Assisted Electronic Prescribing (EPA) and its influence on verbal communication between doctors and nurses in a plant of Internal Medicine, Pneumology and Cardiology
Abstract
Introduction: With the advent of computerization of medical records, including electronic prescribing, communication between doctors and nurses is becoming more electronic and less “face to face”, thus producing unwished effects such as changes in the communication patterns.Objectives: Establishing the level of verbal communication between physicians and nurses in an internal medicine unit and suggesting improvement proposals.
Material and method: Literature review in databases Pubmed, Medline, CINAHL, SciELO Spain and publishing database Elseiver using MeSH descriptors or keywords (Physician-Nurse Relations, Communication, Electronic Prescribing, Patient Handoff, Patient Care Team). Descriptive observational study with a sample of 19 physicians and 19 nurses, using a questionnaire with 10 closed questions with several answer options.
Results: Both groups considered of great importance the need for communication, globally and individually, as well as teamwork.
Conclusions: Among the most relevant aspects supporting our initial approach we have to point out that 78% (CI 95%; 85,6%-70,39%) of people being interviewed thought that after the implementation of computerized physician medication order entry the communication behaviour between both groups has changed significantly by reducing direct verbal communication.
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