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Volume 3 Advanced Practices in Nursing
ISSN: 2573-0347 Advanced Nursing Research 2018
June 14-15, 2018
June 14-15, 2018 | Dublin, Ireland
48th World Congress on
Advanced Nursing Research
The lived experience of nurses transitioning to electronic medical records usage: Aphenomenological
inquiry
Leesuk Ferencsik
Adventist University of Health Sciences, USA
Background: One of the most pressing global issues in health care settings is patients’ safety. In an effort to decrease medical
errors and improve the quality of patient care, many health care organizations have adopted an electronic medical record
(EMR) system. However, to date, the lived experience of the nurses transitioning to EMR is not clearly understood.
Purpose: The purpose of this study was to explore the lived experience of nurses transitioning to EMR usage.
Philosophical Underpinnings: This qualitative study followed van Manen’s phenomenological perspectives under the
naturalistic (constructivist) paradigm with the research question, what is the experience of nurses transitioning to electronic
medical records (EMRs) usage?
Methods: A qualitative phenomenological methodology was used for this study. A purposive sample of 15 nurses who have
experienced transitioning to the EMR usage was selected. Data collection occurred with in-depth, semi-structured interviews
using open-ended questions. Data analysis was guided by Max van Manen’s (1990) phenomenological method, which includes
describing, interpreting, textual writing and rewriting.
Results: Four core themes: doubting, struggling, accomplishing, and embracing emerged. Three subthemes: Balancing time
between computer and patients and Increasing workloads and responsibility, which are subthemes of struggling, and leaving
human interaction behind, a subtheme of accomplishing emerged from this qualitative, phenomenological investigation. These
themes illuminated the lived experience of 15 nurses transitioning to EMR usage. Thomas Kuhn’s (1996) process of scientific
inquiry provided a framework to gain a deeper understanding of this phenomenon.
Conclusions: This study explored the lived experience of nurses transitioning to EMR usage in hospital settings. The results of
the inquiry highlighted the essence of participants’ experience by revealing their doubt about the EMR’s functionality, struggle
with transitioning and using the new EMR system, accomplishment of successful transition to the EMR system, and finally
acceptance of technology in their daily work practice.
Biography
Leesuk Ferencsik is a Registered Nurse (RN) and Assistant Professor at Adventist University of Health Sciences, Orlando, Florida. She has been a RN since 1989
and worked in both South Korea and the United States on long-term care facility, health clinic, and all three levels of care: medical surgical unit, progressive care
unit (PCU), and intensive care unit (ICU) in various acute care hospitals. Before she became a Nursing Faculty at ADU, she worked as a Clinical Nurse Educator for
a multisystem ICU, Surgical PCU, and Transplant Unit. She has a passion for teaching and learning. She was very pleased when she became a Nursing Faculty at
ADU where she can do both: learning and teaching. She earned a Bachelor of Science in Nursing from the Korea Open University, South Korea, Master’s degree
in Nursing Education from the University of Phoenix, and Nursing PhD from Barry University, College of Nursing and Health Sciences, Miami, Florida. She had also
completed a year-long Healthcare Simulation Certification Course at University of Central Florida.
Leesuk Ferencsik, Adv Practice Nurs 2018, Volume 3
DOI: 10.4172/2573-0347-C2-020