{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T21:55:38Z","timestamp":1785448538423,"version":"3.56.0"},"reference-count":55,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,8,14]],"date-time":"2019-08-14T00:00:00Z","timestamp":1565740800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,8,14]],"date-time":"2019-08-14T00:00:00Z","timestamp":1565740800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003128","name":"Ty\u00f6suojelurahasto","doi-asserted-by":"publisher","award":["116104"],"award-info":[{"award-number":["116104"]}],"id":[{"id":"10.13039\/501100003128","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Strategic Research Council at the Academy of Finland","award":["303604"],"award-info":[{"award-number":["303604"]}]},{"DOI":"10.13039\/501100008487","name":"Sosiaali- ja Terveysministeri\u00f6","doi-asserted-by":"publisher","award":["112241"],"award-info":[{"award-number":["112241"]}],"id":[{"id":"10.13039\/501100008487","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Inform Decis Mak"],"published-print":{"date-parts":[[2019,12]]},"DOI":"10.1186\/s12911-019-0891-z","type":"journal-article","created":{"date-parts":[[2019,8,14]],"date-time":"2019-08-14T12:03:39Z","timestamp":1565784219000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":109,"title":["Experienced time pressure and stress: electronic health records usability and information technology competence play a role"],"prefix":"10.1186","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0034-8379","authenticated-orcid":false,"given":"Tuulikki","family":"Vehko","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannele","family":"Hypp\u00f6nen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sampsa","family":"Puttonen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sari","family":"Kujala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eeva","family":"Ketola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"Tuukkanen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna-Mari","family":"Aalto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarja","family":"Heponiemi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,8,14]]},"reference":[{"key":"891_CR1","unstructured":"Messenger J, Llave OV, Gschwind L, Boehmer S, Vermeylen G, Wilkens M. Working anytime, anywhere: The effects on the world of work. Luxembourg 2017."},{"key":"891_CR2","doi-asserted-by":"publisher","unstructured":"Gaskin JE, Skousen T. Time-chunking and hyper-refocusing in a digitally-enabled workplace: six forms of knowledge workers. Front Psychol. 2016. \n                    https:\/\/doi.org\/10.3389\/fpsyg.2016.01627\n                    \n                  .","DOI":"10.3389\/fpsyg.2016.01627"},{"issue":"1","key":"891_CR3","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1177\/1460458209345901","volume":"16","author":"Jean E. Stevenson","year":"2010","unstructured":"Stevenson JE, Nilsson GC, Petersson GI, Johansson PE. Nurses\u2019 experience of using electronic patient records in everyday practice in acute\/inpatient ward settings: a literature review. Health Informatics J. 2010. \n                    https:\/\/doi.org\/10.1177\/1460458209345901\n                    \n                  .","journal-title":"Health Informatics Journal"},{"issue":"10","key":"891_CR4","doi-asserted-by":"publisher","first-page":"1302","DOI":"10.1016\/j.ijnurstu.2011.02.020","volume":"48","author":"Alison While","year":"2011","unstructured":"While A, Dewsbury G. Nursing and information and communication technology (ICT): a discussion of trends and future directions. Int J Nurs Stud. 2011. \n                    https:\/\/doi.org\/10.1016\/j.ijnurstu.2011.02.020\n                    \n                  .","journal-title":"International Journal of Nursing Studies"},{"key":"891_CR5","unstructured":"Ilom\u00e4ki L, Kantosalo A, Lakkala M. What is digital competence? \n                    http:\/\/linked.eun.org\/web\/guest\/in-depth3\n                    \n                  . 