scholarly journals The association of mobile device use of electronic health record with the wellbeing of nurses: cross-sectional survey study (Preprint)

10.2196/28729 ◽  
2021 ◽  
Author(s):  
Tarja Heponiemi ◽  
Anu Kaihlanen ◽  
Kia Gluschkoff ◽  
Kaija Saranto ◽  
Sari Nissinen ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Mobile Device ◽  
Survey Study ◽  
Health Record ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Electronic Health ◽  
Device Use

scholarly journals Electronic health record implementations and insufficient training endanger nurses’ wellbeing: cross-sectional survey study (Preprint)

2021 ◽  
Author(s):  
Tarja Heponiemi ◽  
Tuulikki Vehko ◽  
Gluschkoff Kia ◽  
Anu Kaihlanen ◽  
Kaija Saranto ◽  
...  
Keyword(s):  
Information Systems ◽  
Electronic Health Record ◽  
Time Pressure ◽  
Survey Study ◽  
Health Record ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Employment Sector ◽  
Cognitive Failures ◽  
Electronic Health

BACKGROUND High expectations have been set for the implementations of health information systems (HIS) in health care. However, nurses have been dissatisfied after HIS implementations. Especially poorly functioning electronic health records (EHRs) have been found to induce stress and cognitive work load. Moreover, need to learn new systems may require a lot of effort from nurses. Thus, EHR implementations may have an effect on the wellbeing of nurses. OBJECTIVE To examine the associations of EHR implementations and sufficiency of related training with perceived stress related to information systems (SRIS), time pressure and cognitive failures among registered nurses. Moreover, we examined whether employment sector would have an effect on these associations. METHODS Cross-sectional survey study among 3610 Finnish registered nurses in 2020. EHR Implementation was measured by assessing whether respondents’ work unit had implemented or will implement a new electronic health record (EHR) a) within past 6 months, b) within past 12 months, c) forthcoming within next 12 months and 4) no past or forthcoming implementations within 12 months. The associations were examined using analyses of covariance adjusted for age, gender and employment sector. RESULTS Highest levels of SRIS and time pressure were experienced among those who had experienced a EHR implementation within past 6 months. Lowest levels of SRIS, time pressure and cognitive failures were among those who did not have any past or forthcoming implementations within 12 months. Nurses who perceived that they had received sufficient implementation-related training experienced less SRIS, time pressure and cognitive failures. Recent implementations and insufficient training were especially strongly associated with high levels of SRIS in hospitals. CONCLUSIONS EHR implementations and insufficient training related to those implementations may endanger the wellbeing of nurses and even lead to errors. Thus, it would be utmost important that organizations would offer comprehensive training before, during and after implementations. Moreover, easy to use systems, allowing transition periods, re-engineering approach and user involvement might help nurses in the implementation process. Training and other improvements would be especially important at hospitals.

scholarly journals Attitude of physiotherapists toward electronic health record in Croatia

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Manuela Filipec ◽  
Gordana Brumini
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
Health Record ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Level Of Education ◽  
Health Care Institutions ◽  
Chi Square Test ◽  
Electronic Health

Abstract Background Electronic health record can facilitate everyday clinical practice of physiotherapists. The aim of this study is to determine attitude of physiotherapists towards implementation of information technology in their work and the differences in attitude in relation to gender, age, level of education and type of health institutions. Methods This study is a cross-sectional survey of Croatian physiotherapists. The questionnaire ″Attitude of physiotherapists towards implementation of electronic health record included 12 items scored on a Likert-type scale from 1 to 5 and presented the award values as “Disagree”, “Neither agree nor disagree” and “Agree”. Croatian physiotherapists were (n = 267) recruited from 13 health care institutions. For analysis chi square test, t-test, one-way analysis of variance and as a post-hoc Tukey test were used. Results Explanatory factorial analysis confirmed two factors: Satisfaction in the work of physiotherapists using computers (SAT) and Necessity of computers in the work of physiotherapists (NEC). Most physiotherapists agree on (SAT) (47.9%) and on (NEC) (51.3%). Male physiotherapists were significantly more likely to disagree with statements related to SAT (p < 0.001) and NEC (p = 0.035) than female physiotherapists. Physiotherapists aged between 46 and 55 years were significantly more like to disagree on NEC in comparison to all the other groups of participants (p < 0.001). Physiotherapists with secondary school degree were significantly more like to disagree on NEC as compared with participants with bachelor’s degree (p = 0.009), as well as in comparison with physiotherapists with a university degree (p = 0.002). Most of the physiotherapists who are employed in Clinical hospitals and in the Speciality hospital agree with that statement (all p > 0.05). Conclusion The attitude of Croatian physiotherapists towards electronic health record differs according to the age, gender, level of education and type of health care institutions. This finding can facilitate implementation of electronic health record in physiotherapy. Trial registration Not applicable.

