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Faculty of Graduate Studies

Leslie Buxton

  • BScN (Kwantlen University College, 2005)
Notice of the Final Oral Examination for the Degree of Master of Nursing

Topic

Perinatal nurses' experience using electronic health records during labour and delivery

School of Nursing

Date & location

  • Thursday, August 7, 2025
  • 12:00 P.M.
  • Virtual Defence

Examining Committee

Supervisory Committee

  • Dr. Olga Petrovskaya, School of Nursing, ßÉßɱ¬ÁÏ (Supervisor)
  • Dr. Vera Caine, School of Nursing, UVic (Co-Supervisor)

External Examiner

  • Dr. Helen Monkman, School of Health Information Science, UVic

Chair of Oral Examination

  • Dr. Allyson Hadwin, Department of Psychology, UVic

Abstract

Since the widespread implementation of electronic health records (EHR) across Canada in the early 2000s, a substantial body of research has explored their impact on patient care and organizational outcomes. However, limited attention has been given to the experiences of perinatal nurses, particularly those providing care during the critical phase of labour and delivery. This represents a significant gap in the literature. The aim of this study was to examine the experiences and challenges faced by perinatal nurses when documenting care for labouring patients using EHR systems. A descriptive qualitative methodology was employed. Eleven perinatal nurses from a large Western Canadian Women’s Hospital were recruited to participate in semi-structured interviews, and the data were analyzed thematically. Three key themes emerged: the impact of the location of EHR in the physical space, strengths and deficits of the larger system impact EHR utilization experiences, and EHR increase regulatory professional obligations. This study was informed by Davina Allen’s Translational Mobilization Theory that provided a foundation for data interpretation. Findings indicate that EHR documentation has significantly influenced nursing practice during labour, altering how support is provided to patients. Nurses continually navigate the competing demands of documentation and direct patient care, often having to prioritize one over the other in real time to meet institutional and professional expectations.

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