2011."},{"key":"891_CR6","doi-asserted-by":"publisher","unstructured":"Kujala S, Rajalahti E, Heponiemi T, Hilama P. Health Professionals' expanding eHealth competences for supporting Patients' self-management. Stud Health Technol Inform. 2018. \n                    https:\/\/doi.org\/10.3233\/978-1-61499-852-5-181\n                    \n                  .","DOI":"10.3233\/978-1-61499-852-5-181"},{"key":"891_CR7","doi-asserted-by":"publisher","unstructured":"de Veer AJE, MAH F, Bekkema N, Francke AL. Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. BMC Med Inform Decis Mak. 2011. \n                    https:\/\/doi.org\/10.1186\/1472-6947-11-67\n                    \n                  .","DOI":"10.1186\/1472-6947-11-67"},{"issue":"3","key":"891_CR8","doi-asserted-by":"publisher","first-page":"464","DOI":"10.1377\/hlthaff.2011.0178","volume":"30","author":"Melinda Beeuwkes Buntin","year":"2011","unstructured":"Buntin MB, Burke MF, Hoaglin MC, Blumenthal D. The benefits of health information technology: a review of the recent literature shows predominantly positive results. Health Aff. 2011. \n                    https:\/\/doi.org\/10.1377\/hlthaff.2011.0178\n                    \n                  .","journal-title":"Health Affairs"},{"issue":"4","key":"891_CR9","doi-asserted-by":"publisher","first-page":"e122","DOI":"10.2196\/jmir.6686","volume":"19","author":"Genevi\u00e8ve Rouleau","year":"2017","unstructured":"Rouleau G, Gagnon M, C\u00f4t\u00e9 J, Payne-Gagnon J, Hudson E, Dubois C. Impact of information and communication technologies on nursing care: results of an overview of systematic reviews. J Med Internet Res. 2017. \n                    https:\/\/doi.org\/10.2196\/jmir.6686\n                    \n                  .","journal-title":"Journal of Medical Internet Research"},{"issue":"1","key":"891_CR10","doi-asserted-by":"publisher","first-page":"30","DOI":"10.23996\/fjhw.65363","volume":"10","author":"Hannele Hypp\u00f6nen","year":"2018","unstructured":"Hypp\u00f6nen H, L\u00e4\u00e4veri T, Hahtela N, Suutarla A, Sillanp\u00e4\u00e4 K, Kinnunen U, Ahonen O, Rajalahti E, Kaipio J, Heponiemi T, Saranto K. Kyvykk\u00e4ille k\u00e4ytt\u00e4jille fiksut j\u00e4rjestelm\u00e4t? Sairaanhoitajien arviot potilastietoj\u00e4rjestelmist\u00e4 2017 [Smart systems for capable users? Nurses\u2019 experiences on patient information systems 2017]. Finnish Journal of eHealth and eWelfare 2018; https:\/\/doi.org\/\n                    https:\/\/doi.org\/10.23996\/fjhw.65363\n                    \n                  .","journal-title":"Finnish Journal of eHealth and eWelfare"},{"issue":"1","key":"891_CR11","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1097\/CIN.0000000000000290","volume":"35","author":"Susan McBride","year":"2017","unstructured":"Mcbride S, Tietze M, Hanley MA, Thomas L. Statewide study to assess Nurses' experiences with meaningful use-based electronic health records. Cin: Computers, Informatics, Nursing. 2017; doi:\n                    https:\/\/doi.org\/10.1097\/CIN.0000000000000290\n                    \n                  .","journal-title":"CIN: Computers, Informatics, Nursing"},{"key":"891_CR12","unstructured":"Helles\u00f8 R, Sjetne IS. Norwegian hospital nurses' satisfaction with the electronic patient record and associations with informational continuity during shift changes. 11th International Congress on Nursing Informatics, June 23-27, 2012, Montreal, Canada. \n                    https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3799156\/pdf\/amia_2012_ni_166.pdf\n                    \n                  . Accessed 26 June 2018."},{"key":"891_CR13","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/j.jbi.2013.10.010","volume":"48","author":"Marie-Pierre Gagnon","year":"2014","unstructured":"Gagnon M, Ghandour EK, Talla PK, Simonyan D, Godin G, Labrecque M, Ouimet M, Rousseau M. Electronic health record acceptance by physicians: testing an integrated theoretical model. J Biomed Inform. 