviance when encountering electronic health records-related unintended consequences. Nursing Administration Quarterly 2018; 42(1):
  • E1-E11. Graham HL, Nussdorfer D, Beal R. Nurse attitudes related to accepting electronic health records and bedside documentation. CIN: Computers, Informatics, Nursing 2018; 36(11): 515-520.
  • Soriano R, Siegel EO, Kim TY, Catz S. Nurse managers’ experiences with electronic health records in quality monitoring. Nursing Administration Quarterly 2019; 43(3): 222-229.
  • Forde‐Johnston C, Butcher D, Aveyard H. An integrative review exploring the impact of Electronic Health Records (EHR) on the quality of nurse–patient interactions and communication. Journal of Advanced Nursing 2023; 79(1): 48-67.
  • Narcisse MR, Kippenbrock TA, Odell E, Buron B. Advanced practice nurses’ meaningful use of electronic health records. Applied Nursing Research 2013; 26(3): 127-132.
  • Laramee AS, Bosek M, Shaner-McRae H, Powers- Phaneuf T. A comparison of nurse attitudes before implementation and 6 and 18 months after implementation of an electronic health record. CIN: Computers, Informatics, Nursing 2012; 30(10): 521-530.
  • Strudwick G, Booth RG, Bjarnadottir RI, Collins S, Srivastava R. Exploring the role of the nurse manager in supporting point-of-care nurses’ adoption of electronic health records: Protocol for a qualitative research study. BMJ Open 2017; 7(10): e018129.
  • Melnick ER, Dyrbye LN, Sinsky CA, Trockel M, West CP, Nedelec L et al. The association between perceived electronic health record usability and professional burnout among US physicians. In Mayo Clinic Proceedings 2020; 95(3): 476-487.
  • Dello S, Lemmens R, Demeestere J, Michiels D, Wellens L, Weltens C et al. A nurse-led multicomponent intervention supported by advanced electronic health records to improve the acute management of stroke patients: A pre-and post-intervention study. International Journal of Nursing Studies Advances 2021; 3: 100023.
  • Kutney-Lee A, Carthon MB, Sloane DM, Bowles KH, McHugh MD, Aiken LH. Electronic health record usability: Associations with nurse and patient outcomes in hospitals. Medical Care 2021; 59(7): 625-631.
  • Jenkins A, Eide P, Smart D, Wintersteen-Arleth L. Implementing electronic health records in nursing education. International Journal of Nursing Student Scholarship 2018; 5.
  • Kleib M, Jackman D, Duarte Wisnesky U, Ali S. Academic electronic health records in undergraduate nursing education: mixed methods pilot study. JMIR Nursing 2021; 4(2): e26944.
  • Romero-Collado A, Baltasar-Bagué A, Puigvert- Viu N, Rascón-Hernán C, Homs-Romero E. Using simulation and electronic health records to train nursing students in prevention and health promotion interventions. Nurse Education Today 2020; 89: 104384.
  • Everett-Thomas R, Joseph L, Trujillo G. Using virtual simulation and electronic health records to assess student nurses’ documentation and critical thinking skills. Nurse Education Today 2021; 99, 104770.
  • Raghunathan K, McKenna L, Peddle M. Use of academic electronic medical records in nurse education: A scoping review. Nurse Education Today 2021; 101: 104889.
  • Ting J, Garnett A, Donelle L. Nursing education and training on electronic health record systems: An integrative review. Nurse Education in Practice 2021; 55 :103168.
  • Whitt KJ, Pericak A, Allen CL, Knestrick J, Beebe SL., Braungart, C et al. Effectiveness of screen-based simulation as a strategy to improve nurse practitioner students’ access to electronic health records in clinical education. CIN: Computers, Informatics, Nursing 2023; 41(8): 621-627.
  • Kowitlawakul Y, Chan SWC, Wang L, Wang W. Exploring faculty perceptions towards electronic health records for nursing education. International Nursing Review 2014; 61(4): 499- 506.
  • Chung J, Cho I. The need for academic electronic health record systems in nurse education. Nurse Education Today 2017; 54: 83-88

Use of Electronic Health Records in Nursing

Year 2025, Volume: 4 Issue: 3, 139 - 145, 17.11.2025
https://doi.org/10.59398/ahd.1672862

Abstract

Nurses are one of the health professionals who spend the longest time with patients and play an active role in recording health data. With the use of electronic health records by nurses, time saving and efficiency, reduction of error rate, improvement of communication and coordination, patient safety, increase in quality of care, and reduction of workload are provided. However, nurses experience difficulties such as technological inadequacies and need for training, feeling of burnout, data security and confidentiality, high cost and technological dependency when using electronic health records. This traditional review study was conducted to emphasize the importance of the use of electronic health records in nursing and to draw attention to the difficulties experienced. It is important to involve nurses in the process of creating electronic health record systems and to increase their awareness of the process.

