EPJ. Helseportaler. Dokumentasjon/Saksbehandling
Søkeord ...
"electronic health record*"
"electronic medical journal*"
"electronic patient record*"
"Medical Record* System*"
"medical record*"
"nursing record*"
"Patient Record*"
Bruk ordboker, og databasens emneord (i CINAHL CINAHL Subject headings, i MEDLINE, se MeSH)
CINAHL Subject headings, slå opp i databasen CINAHL, Velg CINAHL Subject headings knappen på toppen
"Nursing Records"
Scope note:
Documents containing information regarding nursing care provided to patients, including treatment outcomes and patient progression.
Medical records:
SCope note: :A document containing all of a patient's health information. For electronic records, consider COMPUTERIZED PATIENT RECORD.
Documentation
Scope note:
Systematic organization, storage, retrieval, and dissemination of specialized information. Specific available.
Electronic Health Records:
scope note: An electronic record that contains all the health information of a patient, from a single episode of care to life-long healthcare information. Consider also PATIENT RECORD SYSTEMS and CLINICAL INFORMATION SYSTEM
Patient Portals
scope note: Secure web-based applications that allow patients to access personal health records and communicate with healthcare providers.
MeSH; Medical Subject headings, slå opp mesh.uia.no, eller i MESH via MEDLINE EBSCOhost, eller MeSH Broweser
Elektroniske helsejournaler- engelsk: "Electronic Health Records"
Scope note: Media that facilitate transportability of pertinent information concerning patient's illness across varied providers and geographic locations. Some versions include direct linkages to online consumer health information that is relevant to the health conditions and treatments related to a specific patient.
Søkeord,
Se ordbøker og mesh.uia.no- og finn ord via allerede relevant litteratur, både norsk og engelsk
"Patient Record System*"
"patient portal*"
"electronic personal health record*"
Ersatt n og # med ønsket tall for nærhet:
("Web-based" OR webbased OR "web-site*" OR website*OR internet OR electronic OR digital) NEAR patient*
Om søk med nærhet mellom ord (Proximity operator), Bytt ut NEAR med tegn for dette i databasenen:
Scopus: w/n
EBSCOhost: N#
Web of Scince: NEAR/n
Søkeord ...
bruk
"use"
user*
"Meaningful Use" scope note (MeSH): Using certified ELECTRONIC HEALTH RECORDS technology to improve quality, safety, efficiency, and reduce HEALTHCARE DISPARITIES; engage patients and families in their health care; improve care coordination; improve population and public health; while maintaining privacy and security
erfaringer:
experience*
perception*
perspectiv*
attitude*
view*
opinion*
ord for innsamling kvalitative data:
qualitative
interview
"focus group*"
Ord for innsamling spørreskjema:
survey*
questionnaire*
Erfaringer og bruk: "electronic personal health record*"
Støme, L. N., Moger, T., Kidholm, K. & Kværner, K. J. (2020). A web-based communication platform to improve home care services in norway (digihelse): pilot study. JMIR Formative Research, 4(1), Artikkel e14780. https://doi.org/10.2196/14780
Zanaboni, P., Kummervold, P. E., Sørensen, T. & Johansen, M. A. (2020). Patient use and experience with online access to electronic health records in Norway: Results from an online survey. Journal of Medical Internet Research, 22(2), Artikkel e16144. https://doi.org/10.2196/16144
Valeur, H. S., Lie, A. K. & Moen, K. (2021). Patient rationales against the use of patient-accessible electronic health records: Qualitative study. Journal of Medical Internet Research, 23(5), Artikkel e24090. https://doi.org/10.2196/24090
Turner, K., Clary, A., Hong, Y. R., Tabriz, A. A. & Shea, C. M. (2020). Patient portal barriers and group differences: Cross-sectional national survey study. Journal of Medical Internet Research, 22(9), Artikkel e18870. https://doi.org/10.2196/18870
Abd-alrazaq, A. A., Bewick, B. M., Farragher, T. & Gardner, P. (2019). Factors that affect the use of electronic personal health records among patients: A systematic review. International Journal of Medical Informatics, 126, 164-175. https://doi.org/10.1016/j.ijmedinf.2019.03.014
Paccoud, I., Baumann, M., Le Bihan, E., Pétré, B., Breinbauer, M., Böhme, P., Chauvel, L. & Leist, A. K. (2021). Socioeconomic and behavioural factors associated with access to and use of Personal Health Records. BMC Medical Informatics and Decision Making, 21(1), Artikkel 18. https://doi.org/10.1186/s12911-020-01383-9
Abd-Alrazaq, A., Alalwan, A. A., McMillan, B., Bewick, B. M., Househ, M. & Al-Zyadat, A. T. (2020). Patients' adoption of electronic personal health records in England: Secondary data analysis. Journal of Medical Internet Research, 22(10), Artikkel e17499. https://doi.org/10.2196/17499
Abd-Alrazaq, A., Safi, Z., Bewick, B. M., Househ, M. & Gardner, P. H. (2021). Patients' Perspectives about Factors Affecting Their Use of Electronic Personal Health Records in England: Qualitative Analysis. Journal of Medical Internet Research, 23(1), Artikkel 17500. https://doi.org/10.2196/17500
Irizarry, T., Shoemake, J., Nilsen, M. L., Czaja, S., Beach, S. & DeVito Dabbs, A. (2017). Patient Portals as a Tool for Health Care Engagement: A Mixed-Method Study of Older Adults With Varying Levels of Health Literacy and Prior Patient Portal Use. Journal of Medical Internet Research, 19(3), e99. https://doi.org/10.2196/jmir.7099
Noen artikler om bruk ...
