McBride Susan, Alexander Gregory L, Baernholdt Marianne, Vugrin Margaret, Epstein Beth
School of Nursing, The University of Texas at Tyler, Tyler, TX.
School of Nursing Sixth Floor, Columbia University, New York, NY.
Nurs Outlook. 2023 Mar-Apr;71(2):101918. doi: 10.1016/j.outlook.2023.101918. Epub 2023 Feb 16.
Unnecessary electronic health record (EHRs) documentation burden and usability issues have negatively impacted clinician well-being (e.g., burnout and moral distress).
This scoping review was conducted by members from three expert panels of the American Academy of Nurses to generate consensus on the evidence of both positive and negative impact of EHRs on clinicians.
The scoping review was conducted based on Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) Extension for Scoping Reviews guidelines.
The scoping review captured 1,886 publications screened against title and abstract 1,431 excluded, examined 448 in a full-text review, excluded 347 with 101 studies informing the final review.
Findings suggest few studies that have explored the positive impact of EHRs and more studies that have explored the clinician's satisfaction and work burden. Significant gaps were identified in associating distress to use of EHRs and minimal studies on EHRs' impact on nurses.
Examined the evidence of HIT's positive and negative impacts on clinician's practice, clinicians work environment, and if psychological impact differed among clinicians.
不必要的电子健康记录（EHR）文档负担和可用性问题对临床医生的幸福感产生了负面影响（例如，职业倦怠和道德困扰）。
本范围综述由美国护士学会三个专家小组的成员进行，以就EHR对临床医生的积极和消极影响的证据达成共识。
范围综述是根据系统评价和Meta分析的首选报告项目（PRISMA）范围综述扩展指南进行的。
范围综述筛选了1886篇标题和摘要，排除1431篇，全文审查了448篇，排除347篇，101项研究为最终审查提供了信息。
研究结果表明，探索EHR积极影响的研究较少，而探索临床医生满意度和工作负担的研究较多。在将困扰与EHR的使用联系起来方面存在重大差距，关于EHR对护士影响的研究极少。
审查了健康信息技术对临床医生实践、临床医生工作环境的积极和消极影响的证据，以及心理影响在临床医生中是否存在差异。
