Transitioning from Paper Consent Forms to eConsents: Was the Staff listened to?

User-center design approach can make the transition a positive experience for staff and patients. Key Findings: There are no standard recommendations for nursing involvement in new technology implementation. Nursing involvement in eConsent is critical to have a process that will work for staff and improve patient safety.

Transitioning from Paper Consent Forms to eConsents: Was the staff listened to? Kate Parker, BSN, MSc Purpose: User-center design approach can make the transition a positive experience for staff and patients. Key Findings: • There are no standard recommendations for nursing involvement in new technology implementation. • Nursing involvement in eConsent is critical to have a process that will work for staff and improve patient safety. Background Theoretical Framework Findings from Literature  Paper consents are illegible and have variability.  Paper consents have important information missing.  Paper consents are needing to be phased out and replaced with eConsents.  EConsents help capture required information.  Transitioning to eConsents is a big change that will effect everyone using them.  IT needs to consider input from everyone that will use it.  Donabedian's Triad1  Important links between structure, process and outcomes    Donabedian's linear model 1966 Recommendations  eConsents help get the most out of the EMR.  Using eConsents can increased standardization, increase communication, decreased errors and reduced healthcare cost.  Post implementation assessment needed to validate knowledge learned. Methods Initial Literature Search • Databases: PubMed and CINAHL • Search terms: "Consent(s)", "eConsent", "electronic medical record", "Operating Room" • Inclusion criteria: Full text • Results: 16 articles from medical references Second Literature Search • Databases: Google Scholar • Search terms: "Ambulatory care", "Health information", Surgery" and "Donabedian" • Inclusion criteria: Full text, >1997 • Results: 14 articles 26 Articles met full inclusion criteria and were comprehensively reviewed for synthesis, annotated bibliography and table of evidence IT's tools should improve upon existing practices. When nursing is involved during planning phase, acceptance of finished product increases. The least disruptions in workflow decrease workaround. Donabedian's Triad 1988 Evaluating quality improvement based on Donabedian's triad Structure Physical infrastructure Physical layout Equipment IT and Biomedical support systems Resources Tools Clinical factors Nurse tethered to computer Backs to patient Process Protocol Utilization Using new IT workflow correctly Continue to provider quality care with new workflow Quality Requirements Reliable instruments Valid measurements Nursing involvement Outcomes Impact on Patient Care Increased safety No negative impact on patient Quality Placing patient in best condition Fulfilling requirements Streamlining eConsent Standard definitions Conclusions  More research to learn now much involvement is needed from nurses.  NI can make an positive impact on eConsent implementation. References 1. Lindgren, M., & Andersson, I. S. (2011, November 3). The Karen instruments for measuring quality of nursing care: construct validity and internal consistency. International Journal for Quality in Health Care , 23, 292-301.