IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v21y2024i11p1430-d1508367.html
   My bibliography  Save this article

Electronic Health Record Adoption and Its Effects on Healthcare Staff: A Qualitative Study of Well-Being and Workplace Stress

Author

Listed:
  • Maria Provenzano

    (Campus Catalunya, Universitat Rovira i Virgili, 43002 Tarragona, Spain)

  • Nicola Cillara

    (Department of Surgery, Ospedale Santissima Trinità, 09121 Cagliari, Italy)

  • Felice Curcio

    (Faculty of Medicine and Surgery, University of Sassari (UNISS), 07100 Sassari, Italy)

  • Maria Orsola Pisu

    (Azienda Ospedaliero Universitaria, 50134 Cagliari, Italy)

  • Cesar Iván Avilés González

    (Department of Nursing, Universidad Popular del Cesar, Valledupar 200002, Colombia
    Department of Medical Sciences and Public Health, University of Cagliari, 09042 Cagliari, Italy)

  • Maria Francisca Jiménez-Herrera

    (Nursing Department, Universitat Rovira i Virgili, 43007 Tarragona, Spain)

Abstract

Adopting electronic health records (EHRs) offers improved communication and information sharing and reduces medical staff errors. Despite these potential benefits, EHR adoption often introduces new challenges for healthcare staff, including increased administrative burdens and workplace stress. This study examines the impact of EHR systems on the well-being and workplace stress of healthcare staff in a hospital setting. Using a qualitative multi-perspective research approach, 16 guideline-based interviews were conducted to explore experiences, insight, and perceptions surrounding the anticipated introduction of EHRs. Data analysis reveals a complex interplay between the perceived advantages of EHRs, such as improved data accessibility and patient safety, and the challenges related to increased workload. Based on interviewers’ perceptions, emerging themes were categorized as technostress creators or inhibitors. The findings highlight a dual impact of EHRs: while participants acknowledged improvements in patient safety and information access, they also expressed concerns about increased workload, technostress, and potential disruptions to team dynamics. This study identified two major themes: “EHR Adoption as a Double-Edged Sword” and “EHRs’ Influence on Professional Dynamics”. These findings underscore the need for organizational readiness and staff support to mitigate the negative impacts of EHRs on healthcare workers’ well-being and job satisfaction.