2014. \n                    https:\/\/doi.org\/10.1016\/j.jbi.2013.10.010\n                    \n                  .","journal-title":"Journal of Biomedical Informatics"},{"issue":"1","key":"891_CR14","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.ijmedinf.2014.09.004","volume":"84","author":"\u00c9ric Maillet","year":"2015","unstructured":"Maillet \u00c9, Mathieu L, Sicotte C. Modeling factors explaining the acceptance, actual use and satisfaction of nurses using an electronic patient record in acute care settings: an extension of the UTAUT. Int J Med Inform. 2015. \n                    https:\/\/doi.org\/10.1016\/j.ijmedinf.2014.09.004\n                    \n                  .","journal-title":"International Journal of Medical Informatics"},{"key":"891_CR15","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1016\/j.ijmedinf.2016.10.010","volume":"97","author":"Johanna Kaipio","year":"2017","unstructured":"Kaipio J, L\u00e4\u00e4veri T, Hypp\u00f6nen H, Vainiom\u00e4ki S, Reponen J, Kushniruk A, Borycki E, V\u00e4nsk\u00e4 J. Usability problems do not heal by themselves: national survey on physicians' experiences with EHRs in Finland. Int J Med Inform. 2017. \n                    https:\/\/doi.org\/10.1016\/j.ijmedinf.2016.10.010\n                    \n                  .","journal-title":"International Journal of Medical Informatics"},{"key":"891_CR16","unstructured":"Pekkarinen L. The relationships between work stressors and organizational performance in the long-term care for elderly residents. University of Helsinki, Faculty of Social Sciences, Department of Social Psychology. Helsinki. 2008."},{"issue":"04","key":"891_CR17","doi-asserted-by":"publisher","first-page":"1057","DOI":"10.4338\/ACI-2017-06-RA-0094","volume":"08","author":"Suvi Vainiom\u00e4ki","year":"2017","unstructured":"Vainiom\u00e4ki S, Aalto A, L\u00e4\u00e4veri T, Sinervo T, Elovainio M, M\u00e4ntyselk\u00e4 P, Hypp\u00f6nen H. Better usability and technical stability could Lead to better work-related well-being among physicians. Appl Clin Inform. 2017. \n                    https:\/\/doi.org\/10.4338\/ACI-2017-06-RA-0094\n                    \n                  .","journal-title":"Applied Clinical Informatics"},{"issue":"6","key":"891_CR18","doi-asserted-by":"publisher","first-page":"796","DOI":"10.1176\/appi.ps.201300200","volume":"65","author":"Tarja Heponiemi","year":"2014","unstructured":"Heponiemi T, Aalto A, Puttonen S, V\u00e4nsk\u00e4 J, Elovainio M. Work-related stress, job resources, and well-being among psychiatrists and other medical specialists in Finland. Psychiatr Serv. 2014. \n                    https:\/\/doi.org\/10.1176\/appi.ps.201300200\n                    \n                  .","journal-title":"Psychiatric Services"},{"issue":"1pt1","key":"891_CR19","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1111\/j.1475-6773.2011.01313.x","volume":"47","author":"Hannamaria Kuusio","year":"2011","unstructured":"Kuusio H, Heponiemi T, Aalto AM, Sinervo T, Elovainio M. Differences in well-being between GPs, medical specialists, and private physicians: the role of psychosocial factors. Health Serv Res. 2012. \n                    https:\/\/doi.org\/10.1111\/j.1475-6773.2011.01313.x\n                    \n                  .","journal-title":"Health Services Research"},{"key":"891_CR20","doi-asserted-by":"publisher","unstructured":"Heponiemi T, Hypp\u00f6nen H, Vehko T, Kujala S, Aalto A, V\u00e4nsk\u00e4 J, Elovainio M. Finnish physicians\u2019 stress related to information systems keeps increasing: a longitudinal three-wave survey study. BMC Med Inform Decis Mak. 2017. \n                    https:\/\/doi.org\/10.1186\/s12911-017-0545-y\n                    \n                  .","DOI":"10.1186\/s12911-017-0545-y"},{"key":"891_CR21","doi-asserted-by":"publisher","unstructured":"Heponiemi T, Hypp\u00f6nen H, Kujala S, Aalto