Experienced time pressure and stress: electronic health records usability and information technology competence play a role
Abstract Background Electronic health records (EHRs) are an elementary part of the work of registered nurses (RNs) in healthcare. RNs are the largest group of healthcare workers, and their experiences with EHRs and their informatics competence play a crucial role in a fluent workflow. The present st...
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| Format: | Article |
| Language: | English |
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BMC
2019-08-01
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| Series: | BMC Medical Informatics and Decision Making |
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| Online Access: | http://link.springer.com/article/10.1186/s12911-019-0891-z |
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| author | Tuulikki Vehko Hannele Hyppönen Sampsa Puttonen Sari Kujala Eeva Ketola Johanna Tuukkanen Anna-Mari Aalto Tarja Heponiemi |
| author_facet | Tuulikki Vehko Hannele Hyppönen Sampsa Puttonen Sari Kujala Eeva Ketola Johanna Tuukkanen Anna-Mari Aalto Tarja Heponiemi |
| author_sort | Tuulikki Vehko |
| collection | DOAJ |
| description | Abstract Background Electronic health records (EHRs) are an elementary part of the work of registered nurses (RNs) in healthcare. RNs are the largest group of healthcare workers, and their experiences with EHRs and their informatics competence play a crucial role in a fluent workflow. The present study examined EHR usability factors and nurses’ informatics competence factors related to self-reported time pressure and psychological distress. Methods A nationwide survey was conducted for working-age registered nurses in 2017. The study sample included 3607 nurses (5% men) in Finland. The association of age, sex, employment sector, EHR usability factors, and nurses’ informatics competence factors with time pressure and psychological distress were examined with analyses of covariance. Results The EHR usability factors that were associated with high time pressure were low EHR reliability and poor user-friendliness. Regarding the nurses’ informatics competence factors, only low e-Care competence was associated with time pressure. Of the EHR usability factors, low EHR reliability and low support for cooperation were associated with high psychological distress. Of the nurses’ informatics competence factors, low e-Care competence was associated with high psychological distress. Conclusions Unreliability and poor user-friendliness of EHRs seem to be prominent sources of time pressure and psychological distress among registered nurses. User-friendly EHR systems and digital tools in healthcare are needed. Nurses’ competence to use eHealth tools to tailor patient care should be strengthened through organizational and regional actions. For example, house rules about how to use eHealth tools and instructions on common practices in cooperation with other organizations could be useful. |
| first_indexed | 2024-12-12T23:43:56Z |
| format | Article |
| id | doaj.art-0d3964030a6a41ac9670101abb4202d7 |
| institution | Directory Open Access Journal |
| issn | 1472-6947 |
| language | English |
| last_indexed | 2024-12-12T23:43:56Z |
| publishDate | 2019-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Informatics and Decision Making |
| spelling | doaj.art-0d3964030a6a41ac9670101abb4202d72022-12-22T00:06:58ZengBMCBMC Medical Informatics and Decision Making1472-69472019-08-011911910.1186/s12911-019-0891-zExperienced time pressure and stress: electronic health records usability and information technology competence play a roleTuulikki Vehko0Hannele Hyppönen1Sampsa Puttonen2Sari Kujala3Eeva Ketola4Johanna Tuukkanen5Anna-Mari Aalto6Tarja Heponiemi7The Department of Information Services, National Institute for Health and Welfare (THL)The Department of Information Services, National Institute for Health and Welfare (THL)Finnish Institute of Occupational HealthDepartment of Computer Science, Aalto UniversityThe Department of Information Services, National Institute for Health and Welfare (THL)Emergency Unit, Central Finland Healthcare DistrictThe Department of Information Services, National Institute for Health and Welfare (THL)The Department of Information Services, National Institute for Health and Welfare (THL)Abstract Background Electronic health records (EHRs) are an elementary part of the work of registered nurses (RNs) in healthcare. RNs are the largest group of healthcare workers, and their experiences with EHRs and their informatics competence play a crucial role in a fluent workflow. The present study examined EHR usability factors and nurses’ informatics competence factors related to self-reported time pressure and psychological distress. Methods A nationwide survey was conducted for working-age registered nurses in 2017. The study sample included 3607 nurses (5% men) in Finland. The association of age, sex, employment sector, EHR usability factors, and nurses’ informatics competence factors with time pressure and psychological distress were examined with analyses of covariance. Results The EHR usability factors that were associated with high time pressure were low EHR reliability and poor user-friendliness. Regarding the nurses’ informatics competence factors, only low e-Care competence was associated with time pressure. Of the EHR usability factors, low EHR reliability and low support for cooperation were associated with high psychological distress. Of the nurses’ informatics competence factors, low e-Care competence was associated with high psychological distress. Conclusions Unreliability and poor user-friendliness of EHRs seem to be prominent sources of time pressure and psychological distress among registered nurses. User-friendly EHR systems and digital tools in healthcare are needed. Nurses’ competence to use eHealth tools to tailor patient care should be strengthened through organizational and regional actions. For example, house rules about how to use eHealth tools and instructions on common practices in cooperation with other organizations could be useful.http://link.springer.com/article/10.1186/s12911-019-0891-zElectronic health recordsInformation systemsRegistered nursesTime pressure, psychological distress, GHQ, general health questionnaire |
| spellingShingle | Tuulikki Vehko Hannele Hyppönen Sampsa Puttonen Sari Kujala Eeva Ketola Johanna Tuukkanen Anna-Mari Aalto Tarja Heponiemi Experienced time pressure and stress: electronic health records usability and information technology competence play a role BMC Medical Informatics and Decision Making Electronic health records Information systems Registered nurses Time pressure, psychological distress, GHQ, general health questionnaire |
| title | Experienced time pressure and stress: electronic health records usability and information technology competence play a role |
| title_full | Experienced time pressure and stress: electronic health records usability and information technology competence play a role |
| title_fullStr | Experienced time pressure and stress: electronic health records usability and information technology competence play a role |
| title_full_unstemmed | Experienced time pressure and stress: electronic health records usability and information technology competence play a role |
| title_short | Experienced time pressure and stress: electronic health records usability and information technology competence play a role |
| title_sort | experienced time pressure and stress electronic health records usability and information technology competence play a role |
| topic | Electronic health records Information systems Registered nurses Time pressure, psychological distress, GHQ, general health questionnaire |
| url | http://link.springer.com/article/10.1186/s12911-019-0891-z |
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