References

  • Rau HH, Wu YS, Chu CM, Wang FC, Hsu MH, Chang CW et al. Importance-performance analysis of personal health records in Taiwan: A web-based survey. Journal of Medical Internet Research 2017; 19(4) :e131.
  • Shuaib M, Samad A, Alam S, Siddiqui ST. Why is adopting clouds still a challenge? A review on issues and challenges for cloud migration in organizations. Ambient Communications and Computer Systems: RACCCS-2018 2019; 387-399.
  • Baird A, Davidson E, Mathiassen L. Reflective technology assimilation: Facilitating electronic health record assimilation in small physician practices. Journal of Management Information Systems 2017; 34(3): 664-694.
  • Tufekci N, Yorulmaz R, Cansever IH. Digital hospital. Journal of Health Sector Current Research 2017; 7(2): 144-156.
  • Eikey EV, Murphy AR, Reddy MC, Xu H. Designing for privacy management in hospitals: Understanding the gap between user activities and IT staff’s understandings. International Journal of Medical Informatics 2015; 84(12): 1065-1075.
  • Peker SV, Van Gıersbergen MY, Bicersoy G. Health informatics and digitalization of hospitals in Turkey. Health Academy Kastamonu 2018; 3(3): 228-267.
  • Jha AK, DesRoches CM, Campbell EG, Donelan K, Rao SR, Ferris TG et al. Use of electronic health records in US hospitals. New England Journal of Medicine 2019; 360(16): 1628-1638.
  • Ileri YY. Information security management in organizations, corporate integration process and a sample application. Anadolu University Journal of Social Sciences 2017; 17(4): 55-72.
  • Ghazvini A, Shukur Z. Security challenges and success factors of electronic healthcare system. Procedia Technology 2013; 11: 212-219.
  • Sethi N, Lane G, Newton S, Egan P, Ghosh S. Disaster easily averted? Data confidentiality and the hospital desktop computer. International Journal of Medical Informatics 2014; 83(5): 385-391.
  • Bani Issa W, Al Akour I, Ibrahim A, Almarzouqi A, Abbas S, Hisham F. Privacy, confidentiality, security and patient safety concerns about electronic health records. International Nursing Review 2020; 67(2): 218-230.
  • Adedeji P, Irinoye O, Ikono R, Komolafe A. Factors influencing the use of electronic health records among nurses in a teaching hospital in Nigeria. Journal of Health Informatics in Developing Countries 2018; 12(2).
  • Moy AJ, Schwartz JM, Chen R, Sadri S, Lucas E, Cato KD et al. Measurement of clinical documentation burden among physicians and nurses using electronic health records: a scoping review. Journal of the American Medical Informatics Association 2021; 28(5): 998-1008.
  • Cakirlar A, Mendi B. Evaluation of nurses’ knowledge and attitudes within the scope of electronic health record and informatics applications. Istanbul Bilim University Florence Nightingale Medical Journal 2016; 2(1): 32-39.
  • Cetinkaya E. Nursing informatics competencies of charge nurse, clinical education nurse and team leaders working in a private hospital, Public Health Nursing Master’s Program 2023. Marmara University, Istanbul.
  • Aksu Kilic P. Evaluation of hospital information management system in terms of information security, Marmara University, Institute of Health Sciences, PhD Thesis, 2014, Istanbul.
  • Kipturgo MK, Kivuti-Bitok LW, Karani AK, Muiva MM. Attitudes of nursing staff towards computerisation: A case of two hospitals in Nairobi, Kenya. BMC Medical Informatics and Decision Making 2014; 14: 1-8.
  • Strudwick G, Eyasu T. Electronic health record use by nurses in mental health settings: A literature review. Archives of Psychiatric Nursing 2015; 29(4): 238-241.
  • Sahin G. Visibility of nursing roles in electronic health records: A mixed method study. Istanbul Medipol University Institute of Health Sciences, Department of Nursing, Master’s Thesis 2024, Istanbul
  • A productivity analysis of electronic medical records in a community hospital ED. The American Journal of Emergency Medicine 2013; 31(11): 1591-1594.
  • Kutney-Lee A, Sloane DM, Bowles KH, Burns LR, Aiken LH. Electronic health record adoption and nurse reports of usability and quality of care: The role of work environment. Applied Clinical Informatics 2019; 10(01): 129-139.
  • Nguyen OT, Shah S, Gartland AJ, Parekh A, Turner K, Feldman SS et al. Factors associated with nurse well-being in relation to electronic health record use: A systematic review. Journal of the American Medical Informatics Association 2021; 28(6): 1288-1297.
  • Upadhyay S, Hu HF. A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: Clinicians’ lived experiences. Health Services Insights 2022; 15: 11786329211070722.
  • Chao CA. The impact of electronic health records on collaborative work routines: A narrative network analysis. International Journal of Medical Informatics 2016; 94: 100-111.
  • Baumann LA, Baker J, Elshaug AG. The impact of electronic health record systems on clinical documentation times: A systematic review. Health Policy 2018; 122(8): 827-836.
