Evidence map›Paper›PMID 29241245›Full record

ArticleApplied clinical informatics2017

Better Usability and Technical Stability Could Lead to Better Work-Related Well-Being among Physicians.

Suvi Vainiomäki, Anna-Mari Aalto, Tinja Lääveri, Timo Sinervo, Marko Elovainio, Pekka Mäntyselkä, Hannele Hyppönen

Abstract read
In one paragraph

Article in Applied clinical informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
  2. Medical and nursing clinician perspectives on the usability of the hospital electronic medical record: A qualitative analysis.Health information management : journal of the Health Information Management Association of Australia · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Tailoring EHRs for Specific Working Environments Improves Work Well-Being of Physicians.International journal of environmental research and public health · 2020
    Article
  11. Article
  12. Article
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  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Suvi VainiomäkiWelfare Division, City of Turku, Turku, Finland.
Anna-Mari AaltoUnit of Social and Health Systems Research, Department of Health and Social Care Systems, National Institute for Health and Welfare, Helsinki, Finland.
Tinja LääveriDivision of Infectious Diseases, Inflammation Center, Helsinki University Hospital, Helsinki, Finland.
Timo SinervoUnit of Social and Health Systems Research, Department of Health and Social Care Systems, National Institute for Health and Welfare, Helsinki, Finland.
Marko ElovainioUnit of Social and Health Systems Research, Department of Health and Social Care Systems, National Institute for Health and Welfare, Helsinki, Finland.
Pekka MäntyselkäSchool of Medicine, General Practice, University of Eastern Finland, Finland.
Hannele HyppönenUnit of Social and Health Systems Research, Department of Health and Social Care Systems, National Institute for Health and Welfare, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objective Finnish physicians have been increasingly dissatisfied with poor usability of the electronic patient record (EPR) systems, which they have identified as an overload factor in their work. Our aim is to specify which factors in EPRs are associated with work-related well-being of physicians. Methods A web-based questionnaire was sent to Finnish physicians younger than 65 years; the responses (n = 3,781) represent one-fourth of these. This was a repetition of a survey in 2010, where this questionnaire was used for the first time. In addition to statements assessing usability, there were questions measuring time pressure and job control. The relation between usability and work well-being was investigated with hierarchical multivariate regression analyses: With time pressure and job control as dependent variables, EPR usability assessments and physicians' background information were used as independent variables. Results In the multivariate analyses, technical problems that are often experienced in the EPR were related to higher time pressure and lower job control. Active participation in the development of the EPR system was related to stronger time pressure and stronger job control. In addition, use of several systems daily and the experience of time-consuming documentation of patient information for statistical purposes (billing, national registries, and reporting) were related to higher time pressure, while those with longer experience with the EPR system and those experiencing easy-to-read nursing records reported higher job control. Conclusion To relieve time pressure and increase sense of job control experienced by physicians, usability, integrations, and stability of the EPR systems should be improved: fewer login procedures, easier readability of nursing records, and decreased need for separate documentation for statistical purposes. Physician participation in the EPR development would increase the feeling of job control, but would add the time pressure. Hence, time for developmental work should be arranged.

Indexed as

Job SatisfactionAttitude of Health PersonnelElectronic Health RecordsHumansMedical InformaticsMultivariate AnalysisPhysiciansSurveys and Questionnaires

Identifiers

PMID29241245
PMCPMC5802304

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.