ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2019
Nurses' Stress Associated with Nursing Activities and Electronic Health Records: Data Triangulation from Continuous Stress Monitoring, Perceived Workload, and a Time Motion Study.
Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Examining Mental Workload Relating to Digital Health Technologies in Health Care: Systematic Review.Journal of medical Internet research · 2022Pooled it
- Factors associated with nurse well-being in relation to electronic health record use: A systematic review.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- Symptom management in cancer care: An evolutionary concept analysis for a digitally enabled collaborative framework.Asia-Pacific journal of oncology nursing · 2026Review
- Clinical Barriers to Hands-Free, Eyes-Free Voice Input for Nursing Records: Field Usability Study.Asian/Pacific Island nursing journal · 2026Article
- Quantifying and understanding the roles of diabetes educators in Malaysian primary health clinics: a mixed-methods study.BMC health services research · 2026Article
- Article
- COVID-19 and Healthcare Workers Burnt out: A Qualitative Study of Burnout Experiences of Healthcare workers in a Secondary Hospital in Ghana.Nursing open · 2025Article
- The influencing factors of nurses' job engagement in tertiary, A grade hospitals in East China: A cross-sectional study.Nursing open · 2024Article
- Impact of Electronic Health Record Use on Cognitive Load and Burnout Among Clinicians: Narrative Review.JMIR medical informatics · 2024Article
- Toward ensuring care quality and safety across settings: examining time pressure in a nursing home with observational time motion study metrics based on the Omaha system.Journal of the American Medical Informatics Association : JAMIA · 2023Observational
- Review
- Change in nurses' psychosocial characteristics pre- and post-electronic medical record system implementation coinciding with the SARS-CoV-2 pandemic: pre- and post-cross-sectional surveys.International journal of medical informatics · 2022Article
- Evaluation of Physicians' Electronic Health Records Experience Using Actual and Perceived Measures.Perspectives in health information managemen · 2022Article
- The relationship between mental workload and job performance among Iranian nurses providing care to COVID-19 patients: A cross-sectional study.Journal of nursing management · 2021Article
- The association between perceived electronic health record usability and professional burnout among US nurses.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Decoding Nursing Job Demands: A Multicenter Cross-Sectional Descriptive Study Assessing Nursing Workload in Hospital Medical-Surgical Wards.SAGE open nursingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
As health IT has become overloaded with patient information, provider burnout and stress has accelerated. Studies have shown that EHR usage leads to heightened cognitive workload for nurses, and increases in cognitive workload can result in stronger feelings of exhaustion and burnout. We conducted a time motion study in an oncology division to examine the relationships between nurses' perceived workload, stress measured by blood pulse wave (BPw), and their time spent on nursing activities, and to identify stress associated with EHR use. We had a total of 33 observations from 7 nurses. We found that EHR-related stress is associated with nurses' perceived physical demand and frustration. We also found that nurses' perceived workload is a strong predictor of nurses' stress as well as how they spent time with their patients. They also experienced higher perceived mental demand, physical demand, and temporal demand when they were assigned to more patients, regardless of patient acuity. Our study presents a unique data triangulation approach from continuous stress monitoring, perceived workload, and a time motion study.
Indexed as
Identifiers
32308892PMC7153131What OpenQuestion holds
Registered trials
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.