Appl Clin Inform 2022; 13(05): 983-990
DOI: 10.1055/s-0042-1757157
Research Article

Documentation Burden in Nursing and Its Role in Clinician Burnout Syndrome

Emily Gesner
1   University of Massachusetts-Dartmouth, North Darmouth, Massachusetts, United States
,
Patricia C. Dykes
2   Brigham and Women's Hospital, Massachusetts, United States
3   Harvard Medical School, Massachusetts, United States
,
Lingling Zhang
4   University of Massachusetts-Boston, Bostan, Massachusetts, United States
,
Priscilla Gazarian
4   University of Massachusetts-Boston, Bostan, Massachusetts, United States
› Author Affiliations
Funding None.

Abstract

Objectives The purpose of this study is to understand the relationship between documentation burden and clinician burnout syndrome in nurses working in direct patient care. The Office of the National Coordinator considers documentation burden a high priority problem. However, the presence of documentation burden in nurses working in direct patient care is not well known. Furthermore, the presence of documentation burden has not been linked to the development of clinician burnout syndrome.

Methods This paper reports that the results of a cross-sectional survey study comprised of three tools: (1) The burden of documentation for nurses and mid-wives survey, (2) the system usability scale, and (3) Maslach's burnout inventory for medical professionals.

Results Documentation burden has a weak to moderate correlation to clinician burnout syndrome. Furthermore, poor usability of the electronic health record (EHR) is also associated with documentation burden and clinician burnout syndrome.

Conclusion This study suggests that there is a relationship between documentation burden and clinician burnout syndrome. The correlation of poor usability and domains of clinician burnout syndrome implies the need for more work on improving the usability of EHR for nursing documentation. Further study regarding the presence of documentation burden and its correlation to clinician burnout syndrome should focus on specific areas of nursing to understand the drivers of documentation burden variation within and across specialty domains.

Protection of Human and Animal Subjects

The study was performed in compliance with the World Medical Association Declaration of Helsinki on Ethical Principles for Medical Research Involving Human Subjects, and was reviewed by University of Massachusetts-Boston Institutional Review Board.




Publication History

Received: 31 January 2022

Accepted: 01 August 2022

Article published online:
19 October 2022

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