Perceived Electronic Health Record Usability as a Predictor of Task Load and Burnout Among US Physicians: Mediation Analysis

Melnick, Edward R.; Harry, Elizabeth; Sinsky, Christine A.; Dyrbye, Liselotte N.; Wang, Hanhan; Trockel, Mickey; West, Colin P.; Shanafelt, Tait D.

doi:10.2196/23382

Cited by 53 publications

(65 citation statements)

References 57 publications

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“…These include, for example, the management of data privacy [ 1 ] or digital competences to enhance appropriate patient communication via internet [ 6 ]. In addition, new tasks make demands such as increasing time spent with documentation [ 7 , 8 ] or with low usability electronic health records [ 9 ] and technical support among colleagues [ 10 ], which were previously beyond the scope of work of health professionals.…”

Section: Introductionmentioning

confidence: 99%

Technostress and Digital Competence Among Health Professionals in Swiss Psychiatric Hospitals: Cross-sectional Study

Golz¹,

Peter²,

Müller³

et al. 2021

JMIR Ment Health

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Background Psychiatric hospitals are becoming increasingly digitized because of the disruptive rise in technical possibilities. This digitization leads to new tasks and demands for health professionals, which can have an impact on technostress. It is unclear whether digital competence reduces technostress and how technostress affects health professionals’ mental and physical health. Objective This study aims to assess the association between digital competence and technostress, considering individual characteristics and the association between technostress and long-term consequences for health professionals. Methods Cross-sectional data from 3 Swiss psychiatric hospitals were analyzed using multiple linear regression. The dependent variables for the models were digital competence, technostress, and long-term consequences (intention to leave the organization or the profession, burnout symptoms, job satisfaction, general health status, quality of sleep, headaches, and work ability). One model was calculated for each long-term consequence. The mean scores for technostress and digital competence could range between 0 (fully disagree) and 4 (fully agree), where a high value for technostress indicated high technostress and a high value for digital competence indicated high digital competence. Results The sample comprised 493 health professionals in psychiatric hospitals. They rated their technostress as moderate (mean 1.30, SD 0.55) and their digital competence as high (mean 2.89, SD 0.73). Digital competence was found to be significantly associated with technostress (β=−.20; P<.001). Among the individual characteristics, age (β=.004; P=.03) and profession were significantly associated with both digital competence and technostress. Technostress is a relevant predictor of burnout symptoms (β=10.32; P<.001), job satisfaction (β=−6.08; P<.001), intention to leave the profession (β=4.53; P=.002), organization (β=7.68; P<.001), general health status (β=−4.47; P<.001), quality of sleep (β=−5.87; P<.001), headaches (β=6.58; P<.001), and work ability (β=−1.40; P<.001). Conclusions Physicians and nurses who have more interaction with digital technologies rate their technostress higher and their digital competence lower than those in other professions. Health professionals with low interaction with digital technologies appear to overestimate their digital competence. With increasing digitization in psychiatric hospitals, an increase in the relevance of this topic is expected. Educational organizations and psychiatric hospitals should proactively promote the digital competence of health professionals to manage expected disruptive changes.

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Section: Introductionmentioning

confidence: 99%

Technostress and Digital Competence Among Health Professionals in Swiss Psychiatric Hospitals: Cross-sectional Study

Golz¹,

Peter²,

Müller³

et al. 2021

JMIR Ment Health

View full text Add to dashboard Cite

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“…The Adler-Milstein paper et al paper [ 1 ] described above fell into this category. Another excellent paper by Melnick et al [ 6 ] performed a secondary analysis of a survey of US physicians from all specialties to determine the association between physicians’ perceived EHR usability and workload and their professional burnout. They found a strong relationship between EHR usability and workload, with more favorable usability associated with a lower task load.…”

Section: Resultsmentioning

confidence: 99%

Human Factors and Organizational Issues Section Synopsis IMIA Yearbook 2021

Senathirajah

Hribar

Issues³

2021

Yearb Med Inform

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Objective: To select the best papers that made original and high impact contributions in the area of human factors and organizational issues in biomedical informatics in 2020. Methods: A rigorous extraction process based on queries from Web of Science® and PubMed/Medline was conducted to identify the scientific contributions published in 2020 that address human factors and organizational issues in biomedical informatics. The screening of papers on titles and abstracts independently by the two section editors led to a total of 1,562 papers. These papers were discussed for a selection of 12 finalist papers, which were then reviewed by the two section editors, two chief editors, and by three external reviewers from internationally renowned research teams. Results: The query process resulted in 12 papers that reveal interesting and rigorous methods and important studies in human factors that move the field forward, particularly in clinical informatics and emerging technologies such as brain-computer interfaces. This year three papers were clearly outstanding and help advance in the field. They provide examples of applying existing frameworks together in novel and highly illuminating ways, showing the value of theory development in human factors. Emerging themes included several which discussed physician burnout, mobile health, and health equity. Those concerning the Corona Virus Disease 2019 (Covid-19) were included as part of that section. Conclusion: The selected papers make important contributions to human factors and organizational issues, expanding and deepening our knowledge of how to apply theory and applications of new technologies in health.

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“…Cognitive load is understood as the amount of mental load imposed on a person when solving a particular task and the associated required capacity of the human working memory [49]. In studies that also intend to evaluate electronic solutions as reported here and in the implementation of respective solutions in clinical practice, it is imperative to pay attention to this phenomenon, as cognitive load is related to the development of burnout and distress in EMRs [50]. However, in this study, after a certain period of use, the PCM was considered easier to use and became more familiar.…”

Section: Discussionmentioning

confidence: 99%

Participatory Design of an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Study with Nurses and Physicians

et al. 2021

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Background: Electronic medical records (EMRs) offer a promising approach to mapping and documenting the complex information gathered in paediatric palliative care (PPC). However, if they are not well developed, poorly implemented EMRs have unintended consequences that may cause harm to patients. One approach to preventing such harm is the involvement of users in the participatory design to ensure user acceptance and patient safety. Therefore, the aim of this study is to evaluate the acceptance of a novel patient chart module (PCM) as part of an EMR from the perspective of potential users in PPC and to involve these professionals in the design process. Methods: A qualitative observational study with N = 16 PPC professionals (n = 10 nurses, n = 6 physicians) was conducted, including concurrent think aloud (CTA) and semi-structured interviews. A structured content analysis based on the Unified Theory of Acceptance and Use of Technology was applied. Results: The results can be summarized in terms of general observations, performance expectancy, effort expectancy and facilitating conditions, all of which are likely to have a positive influence on acceptance of the PCM from the user perspective in the context of PPC. Conclusions: The involvement of users in the development of EMRs is important for meeting the requirements in PPC. Further software adaptations are necessary to implement these requirements.

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Perceived Electronic Health Record Usability as a Predictor of Task Load and Burnout Among US Physicians: Mediation Analysis

Cited by 53 publications

References 57 publications

Technostress and Digital Competence Among Health Professionals in Swiss Psychiatric Hospitals: Cross-sectional Study

Technostress and Digital Competence Among Health Professionals in Swiss Psychiatric Hospitals: Cross-sectional Study

Human Factors and Organizational Issues Section Synopsis IMIA Yearbook 2021

Participatory Design of an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Study with Nurses and Physicians

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