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Nurses' Stress Associated with Nursing Activities and Electronic Health Records: Data Triangulation from Continuous
Po-Yin Yen1,2, Nicole Pearl1, Cierra Jethro2
1Institute for Informatics, Washington University School of Medicine, St. Louis, MO, USA.
AMIA ... Annual Symposium Proceedings. AMIA Symposium
|April 21, 2020
Summary
Electronic health records (EHR) contribute to nurse burnout by increasing workload and stress. Reducing EHR-related demands can improve nurses
Area of Science:
- Health Informatics
- Nursing Research
- Occupational Health
Background:
- Healthcare technology, specifically Electronic Health Records (EHR), has increased patient data, contributing to provider burnout.
- Studies link EHR use to heightened cognitive workload for nurses, exacerbating exhaustion and burnout.
Purpose of the Study:
- To examine the relationship between nurses' perceived workload, stress (measured by blood pulse wave), and time spent on nursing activities.
- To identify specific stressors associated with EHR use in an oncology setting.
Main Methods:
- A time motion study was conducted in an oncology division.
- Data triangulation included continuous stress monitoring (blood pulse wave), perceived workload questionnaires, and time motion observations.
- 33 observations were collected from 7 nurses.
Main Results:
- EHR-related stress correlated with nurses' perceived physical demand and frustration.
- Nurses' perceived workload significantly predicted stress levels and time allocation with patients.
- Increased patient assignments, irrespective of acuity, heightened perceived mental, physical, and temporal demands.
Conclusions:
- EHR systems contribute to nurse stress and burnout through increased workload and specific demands.
- Addressing EHR-related factors and managing nurse-patient ratios are crucial for mitigating occupational stress in nursing.
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