Impact of using data from electronic protocols in nursing performance management: A qualitative interview study

Authors: Hope, J., Griffiths, P., Schmidt, P.E., Recio-Saucedo, A. and Smith, G.B.

Journal: Journal of Nursing Management

Volume: 27

Issue: 8

Pages: 1682-1690

eISSN: 1365-2834

ISSN: 0966-0429

DOI: 10.1111/jonm.12858

Abstract:

Aim: To explore the impact of using electronic data in performance management to improve nursing compliance with a protocol. Background: Electronic data are increasingly used to monitor protocol compliance but little is known about the impact on nurses’ practice in hospital wards. Method: Seventeen acute hospital nursing staff participated in semi-structured interviews about compliance with an early warning score (EWS) protocol delivered by a bedside electronic handheld device. Results: Before electronic EWS data was used to monitor compliance, staff combined protocol-led actions with clinical judgement. However, some observations were missed to reduce noise and disruption at night. After compliance monitoring was introduced, observations were sometimes covertly omitted using a loophole. Interviewees described a loss of autonomy but acknowledged the EWS system sometimes flagged unexpected patient deterioration. Conclusions: Introducing automated electronic systems to support nursing tasks can decrease nursing burden but remove the ability to record legitimate reasons for missing observations. This can result in covert resistance that could reduce patient safety. Implications for nursing management: Providing the ability to log legitimate reasons for missing observations would allow nurses to balance professional judgement with the use of electronic data in performance management of protocol compliance.

https://eprints.bournemouth.ac.uk/32742/

Source: Scopus

Impact of using data from electronic protocols in nursing performance management: A qualitative interview study.

Authors: Hope, J., Griffiths, P., Schmidt, P.E., Recio-Saucedo, A. and Smith, G.B.

Journal: J Nurs Manag

Volume: 27

Issue: 8

Pages: 1682-1690

eISSN: 1365-2834

DOI: 10.1111/jonm.12858

Abstract:

AIM: To explore the impact of using electronic data in performance management to improve nursing compliance with a protocol. BACKGROUND: Electronic data are increasingly used to monitor protocol compliance but little is known about the impact on nurses' practice in hospital wards. METHOD: Seventeen acute hospital nursing staff participated in semi-structured interviews about compliance with an early warning score (EWS) protocol delivered by a bedside electronic handheld device. RESULTS: Before electronic EWS data was used to monitor compliance, staff combined protocol-led actions with clinical judgement. However, some observations were missed to reduce noise and disruption at night. After compliance monitoring was introduced, observations were sometimes covertly omitted using a loophole. Interviewees described a loss of autonomy but acknowledged the EWS system sometimes flagged unexpected patient deterioration. CONCLUSIONS: Introducing automated electronic systems to support nursing tasks can decrease nursing burden but remove the ability to record legitimate reasons for missing observations. This can result in covert resistance that could reduce patient safety. IMPLICATIONS FOR NURSING MANAGEMENT: Providing the ability to log legitimate reasons for missing observations would allow nurses to balance professional judgement with the use of electronic data in performance management of protocol compliance.

https://eprints.bournemouth.ac.uk/32742/

Source: PubMed

Impact of using data from electronic protocols in nursing performance management: A qualitative interview study

Authors: Hope, J., Griffiths, P., Schmidt, P.E., Recio-Saucedo, A. and Smith, G.B.

Journal: JOURNAL OF NURSING MANAGEMENT

Volume: 27

Issue: 8

Pages: 1682-1690

eISSN: 1365-2834

ISSN: 0966-0429

DOI: 10.1111/jonm.12858

https://eprints.bournemouth.ac.uk/32742/

Source: Web of Science (Lite)

Impact of using data from electronic protocols in nursing performance management: A qualitative interview study.

Authors: Hope, J., Griffiths, P., Schmidt, P.E., Recio-Saucedo, A. and Smith, G.B.

Journal: Journal of nursing management

Volume: 27

Issue: 8

Pages: 1682-1690

eISSN: 1365-2834

ISSN: 0966-0429

DOI: 10.1111/jonm.12858

Abstract:

Aim

To explore the impact of using electronic data in performance management to improve nursing compliance with a protocol.

Background

Electronic data are increasingly used to monitor protocol compliance but little is known about the impact on nurses' practice in hospital wards.

Method

Seventeen acute hospital nursing staff participated in semi-structured interviews about compliance with an early warning score (EWS) protocol delivered by a bedside electronic handheld device.

Results

Before electronic EWS data was used to monitor compliance, staff combined protocol-led actions with clinical judgement. However, some observations were missed to reduce noise and disruption at night. After compliance monitoring was introduced, observations were sometimes covertly omitted using a loophole. Interviewees described a loss of autonomy but acknowledged the EWS system sometimes flagged unexpected patient deterioration.

Conclusions

Introducing automated electronic systems to support nursing tasks can decrease nursing burden but remove the ability to record legitimate reasons for missing observations. This can result in covert resistance that could reduce patient safety.

Implications for nursing management

Providing the ability to log legitimate reasons for missing observations would allow nurses to balance professional judgement with the use of electronic data in performance management of protocol compliance.

https://eprints.bournemouth.ac.uk/32742/

Source: Europe PubMed Central

Impact of using data from electronic protocols in nursing performance management: a qualitative interview study.

Authors: Hope, J., Griffiths, P., Schmidt, P.E., Recio-Saucedo, A. and Smith, G.B.

Journal: Journal of Nursing Management

Volume: 27

Issue: 8

Pages: 1682-1690

ISSN: 0966-0429

Abstract:

AIM: To explore the impact of using electronic data in performance management to improve nursing compliance with a protocol. BACKGROUND: Electronic data is increasingly used to monitor protocol compliance but little is known about the impact on nurses' practice in hospital wards. METHOD: Seventeen acute hospital nursing staff participated in semi-structured interviews about compliance with an early warning score (EWS) protocol delivered by a bedside electronic handheld device. RESULTS: Before electronic EWS data was used to monitor compliance, staff combined protocol-led actions with clinical judgement. However, some observations were missed to reduce noise and disruption at night. After compliance monitoring was introduced, observations were sometimes covertly omitted using a loophole. Interviewees described a loss of autonomy but acknowledged the EWS system sometimes flagged unexpected patient deterioration. CONCLUSIONS: Introducing automated electronic systems to support nursing tasks can decrease nursing burden but remove the ability to record legitimate reasons for missing observations. This can result in covert resistance that could reduce patient safety. IMPLICATIONS FOR NURSING MANAGEMENT: Providing the ability to log legitimate reasons for missing observations would allow nurses to balance professional judgement with the use of electronic data in performance management of protocol compliance. This article is protected by copyright. All rights reserved.

https://eprints.bournemouth.ac.uk/32742/

Source: BURO EPrints