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An Organizational Routines Theory of Employee Well-Being: Explaining the Love-Hate Relationship Between Electronic Health Records and Clinicians
Journal of the Association for Information Systems (2025)

An Organizational Routines Theory of Employee Well-Being: Explaining the Love-Hate Relationship Between Electronic Health Records and Clinicians

Ankita Srivastava, Surya Ayyalasomayajula, Chenzhang Bao, Sezgin Ayabakan, Dursun Delen
This study investigates the causes of clinician burnout by analyzing over 55,000 online reviews from clinicians on Glassdoor.com. Using topic mining and econometric modeling, the research proposes and tests a new theory on how integrating various Electronic Health Record (EHR) applications to streamline organizational routines affects employee well-being.

Problem Clinician burnout is a critical problem in healthcare, often attributed to the use of Electronic Health Records (EHRs). However, the precise reasons for this contentious relationship are not well understood, and there is a research gap in explaining how organizational-level IT decisions, such as how different systems are integrated, contribute to clinician stress or satisfaction.

Outcome - Routine operational issues, such as workflow and staffing, were more frequently discussed by clinicians as sources of dissatisfaction than EHR-specific factors like usability.
- Integrating applications to streamline clinical workflows across departments (e.g., emergency, lab, radiology) significantly improved clinician well-being.
- In contrast, integrating applications focused solely on documentation did not show a significant impact on clinician well-being.
- The positive impact of workflow integration was stronger in hospitals with good work-life balance policies and weaker in hospitals with high patient-to-nurse ratios, highlighting the importance of organizational context.
Clinician Burnout, Organizational Routines Theory, Application Integration Theory, Technostress Theory, Well-Being, Glassdoor, Online Reviews