Transitioning from a computerized provider order entry and paper documentation system to an electronic health record: Expectations and experiences of hospital staff

Kirkendall, Eric S.; Goldenhar, Linda M.; Simón, J.; Wheeler, Derek S.; Spooner, S. Andrew

doi:10.1016/j.ijmedinf.2013.08.005

Cited by 40 publications

(63 citation statements)

References 21 publications

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“…Where surveys were used to assess clinician experience in relation to health systems change or performance, surveys generally comprised of researcher-developed items that did not undergo validation about clinician experience. Instead, this research was accompanied by validated tools capturing data of work environment, satisfaction, engagement or psychological outcomes(27, 47) (28,46,49,60). The limited application of survey tools and the need for researcher-developed components, reflects the lack of clarity regarding definition of clinician experience and the limited availability of existing validated tools in this area as a result.…”

Section: Discussionmentioning

confidence: 99%

“…The literature indicated there was overlap between, 1) clinician experience of delivering care, 2) health workforce job satisfaction and 3) clinician engagement. It was apparent that self-reported experiences of providing care were closely linked to both resulting job engagement and satisfaction (18,(24)(25)(26)(27)(28). The nature of this relationship was not sufficiently examined to draw conclusive findings regarding the relationships between these variables.…”

Section: Question 1: How Has Clinician Experience Of Delivering Healtmentioning

confidence: 99%

“…The under-developed conceptualisation of clinician experience was reflected in the lack of survey research in this field. Twenty studies (18 from the database search and two from the grey literature) included survey methods to capture clinician experience data, with no single survey instrument widely adopted within these studies (27,28,(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56). Of the identified studies, only two survey studies sought to assess clinician experience of providing care beyond a specific change event and using a survey instrument explicitly capturing experience outcomes (41,56).…”

Section: Question 2: What Survey Instruments and Measures Of Cliniciamentioning

confidence: 99%

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Clinicians’ Experience of Providing Care: A Rapid Review

Iqbal¹,

Manias

Mimmo

et al. 2020

Preprint

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Background Health care services internationally are refocussing care delivery towards patient centred, integrated care that utilises effective, efficient and innovative models of care to optimise patient outcomes and system sustainability. Whilst significant efforts have been made to examine and enhance patient experience, to date little has progressed in relation to provider experience. This review aims to explore this knowledge gap by capturing evidence of clinician experience, and how this experience is defined and measured in the context of health system change and innovation. Methods: A rapid review of published and grey literature review was conducted utilising a rapid evidence assessment methodology. 79 studies retrieved from the literature were included in the review. 14 articles were identified from the grey literature search and one article obtained via hand searching. In total, 94 articles were included in the review. This study was commissioned by and co-designed with the New South Wales, Ministry of Health. Results: Clinician experience of delivering health care is inconsistently defined in the literature, with identified articles lacking clarity regarding distinctions between experience, engagement and work-related outcomes such as job satisfaction. Clinician experience was commonly explored using qualitative research that focused on experiences of discrete health care activities or events in which a change was occurring. Such research enabled exploration of complex experiences. In these contexts, clinician experience was captured in terms of self-reported information that clinicians provided about the health care activity or event, their perceptions of its value, the lived impacts they experienced, and the specific behaviours they displayed in relation to the activity or event. Moreover, clinician’s experience has been identified to have a paucity of measurement tools. Conclusion: Literature to date has not examined clinician experience in a holistic sense. In order to achieve the goals identified in relation to value-based care, further work is needed to conceptualise clinician experience and understand the nature of measurement tools required to assess this. In health system application, a broader ‘clinician pulse’ style assessment may be valuable to understand the experience of clinical work on a continuum rather than in the context of episodes of change/care.

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Section: Discussionmentioning

confidence: 99%

Section: Question 1: How Has Clinician Experience Of Delivering Healtmentioning

confidence: 99%

Section: Question 2: What Survey Instruments and Measures Of Cliniciamentioning

confidence: 99%

See 1 more Smart Citation

Clinicians’ Experience of Providing Care: A Rapid Review

Iqbal¹,

Manias

Mimmo

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…The literature indicated there was overlap between, 1) clinician experience of delivering care, 2) health workforce job satisfaction and 3) clinician engagement. It was apparent that self-reported experiences of providing care were closely linked to both resulting job engagement and satisfaction (18,(24)(25)(26)(27)(28). The nature of this relationship was not su ciently examined to draw conclusive ndings regarding the relationships between these variables.…”

Section: Review Ndingsmentioning

confidence: 99%

Clinicians’ Experience of Providing Care: A Rapid Review

Iqbal¹,

Manias

Mimmo

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Health care services internationally are refocussing care delivery towards patient centred, integrated care that utilises effective, efficient and innovative models of care to optimise patient outcomes and system sustainability. Whilst significant efforts have been made to examine and enhance patient experience, to date little has progressed in relation to provider experience. This review aims to explore this knowledge gap by capturing evidence of clinician experience, and how this experience is defined and measured in the context of health system change and innovation.Methods A rapid review of published and grey literature review was conducted utilising a rapid evidence assessment methodology. 79 studies retrieved from the literature were included in the review. 14 articles were identified from the grey literature search and one article obtained via hand searching. In total, 94 articles were included in the review. This study was commissioned by and co-designed with the New South Wales, Ministry of Health.Results Clinician experience of delivering health care is inconsistently defined in the literature, with identified articles lacking clarity regarding distinctions between experience, engagement and work-related outcomes such as job satisfaction. Clinician experience was commonly explored using qualitative research that focused on experiences of discrete health care activities or events in which a change was occurring. Such research enabled exploration of complex experiences. In these contexts, clinician experience was captured in terms of self-reported information that clinicians provided about the health care activity or event, their perceptions of its value, the lived impacts they experienced, and the specific behaviours they displayed in relation to the activity or event. Moreover, clinician’s experience has been identified to have a paucity of measurement tools. Conclusion Literature to date has not examined clinician experience in a holistic sense. In order to achieve the goals identified in relation to value-based care, further work is needed to conceptualise clinician experience and understand the nature of measurement tools required to assess this. In health system application, a broader ‘clinician pulse’ style assessment may be valuable to understand the experience of clinical work on a continuum rather than in the context of episodes of change/care.

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“…This may vary from electronic health records management to artificial intelligence based diagnostic analysis [2]. It can also be characterised as the transformation of current systems (often paper based) to digital formats [3].…”

Section: …………………………………………………………………………………………………… Introduction:-mentioning

confidence: 99%

Implementation of Health Informatics in Developing Economies: A Literature Review of Organisational, Socio-Cultural and Economic Aspects.

Thilakasiri¹

2019

IJAR

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Transitioning from a computerized provider order entry and paper documentation system to an electronic health record: Expectations and experiences of hospital staff

Cited by 40 publications

References 21 publications

Clinicians’ Experience of Providing Care: A Rapid Review

Clinicians’ Experience of Providing Care: A Rapid Review

Clinicians’ Experience of Providing Care: A Rapid Review

Implementation of Health Informatics in Developing Economies: A Literature Review of Organisational, Socio-Cultural and Economic Aspects.

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