ArticleJournal of the American Medical Informatics Association : JAMIA2021
Feeling and thinking: can theories of human motivation explain how EHR design impacts clinician burnout?
Article in Journal of the American Medical Informatics Association : JAMIA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of Quantitative Methods for Evaluating Electronic Medication Administration Record and Bar-Coded Medication Administration Usability.Applied clinical informatics · 2023Pooled it
- Choosing between Patient Care Needs and Accurate Data Capture: Exploring Nurses' Experiences of Excessive Documentation Burden.Applied clinical informatics · 2025Article
- "The start of something that I hope could be greater": Health information technology tools for social care.SSM. Qualitative research in health · 2025Article
- Clinical decision fatigue: a systematic and scoping review with meta-synthesis.Family medicine and community health · 2025Article
- Assessing hospital antibiotic stewardship program (ASP) implementation: validation of an implementation science-informed survey.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Electronic Health Record Adoption and Its Effects on Healthcare Staff: A Qualitative Study of Well-Being and Workplace Stress.International journal of environmental research and public health · 2024Article
- Sprint-inspired One-on-One Post-Go-Live Training Session (Mini-Sprint) Improves Provider Electronic Health Record Efficiency and Satisfaction.Applied clinical informatics · 2024Article
- Making the EHR Work for You-Modifications of an Electronic Health Record System to Improve Tracking and Management of Patients Receiving Outpatient Parenteral Antibiotic Therapy.Open forum infectious diseases · 2024Article
- Considerations for using predictive models that include race as an input variable: The case study of lung cancer screening.Journal of biomedical informatics · 2023Article
- Going paperless - Qualitative monitoring of staff morale during the transition from paper to electronic health records.Heliyon · 2023Article
- Systematic User-centered Design of a Prototype Clinical Decision Support System for Glaucoma.Ophthalmology science · 2023Article
- Computer clinical decision support that automates personalized clinical care: a challenging but needed healthcare delivery strategy.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- 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
- Roadmap to a more useful and usable electronic health record.Cardiovascular digital health journal · 2021Article
- Human Factors and Organizational Issues Section Synopsis IMIA Yearbook 2021.Yearbook of medical informatics · 2021Article
- Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Health information technology and clinician burnout: Current understanding, emerging solutions, and future directions.Journal of the American Medical Informatics Association : JAMIA · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
The psychology of motivation can help us understand the impact of electronic health records (EHRs) on clinician burnout both directly and indirectly. Informatics approaches to EHR usability tend to focus on the extrinsic motivation associated with successful completion of clearly defined tasks in clinical workflows. Intrinsic motivation, which includes the need for autonomy, sense-making, creativity, connectedness, and mastery is not well supported by current designs and workflows. This piece examines existing research on the importance of 3 psychological drives in relation to healthcare technology: goal-based decision-making, sense-making, and agency/autonomy. Because these motives are ubiquitous, foundational to human functioning, automatic, and unconscious, they may be overlooked in technological interventions. The results are increased cognitive load, emotional distress, and unfulfilling workplace environments. Ultimately, we hope to stimulate new research on EHR design focused on expanding functionality to support intrinsic motivation, which, in turn, would decrease burnout and improve care.
Indexed as
Identifiers
What 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.