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Findings and Guidelines on Provider Technology, Fatigue, and Well-being: Scoping Review.

Donald M Hilty1,2, Christina M Armstrong3, Shelby A Smout4

  • 1Department of Psychiatry & Behavioral Sciences, University of California Davis School of Medicine, Sacramento, CA, United States.

Journal of Medical Internet Research
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Technology in healthcare impacts providers, causing fatigue and burnout. Evaluating technology

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Zoom fatigueburnoutmobile phonescreen fatiguetechnology fatiguevideoconferencingwell-being

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Area of Science:

  • Health Informatics
  • Human Factors Engineering
  • Occupational Health

Background:

  • Healthcare delivery is increasingly reliant on technology, yet potential provider fatigue and workflow barriers necessitate thorough evaluation.
  • The integration of digital tools in healthcare settings presents challenges that can impact provider well-being and operational efficiency.

Purpose of the Study:

  • To conduct a scoping review exploring the multifaceted relationships among technology, provider fatigue, and healthcare.
  • To identify and synthesize existing literature on the impact of various health technologies on healthcare providers' experiences.
  • To inform strategies for improving provider conditions and mitigating technology-related fatigue.

Main Methods:

  • A 6-stage scoping review of literature published between 2000 and 2020 from 10 databases.
  • Thematic analysis of 12 studies meeting criteria for technology, healthcare, and fatigue, examining behavioral, emotional, cognitive, and physical impacts.
  • Inclusion of data from an additional 14 studies on technology's impact on provider experience, even without a specific focus on fatigue.

Main Results:

  • Video and electronic health record use are linked to physical fatigue (eye strain, neck pain), stress, and tiredness.
  • Technology contributes to behavioral issues like increased effort, engagement difficulties, and emotional exhaustion.
  • Qualitative analysis revealed a spectrum from health to risk, with organizational factors influencing technology-related fatigue and burnout.

Conclusions:

  • Healthcare systems must assess technology's impact on provider well-being, aligning with the Quadruple Aim to prevent burnout.
  • Multilevel strategies incorporating clinical, human factors, and administrative workflow measures are recommended for effective technology implementation.
  • Institutional strategies are crucial for integrating healthcare quality, technology, and provider well-being outcomes.