Evidence map›Paper›PMID 29041971›Full record

ArticleBMC medical informatics and decision making2017

Finnish physicians' stress related to information systems keeps increasing: a longitudinal three-wave survey study.

Tarja Heponiemi, Hannele Hyppönen, Tuulikki Vehko, Sari Kujala, Anna-Mari Aalto, Jukka Vänskä, Marko Elovainio

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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30citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. National survey of user-reported usability of electronic medical record software in ophthalmology in Germany.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
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  11. Electronic Health Records, Medical Practice Problems, and Physician Distress.International journal of behavioral medicine · 2022
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  18. Feeling and thinking: can theories of human motivation explain how EHR design impacts clinician burnout?Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Tarja HeponiemiNational Institute for Health and Welfare, P.O. Box 30, 00271, Helsinki, Finland. tarja.heponiemi@thl.fi.ORCID http://orcid.org/0000-0001-8540-049X
Hannele HyppönenNational Institute for Health and Welfare, P.O. Box 30, 00271, Helsinki, Finland.
Tuulikki VehkoNational Institute for Health and Welfare, P.O. Box 30, 00271, Helsinki, Finland.
Sari KujalaAalto university, Espoo, Finland.
Anna-Mari AaltoNational Institute for Health and Welfare, P.O. Box 30, 00271, Helsinki, Finland.
Jukka VänskäFinnish Medical Association, Helsinki, Finland.
Marko ElovainioNational Institute for Health and Welfare, P.O. Box 30, 00271, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoorly functioning, time-consuming, and inadequate information systems are among the most important work-related psychosocial factors causing stress in physicians. The present study examined the trend in the perceived stress that was related to information systems (SRIS) among Finnish physicians during a nine-year follow-up. In addition, we examined the associations of gender, age, employment sector, specialization status, leadership position, on-call burden, and time pressure with SRIS change and levels.

methodsA longitudinal design with three survey data collection waves (2006, 2010 and 2015) based on a random sample of Finnish physicians in 2006 was used. The study sample included 1095 physicians (62.3% women, mean age 54.4 years) who provided data on SRIS in every wave. GLM repeated measures analyses were used to examine the associations between independent variables and the SRIS trend during the years 2006, 2010, and 2015.

resultsSRIS increased during the study period. The estimated marginal mean of SRIS in 2006 was 2.80 (95% CI = 2.68-2.92) and the mean increase was 0.46 (95% CI = 0.30-0.61) points from 2006 to 2010 and 0.25 (95% CI = 0.11-0.39) points from 2010 to 2015. Moreover, our results show that the increase was most pronounced in primary care, whereas in hospitals SRIS did not increase between 2010 and 2015. SRIS increased more among those in a leadership position. On-call duties and high time-pressures were associated with higher SRIS levels during all waves.

conclusionsChanging, difficult, and poorly functioning information systems (IS) are a prominent source of stress among Finnish physicians and this perceived stress continues to increase. Organizations should implement arrangements to ease stress stemming from IS especially for those with a high workload and on-call or leadership duties. To decrease IS-related stress, it would be important to study in more detail the main IS factors that contribute to SRIS. Earlier studies indicate that the usability and stability of information systems as well as end-user involvement in system development and work-procedure planning may be significant factors.

Indexed as

AdultElectronic Health RecordsFemaleFinlandHealth Information SystemsHumansLongitudinal StudiesMaleMiddle AgedOccupational StressPhysiciansElectronic health recordsInformation systemsLongitudinal researchPhysiciansStress

Identifiers

PMID29041971
PMCPMC5646125

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.