Tell Anika, Westenhöfer Joachim, Harth Volker, Mache Stefanie
Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Seewartenstraße 10, 20459 Hamburg, Germany.
Department Health Sciences, Faculty of Life Sciences, University of Applied Sciences (HAW), Ulmenliet 20, 21033 Hamburg, Germany.
Healthcare (Basel). 2023 Jul 9;11(14):1988. doi: 10.3390/healthcare11141988.
The digitization of German hospitals is proceeding continuously, leading to the implementation of new digital technologies, such as electronic health records (EHRs) or other technologies, used for the purpose of medical documentation tasks. Even though the replacement of paper documentation through digitized documentation in general promises to come along with plenty of benefits, the daily utilization of technologies might also lead to stresses and strains among the medical staff, eventually possibly leading to the development of different negative work and health-related outcomes. This study, therefore, aims at identifying persisting digitization-associated stressors and resources among medical hospital staff, examining their influences on different work and health-related outcomes, and finally, identifying potential needs for preventive measures. A quantitative study in the form of an online questionnaire survey was conducted among physicians working in the medical field of neuro- and vascular surgery in German hospitals. The study was carried out between June and October 2022 utilizing an online questionnaire based on several standardized scales, such as the technology acceptance model (TAM) and the technostress model, as well as on several scales from the Copenhagen Psychosocial Questionnaire (COPSOQ). The study found medium levels of technostress among the participating physicians (n = 114), as well as low to medium levels of persisting resources. The queried physicians, on average, reported low levels of burnout symptoms, generally described their health status as good, and were mostly satisfied with their job. Despite the prevalence of technostress and the low levels of resources among the surveyed physicians, there is little awareness of the problem of digital stress, and preventive measures have not been widely implemented yet in the clinics, indicating a needs gap and the necessity for the strategic and quality-guided implementation of measures to effectively prevent digital stress from developing.
德国医院的数字化进程在持续推进，带来了新数字技术的应用，诸如电子健康记录（EHR）或用于医疗文档任务的其他技术。尽管总体而言，用数字化文档取代纸质文档有望带来诸多益处，但技术的日常使用也可能给医护人员带来压力和紧张，最终可能导致不同的负面工作及与健康相关的后果。因此，本研究旨在识别医院医护人员中持续存在的与数字化相关的压力源和资源，考察它们对不同工作及与健康相关后果的影响，最后确定预防措施的潜在需求。对德国医院神经和血管外科医疗领域工作的医生开展了一项在线问卷调查形式的定量研究。该研究于2022年6月至10月进行，使用了基于多个标准化量表的在线问卷，如技术接受模型（TAM）和技术压力模型，以及哥本哈根心理社会问卷（COPSOQ）的几个量表。研究发现，参与调查的医生（n = 114）存在中等程度的技术压力，以及低到中等程度的持续资源。被调查的医生平均报告倦怠症状水平较低，总体将自己的健康状况描述为良好，并且大多对工作感到满意。尽管被调查医生中技术压力普遍存在且资源水平较低，但对数字压力问题的认识很少，诊所中尚未广泛实施预防措施，这表明存在需求差距，且有必要在战略和质量指导下实施措施，以有效预防数字压力的产生。
