Evaluation of the provincial Electronic Health Record HEALTHe NL and the HEALTHe NL online learning module: the nurse practitioner perspective

Morgan, Carolyn (2019) Evaluation of the provincial Electronic Health Record HEALTHe NL and the HEALTHe NL online learning module: the nurse practitioner perspective. Practicum Report. Memorial University of Newfoundland. (Unpublished)

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Abstract

Background: Newfoundland and Labrador’s Electronic Health Record, HEALTHe NL, provides clinicians with a holistic view of their patients’ health information. The HEALTHe NL online learning module was implemented in April 2018 to facilitate the orientation and adoption of HEALTHe NL into clinical practice. The current versions of these electronic systems had not been evaluated to date. Purpose: Evaluation of HEALTHe NL and the online learning module from the perspective of nurse practitioners (NPs) was important to determine the benefits and challenges of these electronic systems, to enhance patient care, and to improve the availability of relevant content to healthcare providers. Methods: The following methods were used: 1) literature review, 2) consultations with NPs and the Newfoundland and Labrador Centre for Health Information employees via semi-structured interviews and email, 3) environmental scan with other provinces throughout Canada via email, and 4) survey development using SurveyMonkey. Results: A survey was disseminated to 147 NPs in Newfoundland and Labrador who are active HEALTHe NL users. Questions focused on the content featured under each of the five tabs in HEALTHe NL and organized under headings associated with the Delone and McLean framework: 1) system and information quality, 2) service quality, 3) use and intention to use, 4) user satisfaction, 5) net benefits and, 6) demographic information. Survey results were positive. Participants were ‘very satisfied’ with HEALTHe NL, ‘definitely’ likely to recommend it, and ‘one-on-one demonstration’ was rated as the preferred method of training. Conclusion: The results of this evaluation survey will help support the continued use of these electronic systems, help promote the continuity of patient care, and help to identify ways to improve utilization of HEALTHe NL in the future.

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