Electronic health record-related safety concerns: A cross-sectional survey

2014 ◽  
Vol 34 (1) ◽  
pp. 14-26 ◽  
Author(s):  
Shailaja Menon ◽  
Hardeep Singh ◽  
Ashley N. D. Meyer ◽  
Elisabeth Belmont ◽  
Dean F. Sittig
Keyword(s):  
Electronic Health Record ◽  
Health Record ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Safety Concerns ◽  
Electronic Health

scholarly journals Electronic Health Record Acceptance by Physicians: A Single Hospital Experience in Daily Practice

2021 ◽  
Vol 1 (1) ◽  
pp. 6-17
Author(s):  
Andrija Pavlovic ◽  
Nina Rajovic ◽  
Jasmina Pavlovic Stojanovic ◽  
Debora Akinyombo ◽  
Milica Ugljesic ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Electronic Health Record ◽  
Technology Acceptance ◽  
Daily Practice ◽  
Ease Of Use ◽  
Future Research ◽  
Health Record ◽  
Cross Sectional ◽  
Electronic Health

Introduction: Potential benefits of implementing an electronic health record (EHR) to increase the efficiency of health services and improve the quality of health care are often obstructed by the unwillingness of the users themselves to accept and use the available systems. Aim: The aim of this study was to identify factors that influence the acceptance of the use of an EHR by physicians in the daily practice of hospital health care. Material and Methods: The cross-sectional study was conducted among physicians in the General Hospital Pancevo, Serbia. An anonymous questionnaire, developed according to the technology acceptance model (TAM), was used for the assessment of EHR acceptance. The response rate was 91%. Internal consistency was assessed by Cronbach’s alpha coefficient. A logistic regression analysis was used to identify the factors influencing the acceptance of the use of EHR. Results: The study population included 156 physicians. The mean age was 46.4 ± 10.4 years, 58.8% participants were female. Half of the respondents (50.1%) supported the use of EHR in comparison to paper patient records. In multivariate logistic regression modeling of social and technical factors, ease of use, usefulness, and attitudes towards use of EHR as determinants of the EHR acceptance, the following predictors were identified: use of a computer outside of the office for reading daily newspapers (p = 0.005), EHR providing a greater amount of valuable information (p = 0.007), improvement in the productivity by EHR use (p < 0.001), and a statement that using EHR is a good idea (p = 0.014). Overall the percentage of correct classifications in the model was 83.9%. Conclusion: In this research, determinants of the EHR acceptance were assessed in accordance with the TAM, providing an overall good model fit. Future research should attempt to add other constructs to the TAM in order to fully identify all determinants of physician acceptance of EHR in the complex environment of different health systems.

scholarly journals The association of mobile device use of electronic health record with the wellbeing of nurses: cross-sectional survey study (Preprint)

2021 ◽  
Author(s):  
Tarja Heponiemi ◽  
Anu Kaihlanen ◽  
Kia Gluschkoff ◽  
Kaija Saranto ◽  
Sari Nissinen ◽  
...  
Keyword(s):  
Health Care ◽  
Mobile Devices ◽  
Mobile Device ◽  
Time Pressure ◽  
Ease Of Use ◽  
Survey Study ◽  
Technical Quality ◽  
Cross Sectional ◽  
Low Levels ◽  
Device Use

