Improving the quality of newborn feeding documentation in an EHR using a mixed methods approach

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dc.check.date2025-07-24en
dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisheren
dc.contributor.authorSheehan, Orla Mariaen
dc.contributor.authorGreene, Richard A.en
dc.contributor.authorCorcoran, Paulen
dc.contributor.authorMcKernan, Joyeen
dc.contributor.authorMurphy, Brendanen
dc.date.accessioned2024-08-12T08:28:47Z
dc.date.available2024-08-12T08:28:47Z
dc.date.issued2024-07-24en
dc.description.abstractIntroduction: Newborn feeding is key to infant growth and survival. Accurate feeding documentation can inform care decisions and planning of care. A nutritional dashboard is available within the Electronic Health Record (EHR) which accumulates feeding data in a graphical display. Purpose: To improve the quality of newborn feeding documentation for post-natal ward babies and babies in the Neonatal Intensive Care Unit (NICU). Design and Methods: A multidisciplinary end user expert group (n = 38) was established. Qualitative thematic analyses from this group were used to design new feeding data entry and review elements. Quantitative pre-post design was used to assess feeding documentation for both post-natal ward baby charts (n = 134) and NICU baby charts (n = 188). Descriptive statistics and Pearson's chi-square were used to assess pre-post differences and statistical significance. The use of a nutritional dashboard was assessed using system audit logs and analyzed using Poisson regression testing. Results: Post-natal ward babies had improvements in structured feeding documentation by 91.6% (from 17.9% to 34.3%) (p = 0.031). NICU data feeding documentation improved by 25% (from 72.3% to 90.4%) (p = 0.001). Use of the nutritional dashboard however reduced in the post period. Conclusion: This study has positively demonstrated improvements in the quality of newborn feeding documentation within the patient's EHR can be achieved through a collaborative multidisciplinary approach optimising EHR design. Practice implications: The benefit of a multidisciplinary approach to EHR design is paramount to promoting superior quality data entry compliant with individual workflows.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationSheehan, O. M., Greene, R. A., Corcoran, P., McKernan, J. and Murphy, B. (2024) 'Improving the quality of newborn feeding documentation in an EHR using a mixed methods approach', Journal of Neonatal Nursing. https://doi.org/10.1016/j.jnn.2024.07.025en
dc.identifier.doihttps://doi.org/10.1016/j.jnn.2024.07.025en
dc.identifier.issn1355-1841en
dc.identifier.journaltitleJournal of Neonatal Nursingen
dc.identifier.urihttps://hdl.handle.net/10468/16187
dc.language.isoenen
dc.publisherElsevier Ltd.en
dc.rights© 2024, Elsevier Ltd. All rights reserved. This manuscript version is made available under the CC BY-NC-ND 4.0 license.en
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectNewborn feedingen
dc.subjectEHRen
dc.subjectElectronic health recorden
dc.subjectData qualityen
dc.subjectNICU feedingen
dc.subjectOptimisationen
dc.titleImproving the quality of newborn feeding documentation in an EHR using a mixed methods approachen
dc.typeArticle (peer-reviewed)en
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