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Article

Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation: A Mixed Methods Study

1
Monash Medical Centre Clayton, Monash Health Digital Health Division, Nursing and Midwifery Informatics, Melbourne, VIC 3168, Australia
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Faculty of Health, School of Nursing and Midwifery, Melbourne Burwood Campus, Deakin University, Melbourne, VIC 3125, Australia
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Centre for Quality and Patient Safety Research—Monash Health Partnership, Deakin University, Melbourne, VIC 3168, Australia
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Dyson School of Design Engineering, Imperial College London, South Kensington, London SW7 2DB, UK
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Central Clinical School, Faculty of Medicine and Health, Sydney School of Medicine, The University of Sydney, Sydney, NSW 2050, Australia
*
Author to whom correspondence should be addressed.
Academic Editor: Raphael M. Herr
Int. J. Environ. Res. Public Health 2021, 18(5), 2726; https://doi.org/10.3390/ijerph18052726
Received: 25 January 2021 / Revised: 5 March 2021 / Accepted: 5 March 2021 / Published: 8 March 2021
(This article belongs to the Special Issue Psychosocial Factors and Health at Work: Evaluation and Intervention)
Implementation of an electronic medical record (EMR) is a significant workplace event for nurses in hospitals. Understanding nurses’ key concerns can inform EMR implementation and ongoing optimisation strategies to increase the likelihood of nurses remaining in the nursing workforce. This concurrent mixed-methods study included surveys from 540 nurses (response rate 15.5%), and interviews with 63 nurses to examine their perceptions of using a new EMR prior to implementation at a single healthcare organisation. Survey findings revealed 32.2% (n = 174) of nurses reported low well-being scores and 28.7% (n = 155) were experiencing burnout symptoms. In contrast, 40.3% (n = 216) of nurses reported high work satisfaction, 62.3% (n = 334) had high intentions of staying in their role, and 34.3% (n = 185) were engaged in their work. Nearly half (n = 250, 46.3%) reported intrinsic motivation towards EMR use. Thematic analysis of focus group interviews revealed two themes, each with three subthemes: (1) Us and Them, detailed the juxtaposition between nurses’ professional role and anticipated changes imposed on them and their work with the EMR implementation; and (2) Stuck in the middle, revealed nurses’ expectations and anticipations about how the EMR may affect the quality of nurse-patient relationships. In conclusion, anticipation of the EMR implementation emerged as a stressor for nursing staff, with some groups of nurses particularly vulnerable to negative consequences to their well-being. View Full-Text
Keywords: nursing; nursing workforce; electronic medical record; motivation; work engagement; well-being; burnout; health communication nursing; nursing workforce; electronic medical record; motivation; work engagement; well-being; burnout; health communication
MDPI and ACS Style

Jedwab, R.M.; Hutchinson, A.M.; Manias, E.; Calvo, R.A.; Dobroff, N.; Glozier, N.; Redley, B. Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation: A Mixed Methods Study. Int. J. Environ. Res. Public Health 2021, 18, 2726. https://doi.org/10.3390/ijerph18052726

AMA Style

Jedwab RM, Hutchinson AM, Manias E, Calvo RA, Dobroff N, Glozier N, Redley B. Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation: A Mixed Methods Study. International Journal of Environmental Research and Public Health. 2021; 18(5):2726. https://doi.org/10.3390/ijerph18052726

Chicago/Turabian Style

Jedwab, Rebecca M., Alison M. Hutchinson, Elizabeth Manias, Rafael A. Calvo, Naomi Dobroff, Nicholas Glozier, and Bernice Redley. 2021. "Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation: A Mixed Methods Study" International Journal of Environmental Research and Public Health 18, no. 5: 2726. https://doi.org/10.3390/ijerph18052726

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