BACKGROUND Mobile devices such as tablets and smartphones are increasingly used in health care in many developed countries. Nurses form the largest group in health care that uses electronic health records (EHRs) and their mobile versions. Mobile devices are suggested to promote nurses’ workflow, constant updating of patient information and improve the communication within the health care team. However, little is known about their effect on nurses’ wellbeing. OBJECTIVE The present study aimed to examine the association of mobile device use of the EHR with nurses’ perceived time pressure, stress related to information systems (SRIS) and self-rated stress. Moreover, we examined whether mobile device use modifies the associations of EHR usability (ease of use and technical quality), experience in using EHRs and number of systems in daily use with these wellbeing indicators. METHODS The present study was a cross-sectional population-based survey study among 3,610 Finnish registered nurses gathered in 2020. The associations were examined using analyses of covariance and logistic regression adjusted for age, gender and employment sector (hospital, primary care, social service and other). RESULTS Those who used mobile version of their EHR had higher levels of time pressure ( F(1)= 14.96, p < .001) and SRIS ( F(1)= 6.11, p = .01) compared to those who did not use mobile versions. Moreover, the interactions of mobile device use with experience in using EHRs (F(1) = 14.93, p < .001), ease of use (F(1) = 10.16, p = .001) and technical quality (F(1) = 6.45, p = .01) were significant for SRIS. Inexperience in using EHRs, low levels of ease of use and technical quality were associated with higher SRIS and this association was more pronounced among those who used mobile devices. That is, the highest levels of SRIS were perceived among those who used mobile devices and were inexperienced EHR users, perceived low levels of ease of use or low levels of technical quality of their EHR. CONCLUSIONS According to our results it seems that at the moment mobile device use is not beneficial for the nurses’ wellbeing. In addition, mobile device use seems to intensify the negative effects of usability problems of the EHRs. Especially inexperienced users of EHRs seem be at disadvantage when using mobile devices. Thus, we suggest that EHRs and their mobile versions should be improved in a manner that they would be easier to use and would better support the nurses’ workflow. For example, improvements to problems related to small display, user interface and difficult data entry of mobile versions might be useful. Moreover, more training related to EHRs, their mobile versions and workflow related to these should be provided to nurses.

Addressing Burnout Syndrome From a Critical Care Specialty Organization Perspective

2020 ◽  
Vol 31 (2) ◽  
pp. 158-166
Author(s):  
Kathryn L. Cochran ◽  
Kathleen Doo ◽  
Allison Squires ◽  
Tina Shah ◽  
Seppo Rinne ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Record ◽  
High Stress ◽  
Well Being ◽  
American Thoracic Society ◽  
Burnout Syndrome ◽  
Health Record ◽  
Cross Sectional ◽  
Electronic Health ◽  
At Home

Background: Health care specialty organizations are an important resource for their membership; however, it is not clear how specialty societies should approach combating stress and burnout on an organizational scale. Objective: To understand the prevalence of burnout syndrome in American Thoracic Society members, identify specialty-specific risk factors, and generate strategies for health care societies to combat burnout. Methods: Cross-sectional, mixed-methods survey in a sample of 2018 American Thoracic Society International Conference attendees to assess levels of burnout syndrome, work satisfaction, and stress. Results: Of the 130 respondents, 69% reported high stress, 38% met burnout criteria, and 20% confirmed chaotic work environments. Significant associations included sex and stress level; clinical time and at-home electronic health record work; and US practice and at-home electronic health record work. There were no significant associations between burnout syndrome and the selected demographics. Participants indicated patient care as the most meaningful aspect of work, whereas the highest contributors to burnout were workload and electronic health record documentation. Importantly, most respondents were unaware of available resources for burnout. Conclusions: Health care specialty societies have access to each level of the health system, creating an opportunity to monitor trends, disseminate resources, and influence the direction of efforts to reduce workplace stress and enhance clinician well-being.

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