Abstract

With the increase in technological advancements integrated into hospitals, physician offices, and nursing programs, there is concern regarding the imposition on the clinical foundation of nursing as a human improvement profession during the implementation of technology advancements. Technology can potentially serve as a distraction and even a false feedback loop for improved care, causing an impact on the fundamental quality of patient care. Mobile technology advancement such as Electronic Health Record (EHR) charting and smartphone use in the clinical nurse setting provides both prospects and challenges that have not been widely researched. This dissertation proposal examines registered nurse survey results, active participant observations of technology use and its perception and impact on patient care across three medical-surgical units, and patient survey results on perception of nursing care. More specifically it focused upon two research questions:

  1. In what ways do nurses implement new required technology and iPhone technology into their existing patterns of care?
  2. In what ways are nurse beliefs and practices related to "quality of care" impacted by the introduction of these new technology tools?

Nurse beliefs in electronic technology related to patient safety affected perception of quality patient care, while active participant observations revealed nurse perception of quality time spent with patient's was synonymous with use of technology outside of the patient room. Implications for implementation and measurement of quality care are discussed.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 27664996; ProQuest document ID: 2384501152. The author still retains copyright.

Author Details

Adrian D. Hordon, PhD, MSN, RN

Sigma Membership

Non-member

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Qualitative Research

Keywords:

Communication, Perception, Patient Care, Technology

Advisor

Randy Yerrick

Second Advisor

Ryan Rish

Degree

PhD

Degree Grantor

The State University of New York at Buffalo

Degree Year

2020

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-08-11

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