I hate computer charting. I can type faster than any computer our place can provide, so that's not even in the equation for me. Getting better at typing may be the end result for some, but not for me.
I don't care for it for a number of reasons, some of which have been mentioned here: some nurses pay far more attention (by necessity of preference) when doing a history to the computer than to the patient. I will print off a copy of the admission forms, sit down and have a face to face interview with me patient (like the good old days) and then go later to a computer and input the answers. Makes me feel like I've given my patient the impression I'm interested in her and not the machine.
There's the ergonomics of it. Our Watchchild computers in patient rooms are all set at one height, no adjustments are possible. Now if all nurses came in one height that was perfect for the computer table that would be good, but that's not how it is. As a result, the tall nurses are stooping sometimes to see or work, and the rest of us are constantly craining our necks to use them.
They can be very slow. And I mean slow. Just getting our program or mainframe or whatever to recognize my log in and password takes enough time at times that I could have had a set of vitals and assessment hand-charted before the computer has blessed me.
Infection! Well, as far as I know we haven't even addressed that one where I work. And of course, we should. Just one more thing for nurses to do. Add more housekeeping duties to our nursing care. And then what's to keep the grimy fingers of visitors off the keyboards when we're not there?
Privacy: I do not like to chart any kind of progress notes while in the room because visitors or family members who do not need that information can be standing nearby and see it all. It doesn't stay on the screen but there is nothing to prevent them from seeing it as it's being typed in.
Charting in general: When I chart, I like to have the chart, all of it, in front of me. It makes it so easy to just take the med sheet, the progress notes, the orders, flow sheet and whatever else you are going to need, OUT of the hardback and go to work. No flipping from section to section for it. On the computer, this is totally not possible. I do not, even at home, like to use a number of windows scattered all over my computer screen. I want one screen, one topic, one task.
I think it gets in the way of good patient care. At least the kind we were taught 30 years ago, when hands-on meant hands-on the patient, not a bunch of machines.
I can see something things being on computer as better: doctor's orders and med sheets for example, but I do not, EVER, want to be completely paperless. I will still print out a copy of anything I think I need instant access to ( and that means without a computer, without a password) in order to clarily something.
Hadn't considered the use of a computer as a weapon, but sadly, I guess we must consider even things such as this. We have none on rolling carts, and we don't have one for each nurse (which can be another problem). I'm glad I'm an old-time and short-timer too, because although technology can be great (we have the latest and greatest in our home) there are sometimes when it is cold and incompassionate. Perfect avenue for administrations to think it's saving you time which guess what? means they give you more to do.