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Validation of a Nurses' Views on Electronic Medical Record Systems (EMR) Questionnaire in Turkish Health System.

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Title: Validation of a Nurses' Views on Electronic Medical Record Systems (EMR) Questionnaire in Turkish Health System.
Authors: Top, Mehmet1 mtop@hacettepe.edu.tr, Yilmaz, Ali2, Karabulut, Erdem3, Otieno, Ochieng4, Saylam, Melahat5, Bakır, Sevgi5, Top, Sümbül6
Source: Journal of Medical Systems. Jun2015, Vol. 39 Issue 6, p1-7. 7p. 1 Diagram, 2 Charts.
Subjects: Academic medical centers, Chi-squared test, Statistical correlation, Cost control, Factor analysis, Medical care, Medical care costs, Nurses' attitudes, Patient safety, Probability theory, Quality assurance, Questionnaires, Research evaluation, Scale analysis (Psychology), Human services programs, Maximum likelihood statistics, Multitrait multimethod techniques, Research methodology evaluation, Evaluation of human services programs, Data analysis software, Electronic health records, Descriptive statistics
Geographic Terms: Turkey
Abstract: Using of EMR in health services and organizations is steadily increasing for quality improvement, cost effectiveness and performance development. However, no validated national and international instruments (scale, questionnaire, index, and inventory) have assessed the effectiveness, satisfaction, health care savings, patient safety and cost minimization of electronic medical and health systems from the viewpoint and perceptions of nurses in Turkish health services. The perceptions of health care professionals especially physicians and nurses can contribute important information that may predict their acceptance of EMR and desired mode of use for EMR, evaluation performance of EMR thus guiding EMR implementation in hospitals. This article is a report of validation of the instrument to measure nurses' views on the use, quality and user satisfaction with EMR in Turkish health system. Items in the questionnaire were designed and obtained following O.G. Otieno, H. Toyama, M. Asonuma, M. Kanai-Pak, K. Naitoh's questionnaire about Use, Quality and User Satisfaction with EMR systems. Reliability and validity were examined and investigated in terms of responses from 487 nurses from one education hospital in Ankara, Turkey. This study was planned and conducted at a university hospital. The validation process was based on construct validity in this study. The response rate was 74.92 %. Cronbach's alphas of three factors (use, quality and satisfaction of EMR) ranged from 0.78 to 0.94. Goodness-of-fit indices from the confirmatory factor analysis showed a reasonable model fit. Results of confirmatory factor analysis showed that χ statistic indicated significant result ( p < 0.001) and model fit was acceptable according to relative χ statistic (χ/df = 2.8 < 5). Further validation of the instrument could yield positive results in health systems in the different countries. Also further validation and reliability studies could be planned on physicians and other health professionals. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Medical Systems is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Using of EMR in health services and organizations is steadily increasing for quality improvement, cost effectiveness and performance development. However, no validated national and international instruments (scale, questionnaire, index, and inventory) have assessed the effectiveness, satisfaction, health care savings, patient safety and cost minimization of electronic medical and health systems from the viewpoint and perceptions of nurses in Turkish health services. The perceptions of health care professionals especially physicians and nurses can contribute important information that may predict their acceptance of EMR and desired mode of use for EMR, evaluation performance of EMR thus guiding EMR implementation in hospitals. This article is a report of validation of the instrument to measure nurses&#39; views on the use, quality and user satisfaction with EMR in Turkish health system. Items in the questionnaire were designed and obtained following O.G. Otieno, H. Toyama, M. Asonuma, M. Kanai-Pak, K. Naitoh&#39;s questionnaire about Use, Quality and User Satisfaction with EMR systems. Reliability and validity were examined and investigated in terms of responses from 487 nurses from one education hospital in Ankara, Turkey. This study was planned and conducted at a university hospital. The validation process was based on construct validity in this study. The response rate was 74.92 %. Cronbach&#39;s alphas of three factors (use, quality and satisfaction of EMR) ranged from 0.78 to 0.94. Goodness-of-fit indices from the confirmatory factor analysis showed a reasonable model fit. Results of confirmatory factor analysis showed that χ statistic indicated significant result ( p &lt; 0.001) and model fit was acceptable according to relative χ statistic (χ/df = 2.8 &lt; 5). Further validation of the instrument could yield positive results in health systems in the different countries. Also further validation and reliability studies could be planned on physicians and other health professionals. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Medical Systems is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10916-015-0250-2
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      – SubjectFull: Turkey
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      – TitleFull: Validation of a Nurses' Views on Electronic Medical Record Systems (EMR) Questionnaire in Turkish Health System.
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