TY - JOUR A1 - Meyer, Dorothee A1 - Kernebeck, Sven A1 - Busse, Theresa Sophie A1 - Ehlers, Jan A1 - Wager, Julia A1 - Zernikow, Boris A1 - Dreier, Larissa Alice T1 - Electronic Health Records in Specialized Pediatric Palliative Care: A Qualitative Needs Assessment among Professionals Experienced and Inexperienced in Electronic Documentation JF - Children N2 - Background: Currently, to the best of our knowledge, no findings exist concerning the needs of professionals in specialized pediatric palliative care (PPC) regarding electronic health records (EHRs). Several studies have highlighted benefits concerning the use of EHRs in pediatrics. However, usability is strongly affected by the degree of adaptivity to the context of application. The aim of this study is to examine the needs of professionals concerning an EHR in the specialized PPC inpatient and outpatient settings. Methods: A qualitative research design was chosen to address the complex aspects of user demands. Focus group interviews and semi-structured one-on-one interviews were conducted with PPC professionals. N = 23 participants from inpatient and N = 11 participants from outpatient settings of specialized PPC representing various professions took part in the study. Results: The findings could be grouped into four categories: (1) attitude towards the current methods of documentation, (2) attitude towards electronic documentation in general, (3) general requirements for an EHR, and (4) content requirements for an EHR. Conclusions: Professionals in specialized PPC expect and experience many benefits of using electronic documentation. Their requirements for an EHR for inpatient and outpatient settings of PPC are largely consistent with EHRs for pediatrics. However, individual specifications and adaptations are necessary for this particular setting. Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173265 SN - 2227-9067 VL - 8 SP - 249 ER - TY - JOUR A1 - Kernebeck, Sven A1 - Jux, Chantal A1 - Busse, Theresa Sophie A1 - Meyer, Dorothee A1 - Dreier, Larissa Alice A1 - Zenz, Daniel A1 - Zernikow, Boris A1 - Ehlers, Jan Peter T1 - Participatory Design of a Medication Module in an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Approach with Nurses and Physicians JF - Children N2 - Background: Electronic medical records (EMRs) play a key role in improving documentation and quality of care in paediatric palliative care (PPC). Inadequate EMR design can cause incorrect prescription and administration of medications. Due to the fact of complex diseases and the resulting high level of medical complexity, patients in PPC are vulnerable to medication errors. Consequently, involving users in the development process is important. Therefore, the aim of this study was to evaluate the acceptance of a medication module from the perspective of potential users in PPC and to involve them in the development process. Methods: A qualitative observational study was conducted with 10 nurses and four physicians using a concurrent think-aloud protocol and semi-structured qualitative interviews. A qualitative content analysis was applied based on a unified theory of acceptance and use of technology. Results: Requirements from the user’s perspective could be identified as possible influences on acceptance and actual use. Requirements were grouped into the categories “performance expectancies” and “effort expectancies”. Conclusions: The results serve as a basis for further development. Attention should be given to the reduction of display fragmentation, as it decreases cognitive load. Further approaches to evaluation should be taken. Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173158 SN - 2227-9067 VL - 9 SP - 82 ER - TY - JOUR A1 - Kernebeck, Sven A1 - Jux, Chantal A1 - Busse, Theresa Sophie A1 - Meyer, Dorothee A1 - Dreier, Larissa Alice A1 - Zenz, Daniel A1 - Zernikow, Boris A1 - Ehlers, Jan Peter T1 - Participatory Design of a Medication Module in an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Approach with Nurses and Physicians JF - Children N2 - Background: Electronic medical records (EMRs) play a key role in improving documentation and quality of care in paediatric palliative care (PPC). Inadequate EMR design can cause incorrect prescription and administration of medications. Due to the fact of complex diseases and the resulting high level of medical complexity, patients in PPC are vulnerable to medication errors. Consequently, involving users in the development process is important. Therefore, the aim of this study was to evaluate the acceptance of a medication module from the perspective of potential users in PPC and to involve them in the development process. Methods: A qualitative observational study was conducted with 10 nurses and four physicians using a concurrent think-aloud protocol and semi-structured qualitative interviews. A qualitative content analysis was applied based on a unified theory of acceptance and use of technology. Results: Requirements from the user’s perspective could be identified as possible influences on acceptance and actual use. Requirements were grouped into the categories “performance expectancies” and “effort expectancies”. Conclusions: The results serve as a basis for further development. Attention should be given to the reduction of display fragmentation, as it decreases cognitive load. Further approaches to evaluation should be taken. Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173146 SN - 2227-9067 VL - 9 SP - 82 ER - TY - CHAP A1 - Kernebeck, Sven A1 - Busse, Theresa Sophie A1 - Meyer, Dorothee A1 - Dreier, Larissa A1 - Wager, Julia A1 - Zernikow, Boris A1 - Ehlers, Jen Peter T1 - User-Centered Design und User Co-Design aus Perspektive der Versorgungsforschung - Methodische Herausforderungen bei der Evaluation von Nutzer*innenbedürfnissen an eine Elektronische Patient*innenakte in der stationären pädiartrischen Palliativversorgung T2 - 19. Deutscher Kongress für Versorgungsforschung, 30.09. - 01.10.2020, digital Y1 - 2020 U6 - http://dx.doi.org/10.3205/20dkvf351 ER - TY - JOUR A1 - Kernebeck, Sven A1 - Busse, Theresa Sophie A1 - Jux, Chantal A1 - Meyer, Dorothee A1 - Dreier, Larissa Alice A1 - Zenz, Daniel A1 - Zernikow, Boris A1 - Ehlers, Jan Peter T1 - Participatory Design of an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Study with Nurses and Physicians JF - Children N2 - Background: Electronic medical records (EMRs) offer a promising approach to mapping and documenting the complex information gathered in paediatric palliative care (PPC). However, if they are not well developed, poorly implemented EMRs have unintended consequences that may cause harm to patients. One approach to preventing such harm is the involvement of users in the participatory design to ensure user acceptance and patient safety. Therefore, the aim of this study is to evaluate the acceptance of a novel patient chart module (PCM) as part of an EMR from the perspective of potential users in PPC and to involve these professionals in the design process. Methods: A qualitative observational study with N = 16 PPC professionals (n = 10 nurses, n = 6 physicians) was conducted, including concurrent think aloud (CTA) and semi-structured interviews. A structured content analysis based on the Unified Theory of Acceptance and Use of Technology was applied. Results: The results can be summarized in terms of general observations, performance expectancy, effort expectancy and facilitating conditions, all of which are likely to have a positive influence on acceptance of the PCM from the user perspective in the context of PPC. Conclusions: The involvement of users in the development of EMRs is important for meeting the requirements in PPC. Further software adaptations are necessary to implement these requirements. Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173219 SN - 2227-9067 VL - 8 SP - 695 ER - TY - JOUR A1 - Kernebeck, Sven A1 - Busse, Theresa Sophie A1 - Jux, Chantal A1 - Dreier, Larissa Alice A1 - Meyer, Dorothee A1 - Zenz, Daniel A1 - Zernikow, Boris A1 - Ehlers, Jan Peter T1 - Evaluation of an Electronic Medical Record Module for Nursing Documentation in Paediatric Palliative Care: Involvement of Nurses with a Think-Aloud Approach JF - International Journal of Environmental Research and Public Health N2 - Background: Paediatric palliative care (PPC) is a noncurative approach to the care of children and adolescents with life-limiting and life-threatening illnesses. Electronic medical records (EMRs) play an important role in documenting such complex processes. Despite their benefits, they can introduce unintended consequences if future users are not involved in their development. Aim: The aim of this study was to evaluate the acceptance of a novel module for nursing documentation by nurses working in the context of PPC. Methods: An observational study employing concurrent think-aloud and semi-structured qualitative interviews were conducted with 11 nurses working in PPC. Based on the main determinants of the unified theory of acceptance and use of technology (UTAUT), data were analysed using qualitative content analysis. Results: The main determinants of UTAUT were found to potentially influence acceptance of the novel module. Participants perceived the module to be self-explanatory and intuitive. Some adaptations, such as the reduction of fragmentation in the display, the optimization of confusing mouseover fields, and the use of familiar nursing terminology, are reasonable ways of increasing software adoption. Conclusions: After adaptation of the modules based on the results, further evaluation with the participation of future users is required. Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173137 SN - 1661-7827 VL - 19 SP - 3637 ER - TY - CHAP A1 - Jux, Chantal A1 - Busse, Theresa Sophie A1 - Kernebeck, Sven A1 - Dreier, L.A. A1 - Meyer, Dorothee A1 - Zenz, Daniel A1 - Wager, Julia A1 - Zernikow, Boris A1 - Ehlers, Jan Peter T1 - Nutzung von User-Stories zur partizipativen Entwicklung einer elektronischen Patient*innenakte (EPA) für die spezialisierte ambulante pädiatrische Palliativversorgung (SAPPV) - ein Erfahrungsbericht aus Perspektive der Versorgungsforschung T2 - 20. Deutscher Kongress für Versorgungsforschung, 08.10.2021, digital Y1 - 2021 U6 - http://dx.doi.org/10.3205/21dkvf254 ER - TY - CHAP A1 - Busse, Theresa Sophie A1 - Kernebeck, Sven A1 - Meyer, Dorothee A1 - Dreier, Larissa A1 - Goletz, Grazyna A1 - Zenz, Daniel A1 - Ehlers, Jan Peter A1 - Wager, Julia A1 - Zernikow, Boris T1 - Verbesserung der Gesundheitsversorgung in der pädiatrischen Palliativversorgung durch Digitalisierung im partizipativen Entwicklungs- und Forschungsprojekt ELSA-PP zur Entwicklung eines elektronischen sektorenübergreifenden Aktensystems T2 - 19. Deutscher Kongress für Versorgungsforschung, 30.09. - 01.10.2020, digital Y1 - 2020 U6 - http://dx.doi.org/10.3205/20dkvf435 ER - TY - JOUR A1 - Busse, Theresa Sophie A1 - Kernebeck, Sven A1 - Dreier, Larissa A1 - Meyer, Dorothee A1 - Goletz, Graznya A1 - Zenz, D. A1 - Wager, Julia A1 - Zernikow, Boris A1 - Ehlers, Jan Peter T1 - Nutzung von Mock-ups im Co-Design-Prozess der partizipativen Entwicklung einer stationären elektronischen Patient*innenakte für die pädiatrische Palliativversorgung - ein Erfahrungsbericht JF - 19. Deutscher Kongress für Versorgungsforschung, Deutsches Netzwerk für Versorgungsforschung e.V, September 2020, online Y1 - 2020 U6 - http://dx.doi.org/10.3205/20dkvf117 ER - TY - JOUR A1 - Busse, Theresa Sophie A1 - Kernebeck, Sven A1 - Dreier, Larissa Alicia A1 - Meyer, Dorothee A1 - Goletz, Grazyna A1 - Zenz, Daniel A1 - Zernikow, Boris A1 - Wager, Julia T1 - Nutzer*innenzentrierte Entwicklung einer digitalen Patient*innenakte in der pädiatrischen Palliativversorgung. Y1 - 2020 ER -