Zanaboni, P., Kummervold, P. E., Sørensen, T. & Johansen, M. A. (2020). Patient use and experience with online access to electronic health records in Norway: Results from an online survey. Journal of Medical Internet Research, 22(2), Artikkel e16144. https://doi.org/10.2196/16144
Valeur, H. S., Lie, A. K. & Moen, K. (2021). Patient rationales against the use of patient-accessible electronic health records: Qualitative study. Journal of Medical Internet Research, 23(5), Artikkel e24090. https://doi.org/10.2196/24090
Turner, K., Clary, A., Hong, Y. R., Tabriz, A. A. & Shea, C. M. (2020). Patient portal barriers and group differences: Cross-sectional national survey study. Journal of Medical Internet Research, 22(9), Artikkel e18870. https://doi.org/10.2196/18870
Abd-alrazaq, A. A., Bewick, B. M., Farragher, T. & Gardner, P. (2019). Factors that affect the use of electronic personal health records among patients: A systematic review. International Journal of Medical Informatics, 126, 164-175. https://doi.org/10.1016/j.ijmedinf.2019.03.014
Paccoud, I., Baumann, M., Le Bihan, E., Pétré, B., Breinbauer, M., Böhme, P., Chauvel, L. & Leist, A. K. (2021). Socioeconomic and behavioural factors associated with access to and use of Personal Health Records. BMC Medical Informatics and Decision Making, 21(1), Artikkel 18. https://doi.org/10.1186/s12911-020-01383-9
Søk i ORIA etter bøker og artikler
Søk i Google og Google Scholar etter rapporter, artikler
Søk i databasene etter forskningsartikler,
tverrfaglige Scopus,eller mer avgrensende faglige databaser CINAHL & MEDLINE (via EBSCOhost). Se startsiden
Helsepersonelloven med kommentarer. Rundskriv. Kapittel 8: Dokumentasjonsplikt. by
Helsedirektoratet (2018, siste faglige oppdatering 11. juli 2014). Helsepersonelloven med kommentarer. Rundskriv. Kapittel 8: Dokumentasjonsplikt. https://www.helsedirektoratet.no/rundskriv/helsepersonelloven-med-kommentarer/dokumentasjonsplikt
Call Number: elektronisk tilgang- Veileder for saksbehandling Tjenester etter helse- og omsorgstjenesteloven §§ 3-2 første ledd nr. 6, 3-6 og 3-8 by Call Number: elektronisk tilgangPublication Date: 2017
Eksempler sykepleiedokumentasjon:
"nursing documentation" AND ("electronic health record*" OR "nursing record*") Link treff CINAHL, limit peer review, språk, norsk, dansk, svensk, engelsk
Laukvik, L. B., Lyngstad, M., Rotegård, A. K. & Fossum, M. (2024). Utilizing nursing standards in electronic health records: A descriptive qualitative study. International Journal of Medical Informatics, 184, 105350. https://doi.org/10.1016/j.ijmedinf.2024.105350
Laukvik, L. B., Lyngstad, M., Rotegård, A. K., Slettebø, Å. & Fossum, M. (2022). Content and comprehensiveness in the nursing documentation for residents in long-term dementia care: a retrospective chart review. BMC Nursing, 21(1), 1-9. https://doi.org/10.1186/s12912-022-00863-9
Laukvik, L. B., Rotegård, A. K., Lyngstad, M., Slettebø, Å. & Fossum, M. (2023). Registered nurses’ reasoning process during care planning and documentation in the electronic health records: A concurrent think-aloud study. Journal of Clinical Nursing, 32(1-2), 221-233. https://doi.org/https://doi.org/10.1111/jocn.16210
