Technical challenges
Both doctors and nurses found that electronic recording was troublesome
and reductionistic, since they had to complete pre-coded sentences,
which often did not match the nuances of the patient’s situation:
“It is pre-coded. Earlier you could make it a bit more personal.
So, it becomes too template-like sometimes.”(D3.1).
HPs found that the medical record system prevented them from documenting
social information adequately because keywords had to match the
template. HPs explained that entering detailed information about
patients’ social circumstances required more clicks in the electronic
system. Consequently, they would refrain from adding details, especially
when extra time was spent on electronic delays.