Journal of Korean Academy of Nursing

Original Articles

Identifying Usability Level and Factors Affecting Electronic Nursing Record Systems: A Multi-institutional Time-motion Approach: Insook Cho, Won-Ja Choi, WoanHeui Choi, Misuk Hyun, Yeonok Park, Yoona Lee, Euiyoung Cho, Okhee Hwang; J Korean Acad Nurs 2015;45(4):523-532. Published online August 31, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.4.523

Purpose

The usability, user satisfaction, and impact of electronic nursing record (ENR) systems were investigated.

Methods

This mixed-method research was performed as a time-motion (TM) study and a survey which were carried out at six hospitals between August and November 2013. The TM study involved 108 nurses from medical, surgical, and intensive care units at each hospital, plus an additional 48 nurses who served as nonparticipating observers. In the survey, 1879 volunteer nurses completed the Impact of ENR Systems Scale, the System Usability Scale, and a global satisfaction scale. Qualitative and quantitative analyses were performed.

Results

The mean scores for the ENR impact, system usability, and satisfaction were 4.28 (out of 6), 58.62 (out of 100), and 74.31 (out of 100), respectively, and they differed significantly between hospitals (F=43.43, p<.001, F=53.08 and p<.001, and F=29.13 and p<.001, respectively). A workflow fragmentation assessment revealed different patterns of ENR system use among the included hospitals. Three user characteristics-educational background, practice period, and experience of using paper records-significantly affected the system usability and satisfaction scores.

Conclusion

The system quality varied widely among the ENR systems. The generally low-to-moderate levels of system usability and user satisfaction suggest many opportunities for improvement.

Citations

Citations to this article as recorded by

Usability and understandability of a web-based medical communication aid for patients with ankylosing spondylitis in South Korea: A mixed-methods study
Sang-Hoon Lee, YoungJu Park, Chan-Bum Choi, Yong-Gil Kim, Jung-Ae Kim, Hoon-Suk Cha
Medicine.2023; 102(14): e33430. CrossRef
Mobile health platform based on user-centered design to promote exercise for patients with peripheral artery disease
Mihui Kim, Yesol Kim, Mona Choi
BMC Medical Informatics and Decision Making.2022;[Epub] CrossRef
Comparing usability testing outcomes and functions of six electronic nursing record systems
Insook Cho, Eunman Kim, Woan Heui Choi, Nancy Staggers
International Journal of Medical Informatics.2016; 88: 78. CrossRef

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Depression of Married and Employed Women Based on Social-Role Theory: Insook Cho, Sukhee Ahn, Souk Young Kim, Young Sook Park, Hae Won Kim, Sun Ok Lee, Sook Hee Lee, Chae Weon Chung; J Korean Acad Nurs 2012;42(4):496-507. Published online August 12, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.4.496

Abstract PDF

Abstract Purpose

This study was based on social-role theory, and purposes were to investigate (1) how depression and health determinants vary with married and employed women, and (2) what factors contribute to depression according to family cycle.

Methods

A stratified convenience sample of 765 married and employed women was recruited during May to August 2010. Study variables of depression, socio-demographic threatening factors, psycho-stimulating factors, and social-role related factors were measured via a structured questionnaire.

Results

Prevalence rate for depression was 18.6%, with highest rate (25.4%) from elementary laborers. Greater levels of depression were related to women’s occupation, higher life stress, and poorer health; lower social support and vulnerable personality; higher levels of social-role related stress. From multivariate analysis, women with preadolescents were the most vulnerable to depression affected by occupation, life stress, personality, and parenting stress. These factors (except for occupational class) combined with economic status, social support, and housework unfairness were significant for depression in women with adolescents.

Conclusion

Depression among married and employed women differs by psycho-stimulating and social role relevant factors in addition to occupational class and family life cycle. Female elementary laborers and women with children need to have the highest prioritization for community mental health programs.

Citations

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Hyeong-Sook Park, Young-Sil Bae, Sung-Hwa Lee, Su-Jeong Yu, So-Young Jeon
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Korean Journal of Occupational Health Nursing.2016; 25(4): 329. CrossRef
The Influence of Health Behaviors and Health related Quality of Life on Depression among Korean Female Problem Drinker
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Asian Nursing Research.2015; 9(3): 265. CrossRef

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