Stress and Burnout Related to Electronic Health Record Use among Healthcare Providers during the COVID-19 Pandemic in Saudi Arabia: A Preliminary National Randomized Survey.
TL;DR: In this paper, the authors assessed the stress and burnout related to the use of EHRs and health information technology (HIT) tools among HCPs during COVID-19 in Saudi Arabia.
About: This article is published in Healthcare.The article was published on 2021-10-14 and is currently open access. It has received 3 citations till now. The article focuses on the topics: Burnout & Health information technology.
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TL;DR: In this article , a cross-sectional, correlational design was used to assess Jordanian nurses' attitudes and examined factors that affect nurses' attitude toward using EHRs, and the overall nurses attitude was positive; the mean was 61.85 (SD = 10.97).
3 citations
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TL;DR: A systematic review and meta-analysis aimed to explore overall prevalence of burnout among physicians during early and late COVID-19 pandemic and geographical differences in burnout was conducted as discussed by the authors .
Abstract: Objective This systematic review and meta-analysis aims to explore overall prevalence of burnout among physicians during early and late COVID-19 pandemic and geographical differences in burnout. Methods This review was registered prospectively with PROSPERO (CRD42022327959). A comprehensive search of several databases, including Ovid MEDLINE(R) and Epub Ahead of Print, In-Process & Other Non-Indexed Citations and Daily, Ovid Embase, Ovid Cochrane Central Register of Controlled Trials, Ovid Cochrane Database of Systematic Reviews, PsycINFO, and Scopus, spanning from December 2019 to May 2022 was conducted. Eligible studies included physicians or medical professionals including physicians that worked directly or indirectly with COVID-19 patients, whilst reporting burnout outcomes using a validated scale. Literature that did not include physicians or did not occur in a hospital setting were excluded. Literature including medical students were also excluded. Results Forty-five observational studies were included, all of which were cross-sectional studies. The pooled estimate of overall prevalence of burnout was 54.60% (95% CI: 46.7, 62.2). Mean emotional exhaustion, depersonalization, and personal accomplishment was found to be 22.06% (95% CI: 18.19, 25.94), 8.72 (95% CI: 6.48, 10.95) and 31.18 (95% CI: 27.33, 35.03) respectively. Frontline workers displayed higher rates of burnout than second-line healthcare workers (HCW) (OR: 1.64, 95% CI: 1.13, 2.37). Studies from the early pandemic period reported burnout prevalence of 60.7% (95% CI: 48.2, 72) compared to a prevalence of 49.3% (95% CI: 37.7, 60.9) from the late pandemic period. Geographically, burnout was highest amongst Middle East and North Africa (MENA) studies (66.6%, 95% CI: 54.7, 78.5), followed by Europe (48.8%, 95% CI: 40.3, 57.3) and then South America (42%, 95% CI: –0.4, 84.4). Lastly, burnout prevalence overall (OR = 0.77, 95% CI: 0.36, 1.67) emotional exhaustion (MD = –0.36, 95% CI: –4.64, 3.91), depersonalization (MD = –0.31, 95% CI: –1.80, 1.18), and personal accomplishment (MD = 0.55, 95% CI: –0.73, 1.83) were found comparable between physicians and nurses. Conclusion COVID-19 has had significant consequences on HCW burnout. Further research is needed to examine early signs of burnout and to develop effective coping strategies.
2 citations
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TL;DR: There was no significant association between Nursing Informatics Competencies and nurses’ competency and the level of application of informatics in nursing should be reviewed contextually.
Abstract: Article Info Background: Understanding the way nurses' informatics competencies affect their mastery of professional competencies can help with providing high quality care and design contents for continuing nursing education. This study aimed to determine the association between nurses' informatics and their clinical competencies. Materials & Methods: A total of 150 nurses who met the inclusion criteria were enrolled in this descriptive study from three general public hospitals in Rafsanjan, Iran, using stratified random sampling method. Self-reporting data collection was performed applying three questionnaires of (1) personal and job characteristics, (2) the Self-Assessment of Nursing Informatics Competencies Scale (SANIC), and (3) the Competency Inventory for Registered Nurses (CIRN). Data were analyzed using SPSS 22.0 and Kolmogorov-Smirnov, Chi-square, Pearson's correlation coefficient, and linear regression statistical tests. Results: Female nurses had higher CIRN scores than male ones (p = 0.027). The results of the Pearson's correlation coefficient showed a moderate significant positive association between SANIC and CIRN scores (r = 0.341, p = 0.001). Furthermore, results of the linear regression analysis showed that about 11% of the CIRN score was associated to the SANIC score (P = 0.001). After adjustment based on gender (p = 0.060) and education (p = 0.064), the correlation was not significant. Conclusion: Given the effect of gender and level of education, there was no significant association between Nursing Informatics Competencies and nurses’ competency. The level of application of informatics in nursing should be reviewed contextually.
1 citations
References
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Jianbo Lai1, Simeng Ma2, Ying Wang2, Zhongxiang Cai2, Jianbo Hu1, Ning Wei1, Jiang Wu, Hui Du, Tingting Chen, Ruiting Li2, Huawei Tan2, Lijun Kang2, Lihua Yao2, Manli Huang1, Huafen Wang1, Gaohua Wang2, Zhongchun Liu2, Shaohua Hu1 •
TL;DR: Among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care Workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.
