ArticleInternational journal of medical informatics2022
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.
Article in International journal of medical informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Factors affecting nurses retention during the COVID-19 pandemic: a systematic review.Human resources for health · 2024Pooled it
- Participation in the digital transformation of healthcare: a review of qualitative studies.International journal of health care quality assurance · 2024Pooled it
- The Impact of Digital Hospitals on Patient and Clinician Experience: Systematic Review and Qualitative Evidence Synthesis.Journal of medical Internet research · 2024Pooled it
- Perceived Perioperative Competence, Self-Efficacy, and Job Burnout Among Chinese Operating Room Nurses: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Nurses' Satisfaction with Adopting a Homegrown Public Tertiary Hospital Electronic Medical Record during the Pandemic.Acta medica Philippina · 2025Article
- Nurses' Perception towards Electronic Medical Records System: An Integrative Review of Barriers and Facilitators.Iranian journal of public health · 2025Review
- Updating Factors Influencing Nurse Work Engagement in the Hospital Settings: A Systematic Review.Journal of healthcare leadership · 2024Review
- Professional care workforce: a rapid review of evidence supporting methods of recruitment, retention, safety, and education.Human resources for health · 2023Review
- Nurses' Experiences After Implementation of an Organization-Wide Electronic Medical Record: Qualitative Descriptive Study.JMIR nursing · 2022Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe impacts of electronic medical record implementation on nurses, the largest healthcare workforce, have not been comprehensively examined. Negative impacts on nurses have implications for quality of patient care delivery and workforce retention.
objectiveTo investigate changes in nurses' well-being, intention to stay, burnout, work engagement, satisfaction, motivation and experience using technology pre- and post-implementation of an organisation-wide electronic medical record in Victoria, Australia.
methodsThe natural experiment comprised an electronic medical record system implementation across six hospitals of a large tertiary healthcare organisation. Cross-sectional surveys were collected pre-electronic medical record implementation prior to the SARS-CoV-2 pandemic in 2019, and 18-months post-electronic medical record implementation during the pandemic in 2020, and findings compared.
resultsA total of 942 surveys were analysed (550 pre-electronic medical record (response rate 15.52%) and 392 post-electronic medical record (response rate 9.50%)). Post-electronic medical record, nurses' work satisfaction (r = 0.23, p=<0.001), intention to stay (r = 0.11, p = 0.001) and well-being (r = 0.17, p=<0.001) decreased. Nurses' perceived competence increased (r = 0.10, p = 0.002) despite decreased autonomy (r = 0.10, p = 0.003). Two of three dimensions of work engagement worsened (vigour r = 0.13, p=<0.001; dedication r = 0.13, p=<0.001) and all dimensions of burnout increased (exhaustion r = 0.08, p = 0.012, cynicism r = 0.07, p = 0.04 and reduced efficiency r = 0.32, p=<0.001). Nurses reported more burnout symptoms (95% CI 4.6-4.7%, p = 0.036), were less engaged (95% CI 49.6-49.9%, p=<0.001) and career trajectory satisfaction decreased (r = 0.15, p=<0.001). Matched data from 52 nurses showed changes in the same direction for all items except career trajectory satisfaction, hence validated findings from the larger unmatched sample.
conclusionsImplementation of an electronic medical record immediately followed by the SARS-CoV-2 pandemic was associated with negative changes in nurses' well-being, intention to stay, burnout, work engagement and satisfaction.
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