The Ethics Of Adopting Electronic Documentation For Patient Care

1882 WordsNov 16, 20148 Pages
Nurses’ documentation in the patient record has different purposes-from ensuring accountability and justification for patients’ interventions provided to ensuring quality, continuity and security for patients through a trajectory of illness (Gjevjon & Hellesø, 2010). When this process is done using health information systems (i.e. EMAR or EHR), it is called electronic documentation (eDoc.). According to Abiri (2014), eDoc help with mitigating medical errors and improving patient safety which are indices of quality patient care. Improvement in quality of care through the adaptation of eDoc can be explained by few grand theories (particularly the Donabedian’s framework of quality (Abiri, 2014). Other theories to consider for nurses’ adaptation of eDoc is be Roy adaptation theory. In this paper, the objective is to discuss how grand theory (i.e. Ray Adaptation theory), meta-paradigm, middle age theory, complexity science relates to nurses’ adaptation of electronic documentation for patient care. This paper will also discuss the ethics of adopting electronic documentation. NURSING ADAPTATION OF ELECTRONIC CLINICAL DOCUMENTATION My phenomenon of interest (POI) therefore examines the factors that make nurses and other health professionals resist the adoption of eDoc and how adoption of electronic nursing documentation improves quality of care utilizing the Donabedian’s framework of quality. The complexity of the healthcare environment and the increasing demand on
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