Tietojärjestelmät ja työhyvinvointi – terveydenhuollon ammattilaisten näkemyksiä

Authors

• Tuulikki Vehko Terveyden ja hyvinvoinnin laitos
• Hannele Hyppönen Terveyden ja hyvinvoinnin laitos
• Miia Ryhänen Terveyden ja hyvinvoinnin laitos
• Johanna Tuukkanen Keski-Suomen sairaanhoitopiiri, Päivystyksen toimialue, Jyväskylä
• Eeva Ketola Terveyden ja hyvinvoinnin laitos
• Tarja Heponiemi Terveyden ja hyvinvoinnin laitos

DOI: https://doi.org/10.23996/fjhw.65387

Keywords:

focus groups, community health services, personnel, information systems, occupational stress

Abstract

Usability of clinical information and communication technology (ICT) systems is essential for professionals working in labour-intensive health care. We examined healthcare professionals’ experiences of ICT and their stressfulness and associations on well-being at work. We performed focus group interviews, and analysed data with content analysis.

Technical problems, such as downtime and slowness, multiple sign-in required for multiple systems, and the use of several systems simultaneously, caused stress. In the inter-organizational co-operation, the lack of electronic patient information slowed down work. Incomplete documentation of medication caused stress for professionals and concern for patient safety. Lack of time for documentation was reported, and the professionals attempted to record patient data either briefly or at the end of the workshift.

The interruptions and the need to use multiple views while recording patient data, were considered disruptive. The professionals hoped that functionalities between programs were improved in order to save time from recording. Overall, however, recording was not considered to be the major stress factor for the work. The burden of patient work or occasional excessive workload was the priority for many employees. Approaching work related wellbeing connected in some respects gaps in the ICT knowledge. Healthcare professionals reflected that their potential for feedback from ICT was limited.

In order to ensure the smoothness of work-processes (efficiency and quality) the well-being of healthcare professionals should be focused on. The toolkit for promoting the ICT-related well-being of healthcare professionals should include: improving the stability of information systems, developing single sign-on, developing usability of documentation and retrieval of patient data, providing a peaceful documentation environment, and improving access to comprehensive and timely patient data from other organizations. Feedback from professionals should be reflected in the development of ICTs, and ICT skills should be systematically developed in organizations.