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.

scholarly journals The Associations of Electronic Health Record Usability and User Age With Stress and Cognitive Failures Among Finnish Registered Nurses: Cross-Sectional Study (Preprint)

2020 ◽  
Author(s):  
Anu-Marja Kaihlanen ◽  
Kia Gluschkoff ◽  
Hannele Hyppönen ◽  
Johanna Kaipio ◽  
Sampsa Puttonen ◽  
...  
Keyword(s):  
Information Systems ◽  
Registered Nurses ◽  
Unintended Consequences ◽  
Early Years ◽  
Career Stage ◽  
Cross Sectional Survey ◽  
Significant Interaction Effect ◽  
Cross Sectional ◽  
Cognitive Failures ◽  
Electronic Health

BACKGROUND Electronic health records (EHRs) are expected to provide many clinical and organizational benefits. Simultaneously, the end users may face unintended consequences, such as stress and increased cognitive workload, due to poor EHR usability. However, whether the effects of usability depend on end user characteristics, such as career stage or age, remains poorly understood. OBJECTIVE The objective of this study was to examine the associations of EHR usability and user age with stress related to information systems and cognitive failures among registered nurses. METHODS A cross-sectional survey design was employed in Finland in 2017. A total of 3383 registered nurses responded to the nationwide electronic survey. Multiple linear regression was used to examine the associations of EHR usability (eg, how easily information can be found and a patient’s care can be documented) and user age with stress related to information systems and cognitive failures. Interaction effects of EHR usability and age were also tested. Models were adjusted for gender and employment sector. RESULTS Poor EHR usability was associated with higher levels of stress related to information systems (β=.38; <i>P</i>&lt;.001). The strength of the association did not depend on user age. Poor EHR usability was also associated with higher levels of cognitive failures (β=.28; <i>P</i>&lt;.001). There was a significant interaction effect between age and EHR usability for cognitive failures (β=.04; <i>P</i>&lt;.001). Young nurses who found the EHR difficult to use reported the most cognitive failures. CONCLUSIONS Information system stress due to poor EHR usability afflicts younger and older nurses alike. However, younger nurses starting their careers may be more cognitively burdened if they find EHR systems difficult to use compared to older nurses. Adequate support in using the EHRs may be particularly important to young registered nurses, who have a lot to learn and adopt in their early years of practice.

scholarly journals The Associations of Electronic Health Record Usability and User Age With Stress and Cognitive Failures Among Finnish Registered Nurses: Cross-Sectional Study

10.2196/23623 ◽  
2020 ◽  
Vol 8 (11) ◽  
pp. e23623
Author(s):  
Anu-Marja Kaihlanen ◽  
Kia Gluschkoff ◽  
Hannele Hyppönen ◽  
Johanna Kaipio ◽  
Sampsa Puttonen ◽  
...  
Keyword(s):  
Information Systems ◽  
Registered Nurses ◽  
Unintended Consequences ◽  
Early Years ◽  
Career Stage ◽  
Cross Sectional Survey ◽  
Significant Interaction Effect ◽  
Cross Sectional ◽  
Cognitive Failures ◽  
Electronic Health

Background Electronic health records (EHRs) are expected to provide many clinical and organizational benefits. Simultaneously, the end users may face unintended consequences, such as stress and increased cognitive workload, due to poor EHR usability. However, whether the effects of usability depend on end user characteristics, such as career stage or age, remains poorly understood. Objective The objective of this study was to examine the associations of EHR usability and user age with stress related to information systems and cognitive failures among registered nurses. Methods A cross-sectional survey design was employed in Finland in 2017. A total of 3383 registered nurses responded to the nationwide electronic survey. Multiple linear regression was used to examine the associations of EHR usability (eg, how easily information can be found and a patient’s care can be documented) and user age with stress related to information systems and cognitive failures. Interaction effects of EHR usability and age were also tested. Models were adjusted for gender and employment sector. Results Poor EHR usability was associated with higher levels of stress related to information systems (β=.38; P<.001). The strength of the association did not depend on user age. Poor EHR usability was also associated with higher levels of cognitive failures (β=.28; P<.001). There was a significant interaction effect between age and EHR usability for cognitive failures (β=.04; P<.001). Young nurses who found the EHR difficult to use reported the most cognitive failures. Conclusions Information system stress due to poor EHR usability afflicts younger and older nurses alike. However, younger nurses starting their careers may be more cognitively burdened if they find EHR systems difficult to use compared to older nurses. Adequate support in using the EHRs may be particularly important to young registered nurses, who have a lot to learn and adopt in their early years of practice.

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.

Sign in / Sign up

Export Citation Format

Share Document