Abstract: Importance Health care workers exposed to coronavirus disease 2019 (COVID-19) could be psychologically stressed. Objective To assess the magnitude of mental health outcomes and associated factors among health care workers treating patients exposed to COVID-19 in China. Design, Settings, and Participants This cross-sectional, survey-based, region-stratified study collected demographic data and mental health measurements from 1257 health care workers in 34 hospitals from January 29, 2020, to February 3, 2020, in China. Health care workers in hospitals equipped with fever clinics or wards for patients with COVID-19 were eligible. Main Outcomes and Measures The degree of symptoms of depression, anxiety, insomnia, and distress was assessed by the Chinese versions of the 9-item Patient Health Questionnaire, the 7-item Generalized Anxiety Disorder scale, the 7-item Insomnia Severity Index, and the 22-item Impact of Event Scale–Revised, respectively. Multivariable logistic regression analysis was performed to identify factors associated with mental health outcomes. Results A total of 1257 of 1830 contacted individuals completed the survey, with a participation rate of 68.7%. A total of 813 (64.7%) were aged 26 to 40 years, and 964 (76.7%) were women. Of all participants, 764 (60.8%) were nurses, and 493 (39.2%) were physicians; 760 (60.5%) worked in hospitals in Wuhan, and 522 (41.5%) were frontline health care workers. A considerable proportion of participants reported symptoms of depression (634 [50.4%]), anxiety (560 [44.6%]), insomnia (427 [34.0%]), and distress (899 [71.5%]). Nurses, women, frontline health care workers, and those working in Wuhan, China, reported more severe degrees of all measurements of mental health symptoms than other health care workers (eg, median [IQR] Patient Health Questionnaire scores among physicians vs nurses: 4.0 [1.0-7.0] vs 5.0 [2.0-8.0];P = .007; median [interquartile range {IQR}] Generalized Anxiety Disorder scale scores among men vs women: 2.0 [0-6.0] vs 4.0 [1.0-7.0];P Conclusions and Relevance In this survey of heath care workers in hospitals equipped with fever clinics or wards for patients with COVID-19 in Wuhan and other regions in China, participants reported experiencing psychological burden, especially nurses, women, those in Wuhan, and frontline health care workers directly engaged in the diagnosis, treatment, and care for patients with COVID-19.
5,157 citations
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TL;DR: Taiwan is an example of how a society can respond quickly to a crisis and protect the interests of its citizens in the face of an emerging epidemic.
Abstract: COVID-19 occurred just before the Lunar New Year during which time millions of Chinese and Taiwanese were expected to travel for the holidays Taiwan quickly mobilized and instituted specific approaches for case identification, containment, and resource allocation to protect the public health Taiwan enhanced COVID-19 case finding by proactively seeking out patients with severe respiratory symptoms (based on information from the National Health Insurance [NHI] database) who had tested negative for influenza and retested them for COVID-19;1 was found of 113 cases The toll-free number 1922 served as a hotline for citizens to report suspicious symptoms or cases in themselves or others;as the disease progressed, this hotline has reached full capacity, so each major city was asked to create its own hotline as an alternative It is not known how often this hotline has been used The government addressed the issue of disease stigma and compassion for those affected by providing food, frequent health checks, and encouragement for those under quarantine This rapid response included hundreds of action items Taiwan's government learned from its 2003 SARS experience and established a public health response mechanism for enabling rapid actions for the next crisis Well-trained and experienced teams of officials were quick to recognize the crisis and activated emergency management structures to address the emerging outbreak In a crisis, governments often make difficult decisions under uncertainty and time constraints These decisions must be both culturally appropriate and sensitive to the population Through early recognition of the crisis, daily briefings to the public, and simple health messaging, the government was able to reassure the public by delivering timely, accurate, and transparent information regarding the evolving epidemic Taiwan is an example of how a society can respond quickly to a crisis and protect the interests of its citizens
1,212 citations
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TL;DR: The role that telehealth has played in transforming healthcare delivery during the 3 phases of the U.S. COVID-19 pandemic is described and how people, process, and technology work together to support a successful telehealth transformation is examined.
986 citations
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TL;DR: The COVID-19 pandemic has driven rapid expansion of telemedicine use for urgent care and nonurgent care visits beyond baseline periods, and this reflects an important change in teleomedicine that other institutions facing the COVID the pandemic should anticipate.
877 citations
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01 Jul 2016
TL;DR: Doctors who used EHRs and CPOE were less satisfied with the amount of time spent on clerical tasks and were at higher risk for professional burnout, according to a large national study.
Abstract: Objective To evaluate associations between the electronic environment, clerical burden, and burnout in US physicians. Participants and Methods Physicians across all specialties in the United States were surveyed between August and October 2014. Physicians provided information regarding use of electronic health records (EHRs), computerized physician order entry (CPOE), and electronic patient portals. Burnout was measured using validated metrics. Results Of 6375 responding physicians in active practice, 5389 (84.5%) reported that they used EHRs. Of 5892 physicians who indicated that CPOE was relevant to their specialty, 4858 (82.5%) reported using CPOE. Physicians who used EHRs and CPOE had lower satisfaction with the amount of time spent on clerical tasks and higher rates of burnout on univariate analysis. On multivariable analysis, physicians who used EHRs (odds ratio [OR]=0.67; 95% CI, 0.57-0.79; P P P Conclusion In this large national study, physicians' satisfaction with their EHRs and CPOE was generally low. Physicians who used EHRs and CPOE were less satisfied with the amount of time spent on clerical tasks and were at higher risk for professional burnout.
713 citations