A, Vehko T, V\u00e4nsk\u00e4 J, Elovainio M. Predictors of physicians' stress related to information systems: a nine-year follow-up survey study. BMC Health Serv Res. 2018. \n                    https:\/\/doi.org\/10.1186\/s12913-018-3094-x\n                    \n                  .","DOI":"10.1186\/s12913-018-3094-x"},{"key":"891_CR22","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1016\/j.ijmedinf.2017.03.003","volume":"104","author":"Peter Triantafillou","year":"2017","unstructured":"Triantafillou P. Making electronic health records support quality management: a narrative review. Int J Med Inform. 2017. \n                    https:\/\/doi.org\/10.1016\/j.ijmedinf.2017.03.003\n                    \n                  .","journal-title":"International Journal of Medical Informatics"},{"issue":"8","key":"891_CR23","doi-asserted-by":"publisher","first-page":"554","DOI":"10.1016\/j.ijmedinf.2010.05.002","volume":"79","author":"Kristiina H\u00e4yrinen","year":"2010","unstructured":"H\u00e4yrinen K, Lammintakanen J, Saranto K. Evaluation of electronic nursing documentation--nursing process model and standardized terminologies as keys to visible and transparent nursing. Int J Med Inform. 2010. \n                    https:\/\/doi.org\/10.1016\/j.ijmedinf.2010.05.002\n                    \n                  .","journal-title":"International Journal of Medical Informatics"},{"key":"891_CR24","unstructured":"Reponen J, Kangas M, H\u00e4m\u00e4l\u00e4inen P, Ker\u00e4nen N. Use of information and communications technology in Finnish health care in 2014. Current situation and trends. National Institute for Health and Welfare (THL). Helsinki. 2015. Available at: \n                    www.julkari.fi\n                    \n                  ."},{"key":"891_CR25","doi-asserted-by":"publisher","unstructured":"Mykk\u00e4nen M, Miettinen M, Saranto K. Standardized nursing documentation supports evidence-based nursing management. Stud Health Technol Inform. 2016. \n                    https:\/\/doi.org\/10.3233\/978-1-61499-658-3-466\n                    \n                  .","DOI":"10.3233\/978-1-61499-658-3-466"},{"key":"891_CR26","unstructured":"Dunnigan AM. The impact of electronic health records on primary care workflow in the post-implementation era: systematic literature review. Scholar Archive 2013. \n                    https:\/\/digitalcommons.ohsu.edu\/cgi\/viewcontent.cgi?article=1876&context=etd\n                    \n                  . Accessed 26 June 2018."},{"key":"891_CR27","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1016\/j.jbi.2017.01.005","volume":"67","author":"Lisette C. Roman","year":"2017","unstructured":"Roman LC, Ancker JS, Johnson SB, Senathirajah Y. Navigation in the electronic health record: a review of the safety and usability literature. J Biomed Inform. 2017. \n                    https:\/\/doi.org\/10.1016\/j.jbi.2017.01.005\n                    \n                  .","journal-title":"Journal of Biomedical Informatics"},{"key":"891_CR28","volume-title":"Finland: health system review","author":"L Vuorenkoski","year":"2008","unstructured":"Vuorenkoski L. Finland: health system review. Copenhagen: European Observatory on Health Care Systems; 2008."},{"key":"891_CR29","unstructured":"Mattila A. Taustaselvitys digitalisaatiosta johtuvista muutoksista ty\u00f6ymp\u00e4rist\u00f6ss\u00e4, osaamisvaatimuksissa ja ty\u00f6n tekemisess\u00e4 valituissa rooleissa. (Finnish text. Title translation: Digitalization changes in the work environment, skills requirements and in choosing to work roles. A background paper). Laurea- ammattikorkeakoulu, kehitysyksikk\u00f6. 2015."},{"key":"891_CR30","unstructured":"OECD\/European Observatory on Health Systems and Policies. Finland: Country Health Profile 2017. European Observatory on Health Systems and Policies 2017."