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 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.

The Effect of Electronic Health Record Usability Redesign on Annual Screening Rates in an Ambulatory Setting

“…24 Poor usability of the EHR has been linked to psychological distress and negative work environment among nurses. 25,26 In an international survey, nearly one-third of respondents noted problems with system usability. 27 In the present study, addressing the usability problems and reducing the associated cognitive load not only reduced task time but also subjectively increased certainty regarding which screens were needed at each particular encounter.…”

Tietojärjestelmät sairaanhoitajien työn tukena eri toimintaympäristöissä: kokemuksia tuotemerkeittäin

“…Käytettävyys tarkoittaa tietojärjestelmien kokonaisvaltaista kykyä tarjota sellaisia välineitä, joilla voi saavuttaa tavoitteita tehokkaasti ja hyväksyttävällä tavalla ja aiheuttamatta negatiivisia seuraamuksia [13]. Käytettävyysongelmia on suomalaisissa tutkimuksissa noussut esille pitkään [14][15][16] ja niitä havaitaan edelleen [4,[17][18][19][20]. Sairaanhoitajat ja lääkärit ovat jopa arvioineet rutiinitehtävien suorittamisen olevan hankalaa [4,18,21].…”

Implementasi Electronic Health Records (Ehrs) Pada Pelayanan Kesehatan Di Komunitas: Literature Review

“…Kontrol selanjutnya menggunakkan kata kunci yang masuk lewat email pasien. Penggunaan sistem ini terus diperbaiki untuk memudahkan penggunaan (Tembhare, Sibi Chakkaravarthy, Sangeetha, Vaidehi, & Venkata Rathnam, 2019 (Vehko et al, 2019). Erawantini (2013) menyatakan bahwa penggunaan EHRs ini memiliki banyak manfaat, diantaranya menurunkan biaya administrasi dan biaya penyediaan gudang berkas.…”