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Nurses who perceived that they had received sufficient implementation-related training experienced less SRIS (F 1=153.40, P<.001), time pressure (F 1=80.95, P<.001), and cognitive failures (F 1=34.96, P<.001) than those who had received insufficient training. The lowest levels of SRIS (adjusted mean 3.26, SE 0.04), time pressure (adjusted mean 4.41, SE 0.05), and cognitive failures (adjusted mean 1.84, SE 0.02) were observed among those who did not experience any completed or forthcoming implementations within 12 months. The highest levels of SRIS (adjusted mean 4.07, SE 0.05) and time pressure (adjusted mean 4.55, SE 0.06) were observed among those who had experienced an EHR implementation within the last 6 months. The associations were examined using analyses of covariance adjusted for age, gender, and employment sector. EHR implementation was measured by assessing whether the work unit of each respondent had implemented or will implement a new EHR (1) within the last 6 months, (2) within the last 12 months, (3) in the next 12 months, and (4) at no point within the last 12 months or in the forthcoming 12 months. This study was a cross-sectional survey study of 3610 registered Finnish nurses in 2020.
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Moreover, we examined the moderating effect of the employment sector (hospital, primary care, social services, and others) on these associations. This study aimed to examine the associations of EHR-to-EHR implementations and the sufficiency of related training with perceived stress related to information systems (SRIS), time pressure, and cognitive failures among registered nurses. Thus, EHR implementations may have an effect on the well-being of nurses. Moreover, the need to learn new systems may require considerable effort from nurses. In particular, poorly functioning electronic health records (EHRs) have been found to induce stress and cognitive workload. However, nurses have been dissatisfied after implementations of HIS.
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High expectations have been set for the implementations of health information systems (HIS) in health care.