Department of Pediatrics, UT Southwestern Medical Center, Dallas, TX, United States; Children's Health, Dallas, TX, United States; Luke Waites Center for Dyslexia and Learning Disorders, Texas Scottish Rite Hospital, Dallas, TX, United States.
Department of Pediatrics, UT Southwestern Medical Center, Dallas, TX, United States; Children's Health, Dallas, TX, United States.
Int J Med Inform. 2022 Dec;168:104881. doi: 10.1016/j.ijmedinf.2022.104881. Epub 2022 Oct 3.
OBJECTIVE(S): To evaluate the association of Electronic Health Record (EHR) skills and available support with job satisfaction for pediatric faculty at an academic institution. To identify key opportunities for improvement.
Cross-sectional study of pediatric academic faculty physicians using a REDCap survey to inquire about faculty EHR skills, support services, and associations between EHR workflow and job satisfaction. Results were analyzed using bivariate testing.
The majority of respondents (n = 127, response rate 37%), rated the effect of EHR workflow on job satisfaction as neutral (36%) or negative (44%). Users with more EHR skills were more likely to indicate a positive effect of the EHR on overall job satisfaction (p = 0.019). 7% of respondents had none of the EHR skills queried and few felt that initial training (35%) or the Information Technology department (26%) were useful in acquiring skills. Two similar divisions, one with three and one without Physician Builders (providers with specialized training in EHR personalization), had statistically significant different EHR satisfaction ratings (p = 0.0012).
Most faculty indicated a negative/neutral effect of the EHR on their overall job satisfaction. Users who indicated more EHR skills had a higher satisfaction rating. Existing training and support were not helpful to users. The division with the most Physician Builders ranked highest in satisfaction. We speculate that 1) adding EHR skills could increase overall job satisfaction and 2) adding Physician Builder resources could increase skills and satisfaction.
评估电子病历 (EHR) 技能和可用支持与学术机构儿科教师工作满意度的关联。确定关键的改进机会。
对儿科学术教师进行横断面研究，使用 REDCap 调查询问教师 EHR 技能、支持服务以及 EHR 工作流程与工作满意度之间的关联。使用双变量检验分析结果。
大多数受访者（n=127，响应率为 37%）认为 EHR 工作流程对工作满意度的影响为中性（36%）或负面（44%）。具有更多 EHR 技能的用户更有可能表示 EHR 对整体工作满意度有积极影响（p=0.019）。7%的受访者没有调查的任何 EHR 技能，很少有人认为初始培训（35%）或信息技术部门（26%）在获得技能方面有用。两个类似的部门，一个有三个，一个没有 Physician Builders（在 EHR 个性化方面具有专业培训的提供者），他们的 EHR 满意度评分有统计学上的显著差异（p=0.0012）。
大多数教师表示 EHR 对其整体工作满意度产生了负面/中性影响。表示具有更多 EHR 技能的用户满意度评分更高。现有的培训和支持对用户没有帮助。拥有最多 Physician Builders 的部门满意度最高。我们推测：1）增加 EHR 技能可以提高整体工作满意度；2）增加 Physician Builder 资源可以提高技能和满意度。
