Table 1.

Self-reported informatics knowledge and attitudes toward electronic health records before and after using DocuCare (N=13).

Items			Pretest, mean (SD)		Posttest, mean (SD)		Difference score		P value
Informatics knowledge: I have...
	A good knowledge to critically evaluate data and information from a variety of credible sources (including experts, clinical applications, databases, practice guidelines, relevant websites, etc) to inform the delivery of nursing care.	4 (0.577)		4.15 (0.555)		−0.154		.16
	A good knowledge of the various components of the EHRa such as results reporting, clinical documentation, electronic medication administration, etc).	2.62 (1.044)		3.77 (0.439)		−1.154		.003
	A good knowledge related to documenting important nursing and patient data using standardized nursing languages, such as the International Classification for Nursing Practice, ie, nursing diagnosis and interventions to support clinical decision-making and nursing practice improvement.	2.85 (0.987)		3.54 (0.877)		−0.692		.08
	A good knowledge related to gathering and retrieving relevant health care and patient data from the EHR.	2.77 (1.092)		3.92 (0.494)		−1.154		.001
	A good knowledge related to documenting health care and patient data into the EHR.	2.54 (1.198)		3.77 (0.439)		−1.231		.004
Attitudes toward EHRs
	Use of EHRs are more of a help than a hindrance to patient care	3.85 (1.214)		3.62 (1.121)		0.231		.68
	Use of computerized charting has helped to improve documentation of the clinical record	3.92 (0.760)		4 (0.913)		−0.077		.78
	EHRs pose less threat to the patient’s privacy than do paper records.	3.23 (0.599)		3.08 (0.954)		0.154		.44
	Computerized charting has decreased the workload of nurses and other personnel.	3.62 (0.768)		3.54 (0.660)		0.077		.58
	In time, the use of EHRs will lead to improved patient care	4.15 (0.376)		4.31 (0.480)		−0.154		.16

^aEHR: electronic health record.