},{"key":"891_CR31","doi-asserted-by":"publisher","unstructured":"Papp R, Borbas I, Dobos E, Bredehorst M, Jaruseviciene L, Vehko T, Balogh S. Perceptions of quality in primary health care: perspectives of patients and professionals based on focus group discussions. BMC Fam Pract. 2014. \n                    https:\/\/doi.org\/10.1186\/1471-2296-15-128\n                    \n                  .","DOI":"10.1186\/1471-2296-15-128"},{"key":"891_CR32","unstructured":"Reponen J, Kangas M, H\u00e4m\u00e4l\u00e4inen P, Ker\u00e4nen N. Tieto- ja viestint\u00e4teknologian k\u00e4ytt\u00f6 terveydenhuollossa vuonna 2014. Tilanne ja kehityksen suunta. (Finnish text. Title translation: Use of information and communication technology at healthcare in 2014.) National Institute for Health and Welfare (THL). Helsinki. 2014. Available at: \n                    www.julkari.fi\n                    \n                  ."},{"key":"891_CR33","doi-asserted-by":"publisher","unstructured":"Jormanainen, Vesa: Large-scale implementation and adoption of the Finnish national Kanta services in 2010\u20132017: a prospective, longitudinal, indicator-based study. Finnish Journal of EHealth and EWelfare, 2018:10(4), 381\u2013395. https:\/\/doi.org\/\n                    https:\/\/doi.org\/10.23996\/fjhw.74511","DOI":"10.23996\/fjhw.74511"},{"key":"891_CR34","unstructured":"Hypp\u00f6nen H. Indicators of digitalisation, survey questionnaires. \n                    https:\/\/thl.fi\/fi\/web\/tiedonhallinta-sosiaali-ja-terveysalalla\/mita-tiedonhallinta-on-\/sote-digitalisaation-seuranta\/sote-digitalisaation-seurantatutkimusten-toteuttaminen\n                    \n                  . Accessed 14 November 2018."},{"key":"891_CR35","doi-asserted-by":"crossref","unstructured":"Harris P. The nurse stress index. Work Stress. 1989;03.","DOI":"10.1080\/02678378908256952"},{"key":"891_CR36","unstructured":"Kivim\u00e4ki M LK. Job stress and well-being of care providers: development of a standardized survey instrument. Hoitotiede. 1992;4(03)."},{"key":"891_CR37","unstructured":"Goldberg DB. The detection of psychiatric illness by questionnaire: a technique for the identification and assessment of non-psychotic psychiatric illness. Oxford, England: Oxford University Press; 1972."},{"issue":"5","key":"891_CR38","doi-asserted-by":"publisher","first-page":"356","DOI":"10.5271\/sjweh.1278","volume":"34","author":"Tarja Heponiemi","year":"2008","unstructured":"Heponiemi T, Kouvonen A, V\u00e4nska J, Halila, H, Sinervo T, Kivim\u00e4ki M, Elovainio M: Effects of active on call hours on physicians' turnover intentions and wellbeing. The Finnish Health Care Professionals Study. Scandinavian Journal of Work, Environment and Health 2009; DOI: \n                    https:\/\/doi.org\/10.5271\/sjweh.1278\n                    \n                  .","journal-title":"Scandinavian Journal of Work, Environment & Health"},{"issue":"4","key":"891_CR39","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1037\/a0015853","volume":"14","author":"Tarja Heponiemi","year":"2009","unstructured":"Heponiemi T, Kouvonen A, V\u00e4nska J, Halila, H, Sinervo T, Kivim\u00e4ki M, Elovainio M. The association of Distress and Sleeping Problems with Physicians' Intentions to Change Profession: The Moderating Effect of Job Control Journal of Occupational Health Psychology 2009; doi: \n                    https:\/\/doi.org\/10.1037\/a0015853\n                    \n                  .","journal-title":"Journal of Occupational Health Psychology"},{"issue":"7","key":"891_CR40","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1097\/CIN.0000000000000435","volume":"36","author":"Manal Kleib","year":"2018","unstructured":"Kleib M, Nagle L. Development of the Canadian nurse informatics competency assessment scale and evaluation of Alberta's registered Nurses' self-perceived informatics competencies. Cin: Computers, Informatics, Nursing. 