Evidence map›Paper›PMID 29653530›Full record

ArticleBMC health services research2018

Predictors of physicians' stress related to information systems: a nine-year follow-up survey study.

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

Abstract read
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

24 citing papers in PubMed.

  1. Trial
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  4. 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
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  9. Revisiting the Time Needed to Provide Adult Primary Care.Journal of general internal medicine · 2023
    Article
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  11. Article
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  19. Job stress among GPs: associations with practice organisation in 11 high-income countries.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Article
  20. Tailoring EHRs for Specific Working Environments Improves Work Well-Being of Physicians.International journal of environmental research and public health · 2020
    Article
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 0000-0001-8540-049X
Hannele HyppönenNational 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.
Tuulikki VehkoNational 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

Strategic Research Council 303607Työsuojelurahasto 116104
6 · The paper itself

Abstract

backgroundAmong the important stress factors for physicians nowadays are poorly functioning, time consuming and inadequate information systems. The present study examined the predictors of physicians' stress related to information systems (SRIS) among Finnish physicians. The examined predictors were cognitive workload, staffing problems, time pressure, problems in teamwork and job satisfaction, adjusted for baseline levels of SRIS, age, gender and employment sector.

methodsThe study has a follow-up design with two survey data collection waves, one in 2006 and one in 2015, based on a random sample of Finnish physicians was used. The present study used a sample that included 1109 physicians (61.9% women; mean age in 2015 was 54.5; range 34-72) who provided data on the SRIS in both waves. The effects of a) predictor variable levels in 2006 on SRIS in 2015 and b) the change in the predictor variables from 2006 to 2015 on SRIS in 2015 were analysed with linear regression analyses.

resultsRegression analyses showed that the higher level of cognitive workload in 2006 significantly predicted higher level of SRIS in 2015 (β = 0.08). The reciprocity of this association was tested with cross-lagged structural equation model analyses which showed that the direction of the association was from cognitive workload to SRIS, not from SRIS to cognitive workload. Moreover, increases in time pressure (β = 0.16) and problems in teamwork (β = 0.10) were associated with higher levels of SRIS in 2015, whereas job satisfaction increase was associated with lower SRIS (β = - 0.06).

conclusionsAccording to our results, physicians' cognitive workload may have long-lasting negative ramifications in regard to how stressful physicians experience their health information systems to be. Thus, organisations should pay attention to physicians workload if they wish physicians to master all the systems they need to use. It is also important to provide physicians with enough time and collegial support in their system-related problems, and in learning new systems and system updates.

Indexed as

Health Information SystemsStress, PsychologicalAdultAgedFemaleFinlandFollow-Up StudiesForecastingHumansJob SatisfactionMaleMiddle AgedPhysiciansSurveys and QuestionnairesWorkloadCognitive workloadElectronic health recordsHealth information systemsPhysiciansStress

Identifiers

PMID29653530
PMCPMC5899365

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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.