EHR perception and momentary well-being in oncology professionals.

M K Wekenborg, C Rominger, E A M Michels, I C Wiest, L Treiber, J Eder, A R Schwerdtfeger, Jakob Nikolas Kather

Abstract read

In one paragraph

Article in ESMO real world data and digital oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

M K WekenborgElse Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.

C RomingerDepartment of Health Psychology, Institute of Psychology, University of Graz, Graz, Austria.

E A M MichelsElse Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.

I C WiestElse Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.

L TreiberElse Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.

J EderElse Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.

A R SchwerdtfegerDepartment of Health Psychology, Institute of Psychology, University of Graz, Graz, Austria.

Jakob Nikolas KatherElse Kroener Fresenius Center for Digital Health, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Digital systems increasingly shape oncology workflows, yet their impact on professionals' momentary well-being remains poorly understood. Existing evidence relies on retrospective self-reports and lacks real-time, multimodal data. We examined whether momentary perception of an oncology electronic health record (EHR), differentiated into instrumental quality (e.g. usability) and noninstrumental quality (e.g. visual esthetics), relates to oncology professionals' concurrent psychophysiological well-being during routine clinical use. Materials and methods: In this multimodal ambulatory assessment study at a German tertiary university hospital, 22 oncology professionals provided 449 momentary self-report assessments during active EHR interaction. System perception, positive and negative affect, and acute stress were assessed at each prompt. Continuous electrocardiography was recorded in 18 participants (342 observations), from which heart rate variability (HRV) was derived for the 5-min window preceding each prompt. Multilevel regression models separated within- from between-person effects. Results: Both instrumental and noninstrumental quality independently predicted overall EHR system appraisal. The two dimensions showed distinct associations with momentary well-being: at the within-person level, higher instrumental quality was associated with more positive affect (β = 0.08, Conclusions: Momentary EHR system perception is associated with multiple facets of psychophysiological well-being during routine oncology workflows. As sustainable cancer care depends on the well-being of oncology professionals, clinical software emerges as a design-accessible correlate relevant to system sustainability.

Indexed as

ambulatory assessmentelectronic health recordheart rate variabilityoccupational well-beingoncologysystem perception

Identifiers

PMID42699072

DOI10.1016/j.esmorw.2026.100754

PMCPMC13542604

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