  • Walker RM, Burmeister E, Jeffrey C, Birgan S, Garrahy E, Andrews J. et al. The impact of an integrated electronic health record on nurse time at the bedside: A pre-post continuous time and motion study. Collegian 2020; 27(1), 63-74.
  • Akhu‐Zaheya L, Al‐Maaitah R, Bany Hani S. Quality of nursing documentation: Paper‐based health records versus electronic‐based health records. Journal of Clinical Nursing 2018; 27(3- 4): e578-e589.
  • De Groot K, De Veer AJ, Paans W, Francke AL. Use of electronic health records and standardized terminologies: a nationwide survey of nursing staff experiences. International Journal of Nursing Studies 2020; 104: 103523.
  • Bristol AA, Nibbelink CW, Gephart SM, Carrington JM. Nurses’ use of positive deviance when encountering electronic health records-related unintended consequences. Nursing Administration Quarterly 2018; 42(1):
  • E1-E11. Graham HL, Nussdorfer D, Beal R. Nurse attitudes related to accepting electronic health records and bedside documentation. CIN: Computers, Informatics, Nursing 2018; 36(11): 515-520.
  • Soriano R, Siegel EO, Kim TY, Catz S. Nurse managers’ experiences with electronic health records in quality monitoring. Nursing Administration Quarterly 2019; 43(3): 222-229.
  • Forde‐Johnston C, Butcher D, Aveyard H. An integrative review exploring the impact of Electronic Health Records (EHR) on the quality of nurse–patient interactions and communication. Journal of Advanced Nursing 2023; 79(1): 48-67.
  • Narcisse MR, Kippenbrock TA, Odell E, Buron B. Advanced practice nurses’ meaningful use of electronic health records. Applied Nursing Research 2013; 26(3): 127-132.
  • Laramee AS, Bosek M, Shaner-McRae H, Powers- Phaneuf T. A comparison of nurse attitudes before implementation and 6 and 18 months after implementation of an electronic health record. CIN: Computers, Informatics, Nursing 2012; 30(10): 521-530.
  • Strudwick G, Booth RG, Bjarnadottir RI, Collins S, Srivastava R. Exploring the role of the nurse manager in supporting point-of-care nurses’ adoption of electronic health records: Protocol for a qualitative research study. BMJ Open 2017; 7(10): e018129.
  • Melnick ER, Dyrbye LN, Sinsky CA, Trockel M, West CP, Nedelec L et al. The association between perceived electronic health record usability and professional burnout among US physicians. In Mayo Clinic Proceedings 2020; 95(3): 476-487.
  • Dello S, Lemmens R, Demeestere J, Michiels D, Wellens L, Weltens C et al. A nurse-led multicomponent intervention supported by advanced electronic health records to improve the acute management of stroke patients: A pre-and post-intervention study. International Journal of Nursing Studies Advances 2021; 3: 100023.
  • Kutney-Lee A, Carthon MB, Sloane DM, Bowles KH, McHugh MD, Aiken LH. Electronic health record usability: Associations with nurse and patient outcomes in hospitals. Medical Care 2021; 59(7): 625-631.
  • Jenkins A, Eide P, Smart D, Wintersteen-Arleth L. Implementing electronic health records in nursing education. International Journal of Nursing Student Scholarship 2018; 5.
  • Kleib M, Jackman D, Duarte Wisnesky U, Ali S. Academic electronic health records in undergraduate nursing education: mixed methods pilot study. JMIR Nursing 2021; 4(2): e26944.
  • Romero-Collado A, Baltasar-Bagué A, Puigvert- Viu N, Rascón-Hernán C, Homs-Romero E. Using simulation and electronic health records to train nursing students in prevention and health promotion interventions. Nurse Education Today 2020; 89: 104384.
  • Everett-Thomas R, Joseph L, Trujillo G. Using virtual simulation and electronic health records to assess student nurses’ documentation and critical thinking skills. Nurse Education Today 2021; 99, 104770.
  • Raghunathan K, McKenna L, Peddle M. Use of academic electronic medical records in nurse education: A scoping review. Nurse Education Today 2021; 101: 104889.
  • Ting J, Garnett A, Donelle L. Nursing education and training on electronic health record systems: An integrative review. Nurse Education in Practice 2021; 55 :103168.
  • Whitt KJ, Pericak A, Allen CL, Knestrick J, Beebe SL., Braungart, C et al. Effectiveness of screen-based simulation as a strategy to improve nurse practitioner students’ access to electronic health records in clinical education. CIN: Computers, Informatics, Nursing 2023; 41(8): 621-627.
  • Kowitlawakul Y, Chan SWC, Wang L, Wang W. Exploring faculty perceptions towards electronic health records for nursing education. International Nursing Review 2014; 61(4): 499- 506.
  • Chung J, Cho I. The need for academic electronic health record systems in nurse education. Nurse Education Today 2017; 54: 83-88
There are 47 citations in total.

Details

Primary Language English
Subjects Nursing (Other)
Journal Section Reviews
Authors

Deniz Yiğit 0000-0001-5627-7963

Publication Date November 17, 2025
Submission Date April 9, 2025
Acceptance Date August 1, 2025
Published in Issue Year 2025 Volume: 4 Issue: 3

Cite

Vancouver Yiğit D. Use of Electronic Health Records in Nursing. Akd Nurs J. 2025;4(3):139-45.