The Use of Electronic Health Records During the Transition of Care: Perceptions of Healthcare Providers

The Use of Electronic Health Records During the Transition of Care: Perceptions of Healthcare Providers

Author: 
Tiffany Straughter
Program of study: 
D.H.A.
Abstract: 
The purpose of this qualitative, descriptive case study is to examine why electronic health records (EHRs) are underutilized for chronically ill, young adult patients transitioning from pediatric to adult care. Twenty-two healthcare workers are interviewed from a pediatric hospital in Ohio. A field test is conducted to validate the interview questionnaire tool. Open-ended interview questions are used to assist in collecting data. N’Vivo™ is used to identify four major key themes. The first theme pertains to the lack education in dealing with EHRs and their functionality. The second theme identified is access and healthcare workers feeling that they do not have proper access to outside documentation. The third theme stems from redundant documentation and not being able to find documentation from other healthcare workers. The fourth theme pertains to the feelings of frustration experienced by healthcare workers. The findings indicate that the majority of the participants believe they do not have proper access to the documentation required to care for their patients. Discussion of these findings occurs in the context of the theoretical framework encompassing the technology acceptance model. The study culminates in recommendations for leadership and suggestions for future research.
Dedication: 
I dedicate this dissertation to my family and friends who supported me through the entire process; without their love and support, it would have been impossible to finish. I look forward to saying to everyone that I finally finished.
Acknowledgements: 
Many people came together to support me in my efforts to complete my dissertation. Dr. David Mohr accepted the challenge of being my Chair and provided me with guidance through the entire process. Dr. Deena Chisolm continuously provided words of encouragement while also offering guidance and feedback. Dr. Michelle Rose came in during the home stretch and made sure the dissertation was a pristine product. Lastly, I must thank my mother, Regina Tanner who has been my biggest cheerleader. Thank you for keeping me focused on days when I wanted to give up or my attention was not on my dissertation, without you in my life I would be lost.