A Systematic Review of Nurses' Perceptions of Electronic Health Record Usability Based on the Human Factor Goals of Satisfaction, Performance, and Safety

TEST INSTRUCTIONS

Read the article. The test for this nursing continuing professional development (NCPD) activity is to be taken online at www.nursingcenter.com/CE/CIN. Tests can no longer be mailed or faxed. You'll need to create an account (it's free!) and log in to access My Planner before taking online tests. Your planner will keep track of all your Lippincott Professional Development online NCPD activities for you. There's only one correct answer for each question. A passing score for this test is 8 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost. For questions, contact Lippincott Professional Development: 1-800-787-8985. Registration deadline is March 6, 2026.

PROVIDER ACCREDITATION

Lippincott Professional Development will award 2.0 contact hours for this nursing continuing professional development activity.

Lippincott Professional Development is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.0 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, West Virginia, New Mexico, South Carolina, and Florida, CE Broker #50-1223. Your certificate is valid in all states.

Payment: The registration fee for this test is $21.95.

DISCLOSURE STATEMENT

The authors and planners have disclosed that they have no financial relationships related to this article.

LEARNING OUTCOME: A majority of the participants of this activity will demonstrate knowledge of a review synthesizing studies focused on nurses’ perceived electronic health record usability and categorizing the findings in alignment with the human factor goals of satisfaction, performance, and safety by achieving a passing score on the posttest.

LEARNING OBJECTIVES: After completing this continuing professional development activity, the participant will apply knowledge gained to:

1. Recognize the literature that informed the review of studies focused on nurses’ perceived electronic health record usability.

2. Identify the characteristics of the study participants.

3. Select the results of the review that emphasize the need for nurses’ involvement in the development of electronic health record systems and the importance of incorporating nurses’ input.

According to Dudding et al. (2018), poor electronic health record (EHR) usability leads nurses to conduct frequent workarounds, which can result in unintended negative consequences, including wrong patient errors. work interruptions. interface incompatibility. Lee et al. (2017) pointed out that improving satisfaction increases users’ comfort. efficiency. productivity. The most common focus of the studies included in their review was on electronic medical record systems. electronic medication records. overall EHRs. The design of most of the studies included in their review was qualitative. mixed methods. analytical cross-sectional. The nurses participating in the study by Melnick et al. (2021) gave their current EHR an average usability score grade of “F.” “D.” “C.” Kutney-Lee et al. (2021) reported that, compared with hospitals that adopted a basic EHR, when hospitals adopted a comprehensive EHR, nurses were less likely to report dissatisfaction. more likely to report dissatisfaction. about as likely to report dissatisfaction. In a study by Jedwab et al. (2022), participating nurses stated that an advantage of EHR performance is that they found the system integrated well into their workflows. were able to view all clinical information in one location. had more interaction among clinicians and between clinicians and patients. Kutney-Lee et al. (2021) noted that surgical patients treated in hospitals with lower EHR usability experienced significantly higher odds of unmanageable postoperative pain. 30-day readmission. wound infection. The authors noted that nurses acknowledged that EHRs have improved data integrity, communication, and flowsheet use. narrative notes. time efficiency. Dudding et al. (2018) proposed which of the following to help alleviate the risks to patients’ safety that can result from the implementation of EHRs into nurses’ nonlinear workflow? prioritizing outcomes for nurses’ use of EHRs customizing templates to align with unit specialties examining the usability of specific functionalities in EHRs

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