ArticleJournal of general internal medicine2023
"Like One Long Battle:" Employee Perspectives of the Simultaneous Impact of COVID-19 and an Electronic Health Record Transition.
Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Electronic Health Record Time Allocation Among Primary Care Clinicians at the Veterans Health Administration Using Virtual Observations.Journal of general internal medicine · 2025Article
- VA's EHR transition and health professions trainee programs: Findings and impacts of a multistakeholder learning community.Learning health systems · 2025Article
- "For the first time…I am seriously fighting burnout": clinician experiences with a challenging electronic health record transition.JAMIA open · 2024Article
- User Experiences of Transitioning From a Homegrown Electronic Health Record to a Vendor-Based Product in the Department of Veterans Affairs: Qualitative Findings From a Mixed Methods Evaluation.JMIR formative research · 2024Article
- Perceptions of hospital electronic health record (EHR) training, support, and patient safety by staff position and tenure.BMC health services research · 2024Article
- Clinician and staff experiences with frustrated patients during an electronic health record transition: a qualitative case study.BMC health services research · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundHealthcare organizations regularly manage external stressors that threaten patient care, but experiences handling concurrent stressors are not well characterized.
objectiveTo evaluate the experience of Veterans Affairs (VA) clinicians and staff navigating simultaneous organizational stressors-an electronic health record (EHR) transition and the COVID-19 pandemic-and identify potential strategies to optimize management of co-occurring stressors.
designQualitative case study describing employee experiences at VA's initial EHR transition site.
participantsClinicians, nurses, allied health professionals, and local leaders at VA's initial EHR transition site. APPROACH: We collected longitudinal qualitative interview data between July 2020 and November 2021 once before and 2-4 times after the date on which the health system transitioned; this timing corresponded with local surges of COVID-19 cases. Interviewers conducted coding and analysis of interview transcripts. For this study, we focused on quotes related to COVID-19 and performed content analysis to describe recurring themes describing the simultaneous impact of COVID-19 and an EHR transition. KEY
resultsWe identified five themes related to participants' experiences: (1) efforts to mitigate COVID-19 transmission led to insufficient access to EHR training and support, (2) clinical practice changes in response to the pandemic impacted EHR workflows in unexpected ways, (3) lack of clear communication and inconsistent enforcement of COVID-19 policies intensified pre-existing frustrations with the EHR, (4) managing concurrent organizational stressors increased work dissatisfaction and feelings of burnout, and (5) participants had limited bandwidth to manage competing demands that arose from concurrent organizational stressors.
conclusionThe expected challenges of an EHR transition were compounded by co-occurrence of the COVID-19 pandemic, which had negative impacts on clinician experience and patient care. During simultaneous organizational stressors, health care facilities should be prepared to address the complex interplay of two stressors on employee experience.
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