Good practice in the implementation of electronic care records in adult social care: a rapid scoping review

Snow, Martha ORCID: 0000-0001-6493-5292, Silva Ribeiro, Wagner ORCID: 0000-0001-6735-3861, Baginsky, Mary, Di Giorgio, Sonya, Farrelly, Nicola, Larkins, Cath, Poole, Karen, Steils, Nicole, Westwood, Joanne and Malley, Juliette ORCID: 0000-0001-5759-1647 (2024) Good practice in the implementation of electronic care records in adult social care: a rapid scoping review. JMIR Aging. ISSN 2561-7605 (In Press)

Text (Accepted_Scoping_Review_Manuscript_14.11.24 (002)) - Accepted Version Pending embargo until 1 January 2100. Download (600kB)

Abstract

Background: In the past decade, the use of digital or electronic records in social care has risen worldwide, capturing key information for service delivery. The COVID-19 pandemic accelerated digitalisation in health and social care. For example, the UK government created a fund specifically for adult social care providers to adopt digital social care records. These developments offer valuable learning opportunities about implementing digital care records in adult social care settings. Objective: This rapid scoping review aimed to understand what is known about the implementation of digital care records in adult social care and how implementation varies across use cases, settings, and broader contexts. Methods: The scoping review methodology was guided by Arksey and O’Malley and refined by Levac et al. and the Joanna Briggs Institute. Following Tricco et al., amendments were made to enable a rapid review. Comprehensive searches based on the concepts of Digital Care Records, Social Care, and Interoperability were conducted in MEDLINE, EmCare, Web of Science Core Collection, HMIC Health Management Information Consortium, Social Policy and Practice, and Social Services Abstracts. Studies published between 2018 and 2023 in English were included. One reviewer screened titles and abstracts, while two reviewers extracted data. Thematic analysis mapped findings against Greenhalgh et al.’s NASSS (Non-adoption, Abandonment, Scale-up, Spread, Sustainability) framework. Results: Our search identified 2499 references. After screening titles and abstracts, 71 records were selected for full-text review, resulting in 31 references from 29 studies. Studies originated from 11 countries (including one multi-country), with the UK being the most represented (n=10). Studies were most often conducted in nursing homes/facilities (n=7) with older people as the target population (n=6). Health records were the most investigated record type (n=12). We identified 45 facilitators and 102 barriers to digital care record implementation across 28 studies, spanning six of the seven NASSS framework domains and aligning with five overarching themes that require greater active management regarding implementation. Intended or actual implementation outcomes were reported in 17 studies. Conclusions: Findings suggest that implementation is complex due to a lack of consensus on what digital care records and expected outcomes and impacts should look like. The literature often lacks clear definitions and robust study designs. To be successful, implementation should consider complexity, while studies should utilise robust frameworks and mixed methods or quantitative designs where appropriate. Future research should define the target population, gather data on carer/service user experiences, and focus on digital care records specifically used in social care.

Item Type:	Article
Additional Information:	© 2024
Divisions:	Care Policy and Evaluation Centre
Subjects:	H Social Sciences
Date Deposited:	14 Nov 2024 12:30
Last Modified:	14 Nov 2024 12:36
URI:	http://eprints.lse.ac.uk/id/eprint/126078

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