Finnish Institute for Health and Welfare, P.O. Box 30, FI-00271, Helsinki, Finland.
BMC Health Serv Res. 2021 Oct 15;21(1):1096. doi: 10.1186/s12913-021-07132-6.
The use of information systems takes up a significant amount of nurses' daily working time. Increased use of the systems requires nurses to have adequate competence in nursing informatics and is known to be a potential source of stress. However, little is known about the role of nursing informatics competence and stress related to information systems (SRIS) in the well-being of nurses. Moreover, the potential impact of nurses' career stage on this matter is unknown. This study examined whether SRIS and nursing informatics competence are associated with stress and psychological distress in newly graduated nurses (NGNs) and experienced nurses.
A cross-sectional study was conducted in Finland between October and December 2018. The participants were NGNs (n = 712) with less than two years of work experience and experienced nurses (n = 1226) with more than two years of work experience. The associations of nursing informatics and SRIS with nurses' stress and psychological distress were analyzed with linear regression analysis. Analyses were conducted separately for NGNs and experienced nurses. Models were adjusted for age, gender, and work environment.
SRIS was associated with stress / psychological distress for both NGNs (β = 0.26 p < 0.001 / β = 0.22 p < 0.001) and experienced nurses (β = 0.21 p < 0.001/ β = 0.12 p < 0.001). Higher nursing informatics competence was associated with lower stress (β = 0.20 p < 0.001) and psychological distress (β = 0.16 p < 0.001) in NGNs, but not among experienced nurses.
SRIS appears to be an equal source of stress and distress for nurses who are starting their careers and for more experienced nurses, who are also likely to be more experienced users of information systems. However, informatics competence played a more important role among NGNs and a lack of adequate competence seems to add to the strain that is already known to be high in the early stages of a career. It would be important for educational institutions to invest in nursing informatics so that new nurses entering the workforce have sufficient skills to work in increasingly digital health care.
信息系统的使用占据了护士日常工作时间的很大一部分。系统使用的增加要求护士具备足够的护理信息学能力，这被认为是压力的潜在来源。然而，对于护理信息学能力和与信息系统相关的压力（SRIS）对护士幸福感的影响知之甚少。此外，护士职业阶段对这一问题的潜在影响尚不清楚。本研究旨在探讨 SRIS 和护理信息学能力与新毕业护士（NGN）和经验丰富护士的压力和心理困扰之间的关系。
本研究于 2018 年 10 月至 12 月在芬兰进行了一项横断面研究。参与者为工作经验少于两年的 NGN（n=712）和工作经验超过两年的经验丰富护士（n=1226）。使用线性回归分析，分析护理信息学和 SRIS 与护士压力和心理困扰的关系。分别对 NGN 和经验丰富的护士进行分析。模型根据年龄、性别和工作环境进行调整。
SRIS 与 NGN（β=0.26，p<0.001/β=0.22，p<0.001）和经验丰富护士（β=0.21，p<0.001/β=0.12，p<0.001）的压力/心理困扰均相关。较高的护理信息学能力与 NGN 的较低压力（β=0.20，p<0.001）和心理困扰（β=0.16，p<0.001）相关，但在经验丰富的护士中则不相关。
SRIS 似乎是护士职业起点和更有经验的护士压力和困扰的同等来源，而这些护士也可能是信息系统的更有经验的用户。然而，在 NGN 中，信息学能力发挥了更重要的作用，而缺乏足够的能力似乎增加了在职业生涯早期已经很高的压力。教育机构投资于护理信息学非常重要，以便新进入劳动力市场的护士具备在日益数字化的医疗保健环境中工作的足够技能。
