Keywords

clinical nurse specialist, health information technology, mental health, nursing informatics, open notes, patient portal

 

Authors

  1. Mayhew, Cari BScN, MN
  2. Strudwick, Gillian PhD, RN
  3. Waddell, Janice PhD, RN

Abstract

Purpose: The purposes of this study were to explore clinical nurse specialists' views of the potential influence of a mental health portal on nursing practice and to identify portal implementation strategies.

 

Methods: A qualitative descriptive approach was used. Semistructured interviews were conducted with 5 clinical nurse specialists. Two independent coders conducted an inductive content analysis of the transcribed interviews to generate codes describing patterns in the data to identify originating themes.

 

Results: The content analysis uncovered the following 4 themes: (1) implementation strategies, (2) nurse likelihood to recommend, (3) impact on nursing practice, and (4) perceived influence on patients.

 

Conclusion: Direct care nurses may benefit from education and coaching on how to document in the record using patient-centered language that is understandable to patients who may be reading it. In addition, the use of patient portals should be designed to fit into nurses' existing clinical workflows. Finally, more research is needed to identify the benefits and unintended consequences of patient portals within a mental health context.