2018; doi:\n                    https:\/\/doi.org\/10.1097\/CIN.0000000000000435\n                    \n                  .","journal-title":"CIN: Computers, Informatics, Nursing"},{"issue":"4","key":"891_CR41","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1016\/j.apergo.2006.04.007","volume":"37","author":"Judith K. Sluiter","year":"2006","unstructured":"Sluiter JK. High-demand jobs: age-related diversity in work ability? Appl Ergon. 2006. \n                    https:\/\/doi.org\/10.1016\/j.apergo.2006.04.007\n                    \n                  .","journal-title":"Applied Ergonomics"},{"issue":"4","key":"891_CR42","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1108\/JICA-06-2017-0018","volume":"25","author":"Outi Jolanki","year":"2017","unstructured":"Jolanki O, Tynkkynen L, Sinervo T. Professionals\u2019 views on integrated care. J Integr Care. 2017. \n                    https:\/\/doi.org\/10.1108\/JICA-06-2017-0018\n                    \n                  .","journal-title":"Journal of Integrated Care"},{"issue":"1-2","key":"891_CR43","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1177\/2053434517744070","volume":"21","author":"Tuulikki Vehko","year":"2017","unstructured":"Vehko T, Jolanki O, Aalto A, Sinervo T. How do health care workers manage a patient with multiple care needs from both health and social care services? \u2013 a vignette study. Int J Care Coord. 2018. \n                    https:\/\/doi.org\/10.1177\/2053434517744070\n                    \n                  .","journal-title":"International Journal of Care Coordination"},{"key":"891_CR44","unstructured":"Leskel\u00e4 R, Komssi V, Sandstr\u00f6n S, Pikkuj\u00e4ms\u00e4 S, Haverinen A, Olli S, Ylitalo-Katajisto K. Paljon sosiaali- ja terveyspalveluja k\u00e4ytt\u00e4v\u00e4t asukkaat Oulussa. (In Finnish with an English abstract: Heavy users of social and health care services in the city of Oulu). Suomen L\u00e4\u00e4k\u00e4rilehti [Finnish Medical Journal]. 2013;48(68)."},{"key":"891_CR45","unstructured":"Hypp\u00f6nen H, Pentala-Nikulainen O, Aalto A. Kansalaisten kokemukset ja tarpeet: Sosiaali- ja terveydenhuollon s\u00e4hk\u00f6inen asiointi 2017 (In Finnish with an English abstract: Electronic services in the social welfare and health care sector 2017. Citizens' experiences and needs.) National Institute for Health and Welfare (THL). 2018. Available at: \n                    www.julkari.fi\n                    \n                  ."},{"key":"891_CR46","unstructured":"Eurofound and EU-OSHA (2014): Psychosocial risks in Europe: prevalence and strategies for prevention. Luxembourg. 2014."},{"issue":"1","key":"891_CR47","doi-asserted-by":"publisher","first-page":"143","DOI":"10.23996\/fjhw.65387","volume":"10","author":"Tuulikki Vehko","year":"2018","unstructured":"Vehko T, Hypp\u00f6nen H, Ryh\u00e4nen M, Tuukkanen J, Ketola E, Heponiemi T. Tietoj\u00e4rjestelm\u00e4t ja ty\u00f6hyvinvointi \u2013 terveydenhuollon ammattilaisten n\u00e4kemyksi\u00e4. [In Finnish with an English abstract: Information systems and well-being at work - the views of healthcare professionals.] Finnish Journal of eHealth and eWelfare. 2018; doi.org\/\n                    https:\/\/doi.org\/10.23996\/fjhw.65387\n                    \n                  .","journal-title":"Finnish Journal of eHealth and eWelfare"},{"key":"891_CR48","doi-asserted-by":"crossref","unstructured":"Karasek RA. Job demands, job decision latitude, and mental strain. Implications for job redesign Administrative Science Quarterly 1979(24).","DOI":"10.2307\/2392498"},{"issue":"12","key":"891_CR49","doi-asserted-by":"publisher","first-page":"1551","DOI":"10.1016\/j.ijnurstu.2011.05.015","volume":"48","author":"Tarja Heponiemi","year":"2011","unstructured":"Heponiemi T, Elovainio M, Kouvonen A, Kuusio H, Noro A, Finne-Soveri H, Sinervo T. The effects of ownership, staffing level and organisational justice on nurse commitment, involvement, and satisfaction: a questionnaire study. Int J Nurs Stud. 2011;48(12).","journal-title":"International Journal of Nursing Studies"},{"issue":"1","key":"891_CR50","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1016\/j.jom.2014.11.003","volume":"33-34","author":"John W. Gardner","year":"2014","unstructured":"Gardner JW, Boyer KK, Gray JV. Operational and strategic information processing: complementing healthcare IT infrastructure. J Oper Manag. 