Barbara Cherry, DNSc MBA RN, is the department chair for leadership studies, Texas Tech University Health Sciences Center School of Nursing, Lubbock, TX. She has a clinical background in nursing administration and is the coauthor and editor of Contemporary Nursing: Issues, Trends, and Management, 4th edition. Her research focuses on improving the quality of the long-term care workforce through educational and technology initiatives.
Factors Affecting Electronic Health Record Adoption in Long-Term Care Facilities
Article first published online: 30 OCT 2012
2008 National Association for Healthcare Quality
Journal for Healthcare Quality
Volume 30, Issue 2, pages 37–47, March-April 2008
How to Cite
Cherry, B., Carter, M., Owen, D. and Lockhart, C. (2008), Factors Affecting Electronic Health Record Adoption in Long-Term Care Facilities. Journal for Healthcare Quality, 30: 37–47. doi: 10.1111/j.1945-1474.2008.tb01133.x
- Issue published online: 30 OCT 2012
- Article first published online: 30 OCT 2012
- electronic health records;
- long-term care;
- nursing homes;
- technology adoption
Abstract: Electronic health records (EHRs) hold the potential to significantly improve the quality of care in long-term care (LTC) facilities, yet limited research has been done on how facilities decide to adopt these records. This study was conducted to identify factors that hinder and facilitate EHR adoption in LTC facilities. Study participants were LTC nurses, administrators, and corporate executives. Primary barriers identified were costs, the need for training, and the culture change required to embrace technology. Primary facilitators were training programs, well-defined implementation plans, government assistance with implementation costs, evidence that EHRs will improve care outcomes, and support from state regulatory agencies. These results offer a framework of action for policy makers, LTC leaders, and researchers.