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Commentary
Adult nursing
Dealing with cognitive load related to electronic health record in demanding work environment
  1. Tuulikki Vehko
  1. National Institute for Health and Welfare, Helsinki, Finland
  1. Correspondence to PhD Tuulikki Vehko, National Institute for Health and Welfare, Helsinki, Finland; tuulikki.vehko{at}thl.fi

https://doi.org/10.1136/ebnurs-2023-103822

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    Commentary on: Harmon CS, Adams SA, Davis JE, Gephart SM, Donevant SB. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Appl Nurs Res. 2023 Oct;73:151724. doi: 10.1016/j.apnr.2023.151724. Epub 2023 Aug 5.

    Implications for practice and research

    • The organisation should provide training and support for electronic health record (EHR) use; however, if usability problems do not resolve themselves, system development work is needed.

    • Multimethod research is needed to determine the nurses’ cognitive load (CL) in the work environment where EHR is used.

    Context

    Unintended consequences (UCs) of the EHR and the CL have been on the discussion in USA. In nursing has been recognised UC of the EHR related to the adverse effects on patient care outcomes, patient safety, nursing workflow and nursing workload.1 CL is related to the performance of human working memory and …

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    Footnotes

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.