2015. \n                    https:\/\/doi.org\/10.1016\/j.jom.2014.11.003\n                    \n                  .","journal-title":"Journal of Operations Management"},{"key":"891_CR51","doi-asserted-by":"crossref","unstructured":"Delone WH, McLean ER. The DeLone and McLean Model of Information Systems Success: a ten-year update. Journal of Management Information Systems 2003 Spring;Vol 19(No 4):30.","DOI":"10.1080\/07421222.2003.11045748"},{"issue":"2","key":"891_CR52","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1177\/1460458216631072","volume":"23","author":"Sari Palojoki","year":"2016","unstructured":"Palojoki S, M\u00e4kel\u00e4 M, Lehtonen L, Saranto K. An analysis of electronic health record\u2013related patient safety incidents. Health Informatics J. 2017. \n                    https:\/\/doi.org\/10.1177\/1460458216631072\n                    \n                  .","journal-title":"Health Informatics Journal"},{"issue":"2","key":"891_CR53","doi-asserted-by":"publisher","first-page":"e13","DOI":"10.2196\/medinform.5238","volume":"4","author":"Sari Palojoki","year":"2016","unstructured":"Palojoki S, Pajunen T, Saranto K, Lehtonen L. Electronic health record-related safety concerns: a cross-sectional survey of electronic health record users. JMIR Med Inform. 2016. \n                    https:\/\/doi.org\/10.2196\/medinform.5238\n                    \n                  .","journal-title":"JMIR Medical Informatics"},{"key":"891_CR54","doi-asserted-by":"publisher","unstructured":"Kujala S, H\u00f6rhammer I, Ervast M, Kolanen H, Rauhala M. Johtamisen hyv\u00e4t k\u00e4yt\u00e4nn\u00f6t s\u00e4hk\u00f6isten omahoitopalveluiden k\u00e4ytt\u00f6\u00f6notossa. [In Finnish with an English abstract]. Finnish Journal of eHealth and eWelfare. 2018; doi.org\/\n                    https:\/\/doi.org\/10.23996\/fjhw.69140","DOI":"10.23996\/fjhw.69140"},{"issue":"6","key":"891_CR55","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1370\/afm.1713","volume":"12","author":"T. Bodenheimer","year":"2014","unstructured":"Bodenheimer T, Sinsky C. From triple to quadruple aim: Care of the Patient Requires Care of the provider. Ann Fam Med. 2014. \n                    https:\/\/doi.org\/10.1370\/afm.1713\n                    \n                  .","journal-title":"The Annals of Family Medicine"}],"container-title":["BMC Medical Informatics and Decision Making"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12911-019-0891-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12911-019-0891-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12911-019-0891-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T23:12:43Z","timestamp":1597273963000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmedinformdecismak.biomedcentral.com\/articles\/10.1186\/s12911-019-0891-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,14]]},"references-count":55,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["891"],"URL":"https:\/\/doi.org\/10.1186\/s12911-019-0891-z","relation":{},"ISSN":["1472-6947"],"issn-type":[{"value":"1472-6947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,14]]},"assertion":[{"value":"26 June 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 August 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 August 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Ethical approval for the study was obtained from the institutional review board of National Institute for Health and Welfare (IRB, 00007085, FWA 00014588), decision 9 \/2016 \u00a7744. The survey script reminded the participants of the voluntary nature of participation in the survey.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"160"}}