Evidence map›Paper›PMID 31412859›Full record

ArticleBMC medical informatics and decision making2019

Experienced time pressure and stress: electronic health records usability and information technology competence play a role.

Tuulikki Vehko, Hannele Hyppönen, Sampsa Puttonen, Sari Kujala, Eeva Ketola, Johanna Tuukkanen, Anna-Mari Aalto, Tarja Heponiemi

Open access · goldAbstract read
In one paragraph

Article in BMC medical informatics and decision making, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 pooled it
20.8field-weighted citation impact, top 1% of its field
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

44 citing papers in PubMed, 3 syntheses or guidelines pooled it, 127 citations in OpenAlex.

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  15. 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
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  19. Ten Topics to Get Started in Medical Informatics Research.Journal of medical Internet research · 2023
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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

8 authors at 4 institutions in 1 country.

Tuulikki VehkoThe Department of Information Services, National Institute for Health and Welfare (THL), P.O. Box 30, FI-00271, Helsinki, Finland. tuulikki.vehko@thl.fi.ORCID 0000-0002-0034-8379
Hannele HyppönenThe Department of Information Services, National Institute for Health and Welfare (THL), P.O. Box 30, FI-00271, Helsinki, Finland.
Sampsa PuttonenFinnish Institute of Occupational Health, Helsinki, Finland.
Sari KujalaDepartment of Computer Science, Aalto University, Espoo, Finland.
Eeva KetolaThe Department of Information Services, National Institute for Health and Welfare (THL), P.O. Box 30, FI-00271, Helsinki, Finland.
Johanna TuukkanenEmergency Unit, Central Finland Healthcare District, Jyväskylä, Finland.
Anna-Mari AaltoThe Department of Information Services, National Institute for Health and Welfare (THL), P.O. Box 30, FI-00271, Helsinki, Finland.
Tarja HeponiemiThe Department of Information Services, National Institute for Health and Welfare (THL), P.O. Box 30, FI-00271, Helsinki, Finland.
Finnish Institute for Health and Welfare · FIAalto University · FICentral Finland Health Care District · FIFinnish Institute of Occupational Health · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic health records (EHRs) are an elementary part of the work of registered nurses (RNs) in healthcare. RNs are the largest group of healthcare workers, and their experiences with EHRs and their informatics competence play a crucial role in a fluent workflow. The present study examined EHR usability factors and nurses' informatics competence factors related to self-reported time pressure and psychological distress.

methodsA nationwide survey was conducted for working-age registered nurses in 2017. The study sample included 3607 nurses (5% men) in Finland. The association of age, sex, employment sector, EHR usability factors, and nurses' informatics competence factors with time pressure and psychological distress were examined with analyses of covariance.

resultsThe EHR usability factors that were associated with high time pressure were low EHR reliability and poor user-friendliness. Regarding the nurses' informatics competence factors, only low e-Care competence was associated with time pressure. Of the EHR usability factors, low EHR reliability and low support for cooperation were associated with high psychological distress. Of the nurses' informatics competence factors, low e-Care competence was associated with high psychological distress.

conclusionsUnreliability and poor user-friendliness of EHRs seem to be prominent sources of time pressure and psychological distress among registered nurses. User-friendly EHR systems and digital tools in healthcare are needed. Nurses' competence to use eHealth tools to tailor patient care should be strengthened through organizational and regional actions. For example, house rules about how to use eHealth tools and instructions on common practices in cooperation with other organizations could be useful.

Indexed as

Electronic Health RecordsInformation TechnologyProfessional CompetenceAdultFemaleFinlandHumansMaleNursesOccupational StressReproducibility of ResultsSurveys and QuestionnairesTime FactorsWorkflowElectronic health recordsInformation systemsRegistered nursesTime pressure, psychological distress, GHQ, general health questionnaire

Identifiers

PMID31412859
PMCPMC6694657
OpenAlexW2969137741

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.