临床文档负担的初步概念框架:探索性因素分析,调查医疗保健提供者之间的可用性,努力和感知负担
Rhiannon Doherty1, Abby Swanson Kazley1, Eva Karp1
1College of Health Professions - Medical University of South Carolina, Charleston, South Carolina, United States.
Applied clinical informatics
|November 24, 2025
概括
医疗保健提供者花更多的时间在电子健康记录 (EHR) 中绘制图表,而不是看病,导致燃烧. 这项研究开发了一个框架,将电子健康记录的可用性,任务价值和精神劳动与专业不和和倦怠联系起来.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 职业健康 职业健康 职业健康
背景情况:
- 由于电子健康记录 (EHR),行政任务和工作流程效率低下,临床文档负担对美国医疗保健提供者产生了重大影响.
- 这种负担有助于增加认知负载,护理分散,以及广泛的员工倦怠.
- 缺乏全面的概念框架阻碍了减轻这些挑战的研究.
研究的目的:
- 制定一个概念框架,阐明医疗保健提供者之间的心理因素,技术和文档属性 (可用性,努力,感知负担) 之间的相互作用.
- 确定导致临床文档负担的关键因素.
- 为制定干预措施提供基础,以减少提供者倦怠.
主要方法:
- 一个横截面调查对医生,高级实践注册护士和医生助理的方便样本进行了管理.
- 使用了一个新建的问卷,结合了已建立的工具中的元素.
- 进行了描述性和探索性因子分析,以开发临床文档负担框架.
主要成果:
- 确定了导致临床文档负担的三个主要因素:EHR可用性差,感知任务价值低,以及过度的精神劳累.
- 这些因素与职业不和和倦怠有显著的相关性.
- 开发的框架强调了文档任务,提供商价值和认知负载之间的关键联系.
结论:
- 该研究引入了一个新的概念框架,通过整合心理因素来理解临床文档负担.
- 该框架为研究和干预开发提供了初步基础,旨在减少提供者倦怠和专业不和.
- 需要与各种提供者集团进行进一步的研究,以验证和完善更广泛应用的框架.
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