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沙特阿拉伯在新冠疫情期间医疗保健提供者使用电子健康记录相关的压力与职业倦怠:一项全国性初步随机调查

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.

作者信息

Almulhem Jwaher A, Aldekhyyel Raniah N, Binkheder Samar, Temsah Mohamad-Hani, Jamal Amr

机构信息

Medical Informatics and E-learning Unit, Medical Education Department, College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia.

Pediatric Department, College of Medicine, King Saud University, Riyadh 11362, Saudi Arabia.

出版信息

Healthcare (Basel). 2021 Oct 14;9(10):1367. doi: 10.3390/healthcare9101367.

Abstract

Healthcare providers' burnout may potentially have a negative impact on patient care. The use of the electronic health record (EHR) increases the burden for healthcare providers (HCPs), particularly during the coronavirus disease-2019 (COVID-19) pandemic. This study 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. We used a self-developed survey tool. It consisted of five sections; demographics and professional data, experience using EHR, effects of EHR use, use of EHR and technology tools during COVID-19, and health and wellbeing. The survey link was emailed to a random sample of HCPs registered with a national scientific regulatory body. Univariate, bivariate, and multivariate analyses were performed to measure the association between burnout and study variables. A total of 182 participants completed the survey. 50.5% of participants reported a presence of HIT-related stress, and 40.1% reported a presence of burnout. The variables independently associated with burnout were providing tertiary level of care, working with COVID-19 suspected cases, dissatisfaction with EHRs, and agreement with the statement that using EHRs added frustration to the workday. Further research that explores possible solutions is warranted to minimize burnout among HCPs, especially during infectious outbreaks.

摘要

医疗保健提供者的职业倦怠可能会对患者护理产生负面影响。电子健康记录(EHR)的使用增加了医疗保健提供者(HCP)的负担,尤其是在2019年冠状病毒病(COVID-19)大流行期间。本研究评估了沙特阿拉伯在COVID-19期间HCP使用EHR和健康信息技术(HIT)工具相关的压力和倦怠情况。我们使用了自行开发的调查工具。它由五个部分组成:人口统计学和专业数据、EHR使用经验、EHR使用的影响、COVID-19期间EHR和技术工具的使用,以及健康和幸福感。调查链接通过电子邮件发送给在国家科学监管机构注册的HCP随机样本。进行了单变量、双变量和多变量分析,以衡量倦怠与研究变量之间的关联。共有182名参与者完成了调查。50.5%的参与者报告存在与HIT相关的压力,40.1%的参与者报告存在倦怠。与倦怠独立相关的变量包括提供三级护理、与COVID-19疑似病例合作、对EHR不满意,以及同意使用EHR给工作日增加了挫败感这一说法。有必要进行进一步的研究以探索可能的解决方案,以尽量减少HCP的倦怠,尤其是在传染病爆发期间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5fd/8544434/0112300f4e49/healthcare-09-01367-g001.jpg

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