Abstract
Background: Unnecessary electronic health record (EHRs) documentation burden and usability issues have negatively impacted clinician well-being (e.g., burnout and moral distress). Purpose: 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. Methods: The scoping review was conducted based on Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) Extension for Scoping Reviews guidelines. Results: 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. Discussion: 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. Conclusion: Examined the evidence of HIT's positive and negative impacts on clinician's practice, clinicians work environment, and if psychological impact differed among clinicians.
Description
Copyright 2023 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Publisher
Elsevier
Date of publication
Spring 2-16-2023
Language
english
Persistent identifier
http://hdl.handle.net/10950/4495
Document Type
Article
Recommended Citation
McBride, Susan; Alexander, Gregory L.; Baernholdt, Marianne; Vugrin, Margaret; and Epstein, Beth, "Scoping review: Positive and negative impact of technology on clinicians" (2023). Nursing Faculty Publications and Presentations. Paper 42.
http://hdl.handle.net/10950/4495