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首页> 外文期刊>JMIR Medical Informatics >Using Electronic Health Records to Mitigate Workplace Burnout Among Clinicians During the COVID-19 Pandemic: Field Study in Iran
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Using Electronic Health Records to Mitigate Workplace Burnout Among Clinicians During the COVID-19 Pandemic: Field Study in Iran

机译：在Covid-19大流行期间使用电子健康记录减轻临床医生之间的工作场所倦怠：伊朗的野外研究

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Background The COVID-19 pandemic spread worldwide in 2020. Notably, in the countries dealing with massive casualties, clinicians have worked in new conditions characterized by a heavy workload and a high risk of being infected. The issue of clinician burnout during the pandemic has attracted considerable attention in health care research. Electronic health records (EHRs) provide health care workers with several features to meet a health system’s clinical needs. Objective We aim to examine how the use of EHR features affects the burnout of clinicians working in hospitals that have special wards for confirmed COVID-19 cases. Methods Using an online survey, we collected data from 368 physicians, physician assistants, and nurses working in six hospitals that have implemented EHRs in the city of Tehran in Iran. We used logistic regression to assess the association between burnout and awareness of EHR features, EHR system usability, concerns about COVID-19, technology solutions, hospital technology interventions, hospital preparedness, and professional efficacy adjusted for demographic and practice characteristics. Results The primary outcome of our study was self-reported burnout during the COVID-19 pandemic. Of the 368 respondents, 36% (n=134) reported having at least one symptom of burnout. Participants indicated that the leading cause of EHR-related stress is inadequate training for using technology (n=159, 43%), followed by having less face-to-face time with patients (n=140, 38%). Positive perceptions about the EHR’s ease of use were associated with lower odds of burnout symptoms. More interventions, such as clear communication of regulations; transparency in policies, expectations, and goals regarding the use of technology in the clinical workflow; and hospital preparedness to cope with the challenges of the pandemic, were associated with lower odds of burnout. Conclusions The use of EHR applications, hospital pandemic preparation programs, and transparent technology-related policies and procedures throughout the epidemic can be substantial mitigators of technology-based stress and clinician burnout. Hospitals will then be better positioned to devise or modify technology-related policies and procedures to support physicians’ and nurses’ well-being during the COVID-19 pandemic. Training programs, transparency in communications of regulations, and developing a clear channel for informing clinicians of changes in policies may help reduce burnout symptoms among physicians and nurses during a pandemic. Providing easily accessible mentorship through teleconsultation and 24-hour available information technology support may also help to mitigate the odds of burnout.
机译：背景技术Covid-19大流行于2020年全球范围。特别是，在处理大规模伤亡的国家，临床医生在新的条件下工作，以繁重的工作量和感染的高风险为特征。临床医生倦怠问题在大流行期间引起了卫生保健研究的相当大的关注。电子健康记录（EHRS）为医疗保健工人提供有几个功能，以满足卫生系统的临床需求。客观我们的目标是检查EHR功能的使用如何影响在有特殊病房的医院工作的临床医生的倦怠。方法使用在线调查，我们从368名医生，医师助理和护士中收集了六名医院的数据，这些医院在伊朗在德黑兰市实施了EHR。我们使用Logistic回归来评估倦怠与EHR功能的意识之间的关联，EHR系统可用性，关于Covid-19，技术解决方案，医院技术干预，医院准备和专业疗效对人口统计和实践特征的关注。结果我们研究的主要结果是在Covid-19大流行期间自我报告的倦怠。在368名受访者中，报告的36％（N = 134）报告至少有一种倦怠症状。参与者表明，EHR相关应力的主要原因是使用技术的培训（n = 159,43％），随后与患者的面对面对较少（n = 140,38％）。对EHR易用性的积极看法与倦怠症状的几率较低有关。更多干预措施，如关于法规的清晰沟通;关于在临床工作流程中使用技术的政策，期望和目标的透明度;和医院准备应对大流行的挑战，与倦怠的几率较低有关。结论在整个流行病中使用EHR应用，医院大流行准备方案和透明技术相关的政策和程序可以是基于技术的压力和临床医生倦怠的重要因素。然后，医院将更好地定位或修改技术相关的政策和程序，以支持医生们，并在Covid-19大流行期间的幸福感。培训计划，条例透明度，制定明确的渠道，以告知临床医生的政策变化可能有助于在大流行期间减少医生和护士之间的倦怠症状。通过电信提供轻松访问的指导和24小时可用信息技术支持也可能有助于减轻倦怠的几率。

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