Suggested Citation

  • Maria Provenzano & Nicola Cillara & Felice Curcio & Maria Orsola Pisu & Cesar Iván Avilés González & Maria Francisca Jiménez-Herrera, 2024. "Electronic Health Record Adoption and Its Effects on Healthcare Staff: A Qualitative Study of Well-Being and Workplace Stress," IJERPH, MDPI, vol. 21(11), pages 1-14, October.
  • Handle: RePEc:gam:jijerp:v:21:y:2024:i:11:p:1430-:d:1508367
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/21/11/1430/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/21/11/1430/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Baumann, Lisa Ann & Baker, Jannah & Elshaug, Adam G., 2018. "The impact of electronic health record systems on clinical documentation times: A systematic review," Health Policy, Elsevier, vol. 122(8), pages 827-836.
    2. Hennink, Monique & Kaiser, Bonnie N., 2022. "Sample sizes for saturation in qualitative research: A systematic review of empirical tests," Social Science & Medicine, Elsevier, vol. 292(C).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gülüm Özer & İdil Işık & Jordi Escartín, 2024. "Is There Somebody Looking out for Me? A Qualitative Analysis of Bullying Experiences of Individuals Diagnosed with Bipolar Disorder," IJERPH, MDPI, vol. 21(2), pages 1-22, January.
    2. Dorota Kilańska & Agnieszka Ogonowska & Barbara Librowska & Maja Kusiak & Michał Marczak & Remigiusz Kozlowski, 2022. "The Usability of IT Systems in Document Management, Using the Example of the ADPIECare Dorothea Documentation and Nurse Support System," IJERPH, MDPI, vol. 19(14), pages 1-20, July.
    3. Júlio Belo Fernandes & Diana Vareta & Sónia Fernandes & Ana Silva Almeida & Dina Peças & Noélia Ferreira & Liliana Roldão, 2022. "Rehabilitation Workforce Challenges to Implement Person-Centered Care," IJERPH, MDPI, vol. 19(6), pages 1-9, March.
    4. Chikako Ishizuka & Kei Aoki, 2024. "Drivers of sustained brand engagement: cases of long-term customers of hedonic and utilitarian brands in Japan," Journal of Marketing Analytics, Palgrave Macmillan, vol. 12(4), pages 979-989, December.
    5. Daniel Muir & Cristiana Orlando & Becci Newton, 2024. "Impact of summer programmes on the outcomes of disadvantaged or ‘at risk’ young people: A systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 20(2), June.
    6. Reem Mohamed Gouda & Yasser Tawfik Halim, 2025. "The role of sustainable social media content in enhancing customer loyalty in the hospitality industry," Future Business Journal, Springer, vol. 11(1), pages 1-26, December.
    7. Immas Nurhayati & Syarifah Gustiawati & Rofiáh Rofiáh & Sri Pujiastuti & Isbandriyati Mutmainah & Bambang Hengky Rainanto & Sri Harini & Endri Endri, 2025. "Community-Based Halal Tourism and Information Digitalization: Sustainable Tourism Analysis," Tourism and Hospitality, MDPI, vol. 6(3), pages 1-23, August.
    8. Amro Hassan Ibrahim Alhassan & Zainudin Bin Hassan, 2024. "Understanding the Factors Behind Dropout Decisions: A Study of Primary School Students in Red Sea State, Sudan," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 8(3s), pages 5023-5034, October.
    9. Kocsis, Zsófia & Pusztai, Gabriella, 2025. "The role of higher education through the eyes of Hungarian undergraduate students and graduates: A qualitative exploratory study," International Journal for Research in Vocational Education and Training (IJRVET), European Research Network in Vocational Education and Training (VETNET), European Educational Research Association, vol. 12(1), pages 48-75.
    10. Nurul Hidayana Mohd Noor & Amirah Mohamad Fuzi & Nurin Farzana Mohamad Fadzil & Afief El Ashfahany, 2025. "Measuring Financial Management and Bankability of Small Business Mumpreneurs through Triangulation Study," Information Management and Business Review, AMH International, vol. 17(1), pages 328-341.
    11. Yu, Jiazhou & Dong, Dong & Sumerlin, Timothy S. & Kim, Jean H., 2023. "Feasibility of introducing effective alcohol harms reduction strategies in a low regulation region: A qualitative study from Hong Kong," Health Policy, Elsevier, vol. 138(C).
    12. Maiss Ahmad & Stephen Wilkins, 2025. "Purposive sampling in qualitative research: a framework for the entire journey," Quality & Quantity: International Journal of Methodology, Springer, vol. 59(2), pages 1461-1479, April.
    13. Dominik Anderhofstadt & Nicolene Wesson & Suzette Viviers, 2025. "Corporate governance and the internationalisation of African firms: An institutional investor perspective," International Journal of Disclosure and Governance, Palgrave Macmillan, vol. 22(3), pages 644-657, September.
    14. Syazuin Sazali & Rozina Muzaffar & Maya Lestari Muchtar & Najibah Binti Yasin, 2025. "From Aspirations to Decisions: A Biographical Study on Factors Influencing Postgraduate Students’ Choices of HEI in Malaysia," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 9(1), pages 5092-5109, January.
    15. Hall, Julie & Hawkins, Olivia & Montgomery, Amy & Singh, Saniya & Mullan, Judy & Degeling, Chris, 2022. "Dismantling antibiotic infrastructures in residential aged care: The invisible work of antimicrobial stewardship (AMS)," Social Science & Medicine, Elsevier, vol. 305(C).
    16. Zhang, Jinsui & Hu, Min & Jia, Yusheng & Gu, Yuanyuan & Chen, Wen, 2024. "How should regulatory schemes be optimized to enhance deterrence against medical insurance fraud by enrollees? Evidence from a discrete choice experiment in China," Social Science & Medicine, Elsevier, vol. 354(C).
    17. Eleanore Hickman & Alan Brener, 2025. "The Senior Managers and Certification Regime in UK practice and global context," Journal of Banking Regulation, Palgrave Macmillan, vol. 26(3), pages 356-369, September.
    18. Hossam Mohamed Elhamy & Maha Abdulmajeed, 2023. "Arab Media Researchers’ Perceptions of Factors Affecting Their Research Problem Selection," SAGE Open, , vol. 13(3), pages 21582440231, September.
    19. Bekmezci, Mustafa & Sürücü, Lütfi, 2025. "Determination of validity, reliability and sample size in qualitative research," OSF Preprints 52jbm_v1, Center for Open Science.
    20. Mhairi Patience & Alison Kirk & Xanne Janssen & James Sanders & Megan Crawford, 2025. "“If You Haven’t Slept a Lot (…) You Don’t Want to Go Out for a Run, You Don’t Want to Ride a Bike, You Just Kind of Sit and You Just (…) Do Nothing”—Perceptions of 24-Hour Movement Behaviours Among Ad," IJERPH, MDPI, vol. 22(8), pages 1-14, August.

    More about this item

    Keywords

    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:21:y:2024:i:11:p:1430-:d:1508367. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.