Abstract

The objective of this study was to examine end-user opinions on electronic health record (EHR) modifications related to social work documentation of psychosocial acuity and provision of social care. Content analysis was used to examine end-user opinions (n = 42; 20% of a social work department employed in a large, urban, pediatric hospital) about whether or not to integrate a metric of psychosocial acuity into the EHR and required documentation practices. Most (79%) participants were in favor of EHR integration. Content analysis revealed nine themes in favor and five against integration, with most pertaining to clinical care, the organizational context, process, and purpose. Given that health care providers may find EHR changes to be disruptive to workflow and an imposition to day-to-day activities, engaging end-users in decision-making processes surrounding forthcoming EHR changes may not only increase investment in them, but also prevent provider burnout.

摘要

本研究的目的是检查最终用户对与社会心理敏锐度的社会工作文件和提供社会关怀相关的电子健康记录 (EHR) 修改的意见。内容分析用于检查最终用户的意见（n = 42；20% 受雇于大型城市儿科医院的社会工作部门）关于是否将社会心理敏锐度指标纳入 EHR 和所需的文档实践. 大多数 (79%) 参与者支持 EHR 集成。内容分析揭示了 9 个支持整合的主题和 5 个反对整合的主题，其中大部分与临床护理、组织环境、流程和目的有关。鉴于医疗保健提供者可能会发现 EHR 更改会破坏工作流程并强加于日常活动，