Análise sobre o impacto da implantação do prontuário eletrônico no trabalho da equipe de enfermagem

Abstract

The electronic medical record besides being a crucial element in the health care of individuals it also works as a reference tool on the occurred events and is a means of communication among various members of the interdisciplinary team. Thus, it is important to know the facilities and difficulties encountered by nurses in the use of electronic medical records. This study is aimed at analyzing the impact of the implementation of electronic medical records in the nursing practice. There was an exploratory study of character, with a qualitative approach in two hospitals, one public and one private, that have utilized the electronic medical record. Data collection was made through interviews with semi-structured script with 15 nurses and 10 nursing technicians. The results indicate that there was a lot of resistance in all sectors initially, but they quickly adapted to the system. The changes observed after the implementation of electronic medical records were the flexibility of services, ease and dynamism at work and optimization of time, but they signaled a drop in the quality of service. Among the advantages cited by the respondents are the optimization of time, understanding of medical prescriptions, quick access to test results, access to the patient by the multidisciplinary team at the same time and access to the entire previous history of the patient. The disadvantages are decline and failure of the system.