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Cathy Ivory Biography and Abstract
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Catherine H. Ivory, PhD, RNC-OB, RN, BC
Assistant Professor at Vanderbilt School of Nursing in Nashville, TN and the Associate Chief Nurse Executive for Professional Practice and Care Transformation at Indiana University Health System

 

 

 

 

 

Biography

Dr. Ivory is an Assistant Professor at Vanderbilt School of Nursing in Nashville, TN and the Associate Chief Nurse Executive for Professional Practice and Care Transformation at Indiana University Health System in Indianapolis, IN. She is also a certified informatics nurse. Dr. Ivory’s research interests revolve around the use of electronic documentation to answer nursing and health services research questions; she is also interested in factors that facilitate or impede normal physiologic birth. The overall goals of Dr. Ivory’s research are to use nursing care documentation to demonstrate the value of nursing care to patient and population outcomes and for health IT to be a tool that facilitates rather than impedes nursing care.

 

Abstract

Quantifying the Impact of Health Information Technology on Intrapartum Nurses in the United States

Background and Significance
Over 4 million births occur annually in the United States, 95% of which occur in acute care hospital
settings. Registered nurses spend more time than any other clinician with women in labor and their newborns. Significant variation in maternal and neonatal outcomes exists across practice and geographic settings. The adoption of health information technology (HIT) in acute care settings is widespread, increasing the complexity of the care environment. HIT is associated with both positive and negative influences on the care environment but this influence has not been studied in intrapartum settings in the United States. 

 

Purpose
The purpose of this study is to measure the influence of HIT on the work of intrapartum nurses in the
United States and to describe the variation in the influence of HIT across geographic and practice settings.


Methods
This proposed study will be a descriptive, cross-sectional design using a reliable and valid survey for
data collection. The study sample will include registered nurses (RNs) who identify their primary work setting as labor and delivery (intrapartum). Sources of recruitment include current and lapsed members of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN). To increase likelihood of response, a sequential, multiple mode (direct and electronic mail) recruitment approach over a period of four months is proposed.
Data for this cross-sectional study will come from self-administered survey, supplemented with
demographic variables to assess geography (State) and practice setting. The impact of HIT will be measured using the Carrington-Gephart Unintended Consequences of Electronic Health Record Questionnaire (CGUCE-Q). The CG-UCE-Q was developed to fill a gap in tools that measure nursing’s unique perspective, as the primary coordinators of patient care, of the impact of HIT, specifically EHRs. The CG-UCE-Q will be administered through REDCap (Research Electronic Data Capture) developed by Vanderbilt University. REDCap is a secure, web-based application that is flexible enough to be used for a variety of types of research.


Implications
Results from this study will provide essential baseline data about how often the work of intrapartum
nurses is affected by technology and how often intrapartum nurses perceive patient safety and workflow to be influenced by HIT. Such baseline data could support health policy recommendations related to reducing the burden of technology on perinatal nurses, support staffing recommendations, and become the basis for interventions aimed at improving intrapartum care processes, thus improving outcomes for women and newborns.

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Association of Women's Health, Obstetric and Neonatal Nurses is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

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