Abstract：
In Australia, almost 40% of nurses are aged 50 years and older. These nurses may be vulnerable to leaving the workforce due to challenges experienced during electronic medical record (EMR) implementations. This research explored older nurses\' perceptions of factors expected to influence their adoption of an EMR, to inform recommendations to support implementation. The objectives were to: 1) measure psychological factors expected to influence older nurses\' adoption of the EMR; and 2) explore older nurses\' perceptions of facilitators and barriers to EMR adoption. An explanatory sequential mixed methods design was used to collect survey and focus group data from older nurses, prior to introducing an EMR system. These nurses were highly engaged with their work; 79.3% reported high wellbeing scores. However, their motivation appeared to be predominantly governed by external rather than internal influences. Themes reflecting barriers to EMR and resistance to adoption emerged in the qualitative data.
摘要：
在澳大利亚,近40%的护士年龄在50岁以上。由于在电子医疗记录(EMR)实施期间经历的挑战,这些护士可能容易离开劳动力。这项研究探讨了老年护士对预期影响他们采用EMR的因素的看法，提供支持实施的建议。目的是：1）测量预期会影响老年护士采用EMR的心理因素；2）探索老年护士对促进者的看法和采用EMR的障碍。使用解释性序贯混合方法设计来收集来自老年护士的调查和焦点小组数据，在引入EMR系统之前。这些护士高度投入工作；79.3％的人报告称健康得分高。然而,他们的动机似乎主要受外部而不是内部影响的支配。定性数据中出现了反映EMR障碍和采用阻力的主题。
