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Advanced practice nurses' meaningful use of electronic health records

机译：高级实践护士有意义地使用电子健康记录

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Aim: The aim of this study was to better understand electronic health records (EHRs) use among advanced practice nurses (APNs). Background: EHRs are becoming an integral part of the U.S. health care system. Federal law was enacted with provisions that offer incentive payments to eligible professionals and hospitals who use EHRs. Little is known about APNs' EHR use. Methods: A quantitative, non-experimental research design was used. Descriptive and multiple logistic regression analyses were performed. Results: Two thirds of the APNs were EHR-user. Statistically significant differences between EHR-users and non-users were found in age categories, practice setting, practice size, and in tasks related to imagery report review and care coordination. EHR use was associated with higher odds of practicing in hospital, and employment longevity, but with decreased odds in the number of patients seen per day. Conclusions: With one third of the APNs being EHR non-users, more efforts are needed to help guide the adoption and diffusion of EHRs in practice.
机译：目的：本研究的目的是更好地了解高级执业护士（APN）中使用电子健康记录（EHR）。背景：电子病历已成为美国医疗体系不可或缺的一部分。颁布了联邦法律，规定向使用电子病历的合格专业人员和医院提供奖励金。关于APN的EHR使用知之甚少。方法：采用定量，非实验的研究设计。进行了描述性和多元逻辑回归分析。结果：三分之二的APN是EHR用户。在年龄类别，执业环境，执业规模以及与影像报告审阅和护理协调相关的任务中，EHR使用者与非使用者之间存在统计学上的显着差异。使用电子病历与在医院实习的机会更高，就业寿命更长，但与每天看诊患者的几率降低有关。结论：由于APN的三分之一是EHR非用户，因此需要更多的努力来帮助指导EHR在实践中的采用和传播。

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