• Shayla D Green and Joan D Thomas.
• Methodist University Hospital, Memphis, TN, USA.
• Pediatr Nurs. 2008 May 1; 34 (3): 225-7, 240.

PurposeTo examine interdisciplinary collaboration via electronic medical records (EMRs) with a focus on physicians' perception of nursing documentation.DesignQuality improvement project using a survey instrument.LocationTertiary care pediatric hospital.ParticipantsThirty-seven physicians.Outcome MeasurePhysicians perceptions of nursing documentation after EMR implementationKey FindingsPhysicians desire nursing documentation with greater clarity and additional information. Physicians indicate checklists alone for patient assessment and intervention data are insufficient for effective nurse/physician collaboration. Narrative nursing summaries are invaluable references that guide medical treatment decisions. Physicians see detailed assessments and well-described interventions of nurses' as critical to their ability to effectively practice medicine.Key ConclusionsHealth care technology is called to develop EMRs that enable nurses to document detailed patient data in a swift and straightforward manner. Joint collaboration between nurses, physicians, and technology specialists is recommended to develop effective EMR systems.

36 keywords...

hide…