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  1. Misto, Kara PhD, RN
  2. Padula, Cynthia PhD, RN
  3. Bryand, Elizabeth BSN, RN-BC
  4. Nadeau, Kate MPH, RN


Background: While there are many benefits of electronic medical record documentation, the presence of a computer may adversely affect provider-patient interaction.


Purpose: The purpose of this project was to examine staff nurses' perception of the impact of electronic documentation in the presence of the patient on the nurse-patient relationship.


Methods: A survey was administered to 276 staff nurses, and open-ended interviews were conducted with 11 novice and 20 expert nurses.


Results: Nurses identified benefits and challenges to electronic medical record documentation as well as strategies used to maintain therapeutic relationships and communication. Numerous nurses commented that documenting with their back to the patient had a negative impact on the nurse-patient relationship and communication.


Conclusions: Both novice and expert nurses identified strategies that they used to ensure they were "maintaining the connection" to patients during electronic medical record documentation.