ArticleJAMIA open2026
Exploring nurses' documentation prioritization strategies to alleviate EHR documentation burden: a phenomenological study.
Article in JAMIA open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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Who cites it
3 citing papers in PubMed.
- Relationships between nurse-patient assignment, perceived nursing workload, and missed care among intensive care unit nurses: a cross-sectional study.BMC nursing · 2026Article
- Hospital Digital Transformation, Nursing Data Burden, and Leadership and Governance Capacity: A Critical Narrative Review.Journal of nursing management · 2026Review
- Translating Nursing Data into Computational Metrics: An Evaluation Guideline for Inpatient Intravenous and Subcutaneous Insulin Management.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Objective: This study aims to understand how inpatient nurses determine and prioritize necessary documentation within the context of the Excessive Documentation Burden (ExDocBurden) in Electronic Health Records (EHRs). Methodology: A phenomenological approach was used to explore inpatient nurses' lived experiences of prioritizing EHR documentation. Interpretive phenomenology guided the study design, focusing on how nurses prioritize documentation. Purposive sampling recruited 14 registered nurses (RNs) from acute and critical care settings. Data was collected through semi-structured interviews and analyzed using Colaizzi's 7-step and Smith's Interpretive Phenomenology Analysis. Results: Five themes emerged: (1) Advocating for Quality Patient Care Environment and Patient Needs, (2) What to Document in Near-Real Time Versus What Can Wait, (3) EHR-Driven Documentation and the Erosion of Nurse Autonomy, (4) Unnecessary (Frequent and Redundant) Documentation, and (5) Fear, Frustration, and Punitive Pressure in Charting. Nurses prioritized patient care over EHR documentation and frequently encountered unnecessary and redundant documentation tasks that did not contribute to patient needs. Defensive charting practices driven by fear of litigation further compounded nurses' emotional strain. Discussion: The study emphasizes the importance of empowering nurses by minimizing non-value-added documentation and enabling them to exercise their clinical judgment. Streamlining documentation processes can help alleviate the emotional and mental strain on nurses, enabling a more patient-centered approach to care. Conclusion: Understanding how experienced nurses prioritize documentation in the context of ExDocBurden provides valuable insights to ameliorate EHR Burden. Nurses drive quality of patient care; consequently, supporting nurse-driven documentation enhances both patient care quality and organizational needs.
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Registered trials
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