美国护士感知电子病历可用性与职业倦怠的关系。
The association between perceived electronic health record usability and professional burnout among US nurses.
机构信息
Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
出版信息
J Am Med Inform Assoc. 2021 Jul 30;28(8):1632-1641. doi: 10.1093/jamia/ocab059.
OBJECTIVES
To measure nurse-perceived electronic health records (EHR) usability with a standardized metric of technology usability and evaluate its association with professional burnout.
METHODS
A cross-sectional survey of a random sample of US nurses was conducted in November 2017. EHR usability was measured with the System Usability Scale (SUS; range 0-100) and burnout with the Maslach Burnout Inventory.
RESULTS
Among the 86 858 nurses who were invited, 8638 (9.9%) completed the survey. The mean nurse-rated EHR SUS score was 57.6 (SD 16.3). A score of 57.6 is in the bottom 24% of scores across previous studies and categorized with a grade of "F." On multivariable analysis adjusting for age, gender, race, ethnicity, relationship status, children, highest nursing-related degree, mean hours worked per week, years of nursing experience, advanced certification, and practice setting, nurse-rated EHR usability was associated with burnout with each 1 point more favorable SUS score and associated with a 2% lower odds of burnout (OR 0.98; 95% CI, 0.97-0.99; P < .001).
CONCLUSIONS
Nurses rated the usability of their current EHR in the low marginal range of acceptability using a standardized metric of technology usability. EHR usability and the odds of burnout were strongly associated with a dose-response relationship.
目的
使用技术可用性的标准化指标衡量护士对电子健康记录（EHR）的感知可用性，并评估其与职业倦怠的关系。
方法
2017 年 11 月，对美国随机抽取的护士进行了横断面调查。使用系统可用性量表（SUS；范围 0-100）测量 EHR 的可用性，使用马斯拉赫倦怠量表测量倦怠。
结果
在邀请的 86858 名护士中，有 8638 名（9.9%）完成了调查。护士评定的 EHR SUS 平均得分为 57.6（SD 16.3）。57.6 分在以往研究的分数中处于倒数 24%，被归类为“F”级。在调整年龄、性别、种族、民族、婚姻状况、子女、最高护理相关学位、每周平均工作时间、护理经验年限、高级认证和实践环境后，护士对 EHR 可用性的评价与倦怠相关，每增加 1 分 SUS 评分更有利，与倦怠的几率降低 2%（OR 0.98；95%CI，0.97-0.99；P <.001）。
结论
护士使用技术可用性的标准化指标对其当前 EHR 的可用性进行了评估，评估结果处于可接受范围的最低边缘。EHR 的可用性和倦怠的几率与剂量反应关系密切相关。
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