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The following main interconnected themes arose in the analysis (1) (two) (three) (four) (five) (6) Various details processing High-quality of documentation and resident care requirements Additional or lost time (1 three shown in Table four) Ease of use and capacity to make use of it Gear availability and technical functionality Attitude (4.Al record to enhance high-quality of care in nursing facilities a qualitative analysis [41] To examine the impact of your introduction of a bedside electronic medical record on the improvement of care in nursing facilities (A part of the study of Alexander et al.) Explorative qualitative interviews (n=120), observations , focus groups (22) content material analysisin all four homes 6,12, 18 months soon after implementation, additional interviews took location (n=) 24 months after implementation in two residences ----120 22 Communication and details was enhanced which led to a general improvement of patient care Practical experience of limited time due to EHR (Direct Carer) vs. saved time (Management) An excessive amount of time for operating and managing the system 12 Some staff (4) with low encounter wished for far more time inside the beginning and more directions Some employees (4) normally employed computer systems at home felt the software program was effortless to work with Other employees (4) felt they needed more practice than theoretical lessonsYu et al. (2008) Australia Caregivers' acceptance of electronic documentation in nursing homes [35]The aim from the study was to investigate nursing dwelling caregivers' acceptance of electronic documentationNOT Included In this Assessment Questionnaire survey Incorporated Within this Evaluation Semi-structured interviews unknown type after 11 weeks computer-based (n = 12) Paper-based n = One particular Residence that implemented an Electronic Health Records; a single property remained paper-based.Zhang (2012) Australia The benefit of introducing electronic health records in residential aged care facilities A several case study [42]The aim of this study was to identify the benefits of Electronic Well being Record in Lengthy Term Care and to examine how the benefit have been achievedExplorative semi-structured Interviews (n=110) content material evaluation, theoretical sampling------BENEFITS Towards the Employees Comfort and efficiency in data entry, distribution, storage and retrieval Ease of access additional details to improved comprehend the residents, the service and peer-learning Empowering care staff Benefits To the RESIDENTS Improving Top quality of CarePage 5 ofMei er and Schnepp BMC Health-related Informatics and Choice Producing 2014, 1454 httpwww.biomedcentral.com1472-694714Table 1 Summary of analyzed articles (Continued)Positive aspects For the RACFs improved info management Improving the communication program Enhancing access to funding facilitating care high-quality manage improved perform atmosphere educational rewards Information Foundation (no less than) 23 Interviews and 22 focus groups removed as a consequence of doubling 320 56Page six ofMei er and Schnepp BMC Healthcare Informatics and Choice Creating 2014, 1454 httpwww.biomedcentral.com1472-694714Page 7 ofTable 2 Seven Phases of Noblit and Hare's metaEthnography1. Phase 2. Phase 6. Phase 7. Phase Getting started Deciding what's relevant towards the initial interest Reading the studies Figuring out how the studies are connected Translating the research into a single an additional Synthesizing translations Expressing the synthesiset al. [26] and Yu [35] only the qualitative findings have been integrated in this overview.Employees experiences within the implementation processThe , there were still some occasions (n = 5) on which service users chose important concepts of every single write-up are shown in Tables four and 5. The following principal interconnected themes arose from the analysis (1) (2) (3) (four) (five) (6) Distinct facts processing Good quality of documentation and resident care needs Further or lost time (1 three shown in Table 4) Ease of use and ability to use it Equipment availability and technical functionality Attitude (four.